Key result
Astragalus polysaccharide nanoparticles increase 72-hour survival ~23% and restore cardiac function in septic mice.
Why the study?
There was limited understanding of how Astragalus polysaccharide nanoparticles (APS-CS/TPP) target specific signaling pathways to protect against septic myocardial injury.
Does Astragalus polysaccharide nanoparticles (APS-CS/TPP) improve survival and attenuate myocardial damage in sepsis-induced myocardial injury models?
Does Astragalus polysaccharide nanoparticles (APS-CS/TPP) improve survival and attenuate myocardial damage in sepsis-induced myocardial injury models?
Effect estimate: Absolute improvement in survival by 23.34% (from 33.33% to 56.67%)
Absolute Event Rate: 56.67% vs 33.33%
p-value: p=<0.05
Astragalus polysaccharide nanoparticles alleviate sepsis-induced myocardial injury and improve survival in mice by targeting the HSP90AA1/NLRP3 signaling pathway.
Hypothesis-generating for APS-CS/TPP in sepsis-induced myocardial injury; leaves open clinical translation pending human trials.
Purpose: This study aimed to investigate the mechanisms by which Astragalus polysaccharide nanoparticles (APS-CS/TPP) protect against septic myocardial injury, addressing the limited understanding of how APS-CS/TPP specific signaling pathways in this condition. Materials and Methods: Potential targets and pathways of Astragalus polysaccharide (APS) were initially predicted using network pharmacology, molecular docking, and microscale thermophoresis. APS-CS/TPP were prepared using an ion gel method with a chitosan derivative and characterized for formation, size, and surface charge. A murine model of septic myocardial injury was established by cecal ligation and puncture (CLP), and therapeutic outcomes were assessed via echocardiography, ELISA, histology, and Western blot. In vitro, H9c2 cells were stimulated with LPS and treated with APS-CS/TPP, with or without the HSP90AA1 inhibitor TAS-116, followed by evaluation of inflammatory markers and protein expression. Results: APS showed high binding affinity to HSP90AA1. APS-CS/TPP improved survival and attenuated myocardial damage in septic mice. In vitro, they reduced levels of IL-1β, IL-6, and TNF-α, and downregulated HSP90AA1, NLRP3, caspase-1, and IL-1β. These effects were suppressed by TAS-116. Conclusion: APS-CS/TPP protect against septic myocardial injury by inhibiting the HSP90AA1/NLRP3 signaling pathway.
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Yue et al. (2026) studied Male C57BL/6 mice aged 8-10 weeks with cecal ligation and puncture induced septic myocardial injury (n=82). Astragalus polysaccharide nanoparticles (APS-CS/TPP) vs. Saline gavage in sham and CLP control groups was evaluated on Survival rate at 72 hours after CLP, cardiac function measured by LVEF, LVFS, SV, CO at 8 hours post-CLP, myocardial injury assessed by histopathology and serum markers (cTnI, CK-MB, LDH) at 48 hours (Absolute improvement in survival by 23.34% (from 33.33% to 56.67%), p=<0.05). Astragalus polysaccharide nanoparticles (APS-CS/TPP) improved 72-hour survival by 23.3% and significantly restored cardiac function and reduced myocardial injury markers in septic mice compared to control.
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