Key result
AB-PL herb pair lowers blood pressure, reduces cardiac hypertrophy, and improves LVEF in hypertensive mice.
Why the study?
The herb pair Achyranthes bidentata and Paeonia lactiflora Pall. shows significant efficacy in hypertensive cardiomyopathy, but its underlying mechanisms remain unclear.
Does the herb pair Achyranthes bidentata and Paeonia lactiflora Pall. (AB-PL) improve cardiac function and reduce blood pressure in a mouse model of hypertensive cardiomyopathy?
Does the herb pair Achyranthes bidentata and Paeonia lactiflora Pall. (AB-PL) improve cardiac function and reduce blood pressure in a mouse model of hypertensive cardiomyopathy?
Effect estimate: SBP, DBP, MAP significantly reduced by AB-PL vs. L-NAME model (p<0.05); HW/BW and HW/TL ratios significantly decreased (p<0.01); ANP and BNP levels significantly reduced (p<0.05); LVEF significantly improved (p<0.05)
p-value: p=<0.05, <0.01 for key endpoints
The herb pair AB-PL ameliorates hypertensive cardiomyopathy in mice by modulating nitrogen metabolism, oxidative stress, and inflammation, providing a potential mechanistic basis for its clinical use.
May support AB-PL development for hypertensive cardiomyopathy; leaves open clinical translation pending human trials.
The herb pair Achyranthes bidentata Blume and Paeonia lactiflora Pall. (AB-PL) has demonstrated significant efficacy in the treatment of hypertensive cardiomyopathy; however, its underlying mechanisms remain unclear. In this study, we established an integrated framework combining predictive network pharmacology and experimental exploration to investigate the action mechanisms of AB-PL. The potential antihypertensive targets and pathways of AB-PL were predicted via network pharmacology analysis. These predictions were further explored and assessed in a hypertensive C57 mouse model using real-time quantitative polymerase chain reaction (RT-qPCR), Western blotting, immunohistochemistry, metabolomics, and other assays. The network pharmacology analysis suggested that the active components of AB-PL (e.g., paeoniflorin) may alleviate hypertensive cardiomyopathy by modulating nitrogen metabolism, oxidative stress, inflammation, and the lipid metabolic pathways. Our experimental results show that AB-PL significantly reduces blood pressure and decreases the levels of atrial and brain natriuretic peptides while improving left ventricular ejection fraction in hypertensive mice. AB-PL treatment also ameliorates abnormalities in the nitrogen metabolism biomarkers. Fluorescent probe detection, RT-qPCR, and immunohistochemical analyses indicate that AB-PL significantly alters the expression levels of reactive oxygen species, superoxide dismutase, Keap1, Nrf2, and HO-1. In addition, AB-PL suppresses inflammatory responses by inhibiting the expression of NLRP3, ASC, gasdermin D, IL-1β, and IL-18. Metabolomic analysis further suggested the regulatory effects of AB-PL on the lipid metabolism pathways, including fatty acid biosynthesis. In conclusion, this study provides insights into the potential antihypertensive cardiomyopathic mechanisms of AB-PL through a combined bioinformatic and experimental approach, which support its potential clinical application for the prevention and treatment of hypertensive cardiomyopathy.
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Zhang et al. (2026) studied Male hypertensive C57BL/6 mice induced with L-NAME (n=45). Achyranthes bidentata and Paeonia lactiflora Pall. herb pair (AB-PL) vs. Model group (L-NAME alone) and positive control (L-NAME + fosinopril 20 mg/kg/d) was evaluated on Change in systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), cardiac hypertrophy (HW/BW and HW/TL ratios), natriuretic peptides (ANP, BNP), and left ventricular ejection fraction (LVEF) (SBP, DBP, MAP significantly reduced by AB-PL vs. L-NAME model (p<0.05); HW/BW and HW/TL ratios significantly decreased (p<0.01); ANP and BNP levels significantly reduced (p<0.05); LVEF significantly improved (p<0.05), p=<0.05, <0.01 for key endpoints). The AB-PL herb pair significantly reduced systolic/diastolic blood pressure, cardiac hypertrophy markers, natriuretic peptides, and improved left ventricular ejection fraction compared to hypertensive mice treated with L-NAME alone.
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