Key result
Shikonin improves hemodynamics and reduces cardiac fibrosis and inflammation in rats with induced cardiac hypertrophy.
Why the study?
Available treatments for cardiac hypertrophy carry side effects and complications, and the effect of shikonin on PKM2/c-Myc/PTBP1/HIF-1alpha signaling in cardiac hypertrophy had never been explored.
Does shikonin improve cardiac function and molecular markers in a rat model of isoproterenol-induced cardiac hypertrophy?
Does shikonin improve cardiac function and molecular markers in a rat model of isoproterenol-induced cardiac hypertrophy?
p-value: p=<0.05
Shikonin demonstrates cardioprotective effects in a rat model of isoproterenol-induced cardiac hypertrophy by modulating the PKM2/c-Myc/PTBP1/HIF-1α signaling pathway.
Shikonin shows cardioprotective signals in rat hypertrophy; leaves open human translation pending clinical trials.
INTRODUCTION: Chronic sympathetic stress contributes significantly to the cardiac hypertrophy (CH) development. Currently, several pharmacological agents and surgical options are available for the treatment of CH. However, available treatment options are associated with side effects and surgical complications. The published reports indicated the PKM2 substantial role in numerous illnesses. Furthermore, the effect of shikonin (SK), a nonselective PKM2 inhibitor, on PKM2/c-Myc/PTBP1/HIF-1α signaling in the CH model has never been explored. Thus, in this study, we explore the effect of SK on the PKM2-mediated c-Myc/PTBP1/HIF-1α signaling pathway in isoproterenol (ISO)-induced CH. MATERIALS AND METHODS: The preclinical rat model of pathological CH was developed by subcutaneous (s.c.) administration of ISO (5 mg/kg/day) over 14 days. ISO-treated rats were orally received SK (2 and 4 mg/kg/day) for a period of 14 days. After all treatment completion, animals were anesthetized for electrocardiogram (ECG), blood pressure, and ventricular function recording. Afterward, animal blood samples were isolated, and then animals were sacrificed for further molecular and histopathology studies. RESULTS: Fourteen days treatment of SK showed significant improvement in ECG, fibrosis, inflammation, and cardiac function. Moreover, PKM2, PTBP1, c-Myc, and HIF-1α expressions were upregulated, while PKM1 expression was downregulated in ISO-treated rats, which was reversed by SK treatment in ISO-induced CH rats. CONCLUSION: Thus, our results demonstrated that SK modulates the PKM2/c-Myc/PTBP1/HIF-1α pathway mediated by PKM2 inhibition, which might be responsible for SK-mediated cardioprotection in ISO-induced CH.
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Rihan et al. (2025) studied Isoproterenol-induced cardiac hypertrophy (n=48). Shikonin vs. Vehicle (0.5% Na-CMC) with Isoproterenol was evaluated on Electrocardiogram, hemodynamic parameters, hypertrophic markers, inflammatory markers, and cardiac fibrosis (p=<0.05). Shikonin treatment significantly improved electrocardiogram and hemodynamic parameters, and reduced cardiac fibrosis and inflammation in isoproterenol-induced cardiac hypertrophy rats.
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