Key result
Yiqi Fumai injection improves cardiac function in heart failure rats by enhancing PGC-1α-driven mitochondrial metabolism.
Why the study?
Yiqi Fumai lyophilized injection is used clinically to treat chronic heart failure, but its underlying mechanism remains not fully elucidated.
Does Yiqi Fumai lyophilized injection improve cardiac function and myocardial energy metabolism in a rat model of chronic heart failure?
Does Yiqi Fumai lyophilized injection improve cardiac function and myocardial energy metabolism in a rat model of chronic heart failure?
Yiqi Fumai lyophilized injection improves cardiac function in a rat model of chronic heart failure by enhancing mitochondrial function and regulating energy metabolism-related proteins.
Does not support clinical use in human HF; leaves open further preclinical validation of PGC-1α mitochondrial effects.
Yiqi Fumai lyophilized injection (YQFM) is the recombination of Sheng mai san (SMS).YQFM has been applied clinically to efficaciously and safely treat chronic heart failure (CHF). However, the mechanism of YQFM is still not fully elucidated. The purpose of our study was to investigate the protective mechanism of YQFM against abdominal aortic coarctation (AAC) in rats by proteomic methods. After YQFM treatment, the cardiac function were obviously meliorated. One hundred and fifty-seven important differentially expressed proteins (DEPs) were identified, including 109 in model rat compared with that in control rat (M:C) and 48 in YQFM-treated rat compared with that in model rat (T:M) by iTRAQ technology to analyze the proteomic characteristics of heart tissue. Bioinformatics analysis showed that DEPs was mainly involved in the body’s energy metabolism and was closely related to oxidative phosphorylation. YQFM had also displayed efficient mitochondrial dysfunction alleviation properties in hydrogen peroxide (H 2 O 2 )-induced cardiomyocyte damage by Transmission Electron Microscope (TEM), Metabolic assay, and Mitotracker staining. What’s more, the levels of total cardiomyocyte apoptosis were markedly reduced following YQFM treatment. Furthermore, Western blot analysis showed that the expressions of peroxisome proliferator activated receptor co-activator-1α(PGC-1α) ( p < 0.01 or p < 0.001), perixisome proliferation-activated receptor alpha (PPAR-α) ( p < 0.001)and retinoid X receptor alpha (RXR-α) were upregulated ( p < 0.001), PGC-1α as well as its downstream effectors were also found to be upregulated in cardiomyocytes after YQFM treatment( p < 0.001).These results provided evidence that YQFM could enhance mitochondrial function of cardiomyocytes to play a role in the treatment of CHF by regulating mitochondrial biogenesis-related proteins.
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Han et al. (2021) studied Chronic Heart Failure (n=70). Yiqi Fumai lyophilized injection (YQFM) vs. Abdominal aortic coarctation (AAC) model control was evaluated on Cardiac function (LVEF and LVFS) and myocardial energy metabolism. Yiqi Fumai lyophilized injection effectively restored cardiac function and attenuated myocardial injury in rats with chronic heart failure by enhancing mitochondrial energy metabolism via the PGC-1α signaling pathway.
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