Tohoku J. Exp. Med., 2008, 216(4)
Antiapoptotic Mechanisms of Chinese Medicine Formula, Guan-Xin-Er-Hao, in the Rat Ischemic Heart
HONG-WEI ZHAO,1 FENG QIN,2 YI-XIA LIU,1 XI HUANG1,2 AND PING REN2
1Laboratory of Ethnopharmacology, West China Hospital, Sichuan University, Chengdu, PR China
2Laboratory of Ethnopharmacology and Institute of Integrated Chinese and Western Medicine, Xiangya Hospital, Central South University, Changsha, PR China
Considerable evidence indicates that apoptosis plays a critical role in acute myocardial infarction. We have previously shown that Guan-Xin-Er-Hao (GXEH), a Chinese medicine formula, attenuates postischemia myocardial apoptosis. The present study was designed to determine the mechanisms by which GXEH exerts its antiapoptotic effect. Adult male Sprague−Dawley rats were randomized to receive vehicle or GXEH (5 or 15 g/kg) orally 30 min before ischemia and subjected to myocardial ischemia of 3 h (apoptosis peak) or 24 h (necrosis peak) for determination of infarct size. Compared with rats receiving vehicle, those rats treated with GXEH (15 g/kg) showed significantly reduced infarct size, the reduced myocardial apoptosis, as judged by the decreases in TUNEL-positive staining (22.40 ± 5.68% vs. 40.31 ± 10.58%, p < 0.01), and the decrease in the degree of caspase-3 activation (82.97 ± 10.54 vs. 159.95 ± 9.16 μmol cleaved acetyl-Asp-Glu-Val-Asp-p-nitroanilide/mg protein, p < 0.01). Treatment with GXEH (15 g/kg) significantly reduced the release of mitochondrial cytochrome c, a primary mediator of apoptosis, the degree of caspase-9 activation, and the Bax/Bcl-2 ratio. Caspase-9 cleaves and activates caspase-3. Bax promotes apoptosis, while Bcl-2 inhibits apoptosis. Thus, the antiapoptotic mechanisms of GXEH may involve the mitochondrial cytochrome c-mediated caspase-3 activation in cardiomyocytes after acute myocardial infarction. Taken together, GXEH tilted the balance between Bax and Bcl-2 toward an antiapoptotic state, decreased mitochondrial cytochrome c release, reduced caspase-9 activation, and attenuated subsequent caspase-3 activation and postischemic myocardial apoptosis in rats. GXEH may be used as a promising agent for future treatment of cardiovascular diseases.
keywords —— Traditional Chinese medicine; Guan-Xin-Er-Hao; Apoptosis; Mitochondrial pathway.
© 2008 Tohoku University Medical Press
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Tohoku J. Exp. Med., 2008, 216, 309-316
Correspondence: Xi Huang, Laboratory of Ethnopharmacology and Institute of Integrated Chinese and Western Medicine, Xiangya Hospital, Central South University, Changsha 410008, PR China.
e-mail: tcmhuangx59@163.com