Randomized trial investigates apigenin's cardioprotective effect through autophagy regulation in cardiomyocytes, suggesting new therapeutic strategies for cardiovascular diseases.
Background As the predominant contributor to global mortality, cardiovascular diseases (CVDs) are fundamentally driven by cardiomyocyte lipotoxicity. Purpose This study investigates the cardioprotective mechanism of apigenin through c-Jun N-terminal kinase (JNK)/Beclin-1 pathway-mediated autophagy regulation, aiming to establish novel therapeutic strategies for metabolic cardiovascular disorders. Methods Utilizing an H9c2 rat cardiomyocyte model, experimental groups were categorized as: control, apigenin (graded concentrations), palmitic acid (PA)-induced lipotoxic model, SP600125 (JNK inhibitor), RAP (mammalian target of rapamycin (mTOR) inhibitor), apigenin+3-MA (autophagy inhibitor), and apigenin+SP600125+3-MA groups. Comprehensive assessments included cell viability, apoptosis, oxidative stress markers, and immunoblotting of AMP-activated protein kinase (AMPK)/mTOR signaling components (AMPK, p-AMPK, mTOR, p-mTOR) along with apoptosis/autophagy regulators (Beclin-1, Bcl-2, Bax, cleaved caspase-3). Results PA administration induced dose-dependent cardiomyocyte damage, evidenced by suppressed viability. After 24 h of PA treatment, intracellular reactive oxygen species levels increased significantly, malondialdehyde content increased, and superoxide dismutase activity decreased accordingly. Apigenin treatment (50 µM) effectively attenuated these abnormalities by activating the JNK/Beclin-1 pathway, and the validation experiment confirmed that apigenin activated this pathway to mediate autophagy. Conclusion Our findings elucidate that apigenin mitigates lipid-overload cardiomyocyte injury by potentiating JNK/Beclin-1-mediated autophagic clearance, providing the first evidence of apigenin’s dual regulatory capacity in harmonizing lipid homeostasis and autophagic flux, advancing phytochemical-based therapeutics for metabolic CVDs. However, future studies are required to evaluate whether it plays similar roles in cardiomyocyte injury in patients with CVDs.
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Yin et al. (2026) studied this question.
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