Key result
Astragaloside IV improves mitochondrial function and reduces myocardial fibrosis in HF rats via p38 MAPK inhibition.
Why the study?
Mitochondrial dysfunction contributes to heart failure progression, but the role of astragaloside IV in mitochondrial homeostasis remains unclear.
Does Astragaloside IV improve mitochondrial function and alleviate heart failure in a rat model of pressure overload?
Does Astragaloside IV improve mitochondrial function and alleviate heart failure in a rat model of pressure overload?
Astragaloside IV alleviates pressure overload-induced heart failure in rats by promoting mitophagy and preserving mitochondrial function via suppression of the MAPK pathway.
Does not support clinical use in heart failure; leaves open whether Astragaloside IV benefits patients via p38 MAPK inhibition.
Heart failure (HF) is a leading cause of morbidity and mortality worldwide, with mitochondrial dysfunction and impaired mitophagy recognized as key contributors to its progression. Astragaloside IV (AS-IV), a major active component of Astragalus membranaceus, has shown multiple biological effects, but its role in mitochondrial homeostasis in HF remains unclear. In this study, a rat model of HF was induced by abdominal aortic constriction, and AS-IV was administered at doses of 20 mg/kg and 80 mg/kg. We found AS-IV treatment significantly reduced myocardial fibrosis and hypertrophy, improved mitochondrial function by increasing ATP and manganese superoxide dismutase levels, reducing reactive oxygen species, and upregulating PGC-1α and TFAM. It also enhanced mitochondrial autophagy. Moreover, AS-IV markedly inhibited the activation of the p38 MAPK pathway. AS-IV suppresses autophagy and mitochondrial function via targeting MAPK pathway in H9c2 cells. These findings suggest that AS-IV alleviates HF by promoting mitophagy and preserving mitochondrial function through suppression of the MAPK pathway, highlighting its potential as a novel therapeutic agent for HF.
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Wang et al. (2025) studied this question. Astragaloside IV improved mitochondrial function and reduced myocardial fibrosis in heart failure rats by inhibiting the p38 MAPK pathway.
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