A Novel Mechanism of Salvianolic Acid B in Postmyocardial Infarction Cardiac Protection: PHB1-Driven Raf-ERK Pathway

Ce Cao1, Bo Ma2, Jian Zhang3

  • 1National Clinical Research Center for Chinese Medicine Cardiology Beijing Key Laboratory of Chinese Materia Pharmacology Xiyuan Hospital of China Academy of Chinese Medical Sciences Beijing China.

Medcomm
|May 6, 2026
PubMed

Insights

Salvianolic acid B (SalB) promotes heart cell regeneration after heart attack by activating the Raf-ERK pathway through Prohibitin 1 (PHB1). This novel mechanism aids in restoring cardiac function and treating heart failure.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Pharmacology

Background:

  • Heart failure (HF) post-myocardial infarction is a major global health concern.
  • Salvianolic acid B (SalB), from Salvia miltiorrhiza, shows potential in reversing cardiac damage.
  • Novel therapeutic strategies are needed to improve cardiac function after infarction.

Purpose of the Study:

  • To elucidate the mechanism of SalB in treating post-myocardial infarction heart failure.
  • To identify the protein target of SalB responsible for its cardioprotective effects.
  • To investigate SalB's role in promoting cardiomyocyte cell cycle re-entry.

Main Methods:

  • Chemical biology techniques for target identification.
  • Overexpression and knockdown experiments for Prohibitin 1 (PHB1).
  • Molecular dynamics simulations to analyze protein-ligand interactions and pathway activation.

Main Results:

  • SalB targets Prohibitin 1 (PHB1) to promote cardiomyocyte mitosis.
  • SalB upregulates the phosphorylation of the Raf-ERK pathway via PHB1.
  • SalB binds to PHB1/2 heterodimer, inducing conformational changes that enhance Raf-ERK activation through Akt-mediated phosphorylation.

Conclusions:

  • SalB promotes cardiomyocyte cell cycle re-entry, offering a new therapeutic approach for heart failure.
  • The PHB1-Raf-ERK pathway is a key mediator of SalB's cardioprotective effects.
  • This study reveals a novel molecular mechanism for SalB in preserving and restoring cardiac function.