Key result
Continuous treatment of spontaneously hypertensive rats with active components from Radix Scrophulariae for 21 weeks significantly reduced left ventricular mass index (2.87 vs 3.09 mg/g, p<0.01) and blood pressure.
Why the study?
Does the active extract of Radix Scrophulariae (ACRS) prevent hypertensive ventricular remodeling in spontaneously hypertensive rats?
Does the active extract of Radix Scrophulariae (ACRS) prevent hypertensive ventricular remodeling in spontaneously hypertensive rats?
Absolute Event Rate: 2.87% vs 3.09%
p-value: p=<0.01
ACRS prevents hypertensive ventricular remodeling in spontaneously hypertensive rats by suppressing the sympathetic nervous and renin-angiotensin-aldosterone systems via inhibition of MAPK pathways.
ACRS effects in rat models remain hypothesis-generating; leaves open translation to human hypertensive remodeling.
BACKGROUND: In the previous study, active extract of Radix Scrophularia (ACRS) demonstrated beneficial effects on ventricular remodeling induced by coronary artery ligation and lowered blood pressure in rats. And ACRS also exhibited the effect on lowering the blood pressure in spontaneously hypertensive rats (SHRs). The aim of this study is to explore the effects of ACRS on ventricular remodeling in SHRs and underlying mechanisms. RESULTS: ACRS significantly lowered the blood pressure, decreased the heart mass indexes, inhibited the deposition of perivascular and interstitial, attenuated the accumulation of types I and III collagen, reduced the tissue angiotensin II, serum norepinephrine and tumor necrosis factor-α concentrations. The underlying mechanisms may be related to downregulating the mRNA expressions of collagen type I, transforming growth factor-β1 and angiotensin converting enzyme, suppressing the phosphorylation of extracellular signal regulated kinase 1/2, c-Jun N-terminal kinase (JNK/SAPK) and p38 mitogen-activated protein kinases (p38 MAPK). CONCLUSION: Continuous treatment of SHRs with ACRS for 21 weeks reduced blood pressure, myocardial hypertrophy and the amount of interstitial and perivascular collagen, which indicated that ACRS could prevent hypertensive ventricular remodeling. This can be attributed to suppression of the sympathetic nervous and renin angiotensin aldosterone system through the inhibition of ERK 1/2, JNK and p38 MAPK pathways.
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Zhang et al. (2016) studied Hypertension-induced ventricular remodeling (n=56). Active components from Radix Scrophulariae (ACRS) vs. Untreated spontaneously hypertensive rats (SHR control) was evaluated on Left ventricular mass index (LVMI) (p=<0.01). Continuous treatment of spontaneously hypertensive rats with active components from Radix Scrophulariae for 21 weeks significantly reduced left ventricular mass index (2.87 vs 3.09 mg/g, p<0.01) and blood pressure.
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