Key result
Pretreatment with high-dose Wenxin Keli significantly reduced p-CaMKII expression and intracellular Ca2+ transients, exerting antiarrhythmic effects in an aconitine-induced rat model.
Why the study?
The active compounds and action mechanisms of Wenxin Keli for arrhythmia treatment remained to be identified.
Does Wenxin Keli reduce arrhythmias in an AC-induced rat model?
Does Wenxin Keli reduce arrhythmias in an AC-induced rat model?
Absolute Event Rate: 0.08% vs 0.23%
p-value: p=<0.01
Wenxin Keli exerts antiarrhythmic effects in a rat model by suppressing SR Ca2+ release and maintaining intracellular Ca2+ balance via the CaMKII/CNCA1C/Ca2+ pathway.
Rat model data do not alter practice; leaves open CaMKII inhibition by Wenxin Keli as antiarrhythmic target.
This study employed a systems pharmacology approach to identify the active compounds and action mechanisms of Wenxin Keli for arrhythmia treatment. Sixty-eight components identified in vivo and in vitro by UPLC/Q-TOF-MS were considered the potential active components of Wenxin Keli. Network pharmacology further revealed 33 key targets and 75 KEGG pathways as possible pathways and targets involved in WK-mediated treatment, with the CaMKII/CNCA1C/Ca 2+ pathway being the most significantly affected. This finding was validated using an AC-induced rat arrhythmias model. Pretreatment with Wenxin Keli reduced the malignant arrhythmias and shortened RR, PR, and the QT interval. Wenxin Keli exerted some antiarrhythmic effects by inhibiting p-CaMKII and intracellular Ca 2+ transients and overexpressing CNCA1C. Thus, suppressing SR Ca 2+ release and maintaining intracellular Ca 2+ balance may be the primary mechanism of Wenxin Keli against arrhythmia. In view of the significance of CaMKII and NCX identified in this experiment, we suggest that CaMKII and NCX are essential targets for treating arrhythmias.
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Li et al. (2021) studied Arrhythmia (n=48). Wenxin Keli vs. Distilled water (Model group) was evaluated on p-CaMKII protein expression level (p=<0.01). Pretreatment with high-dose Wenxin Keli significantly reduced p-CaMKII expression and intracellular Ca2+ transients, exerting antiarrhythmic effects in an aconitine-induced rat model.
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