Key result
Beraprost sodium attenuates post-MI myocardial fibrosis and upregulates GSK-3β in preclinical models.
Why the study?
The study aimed to elucidate the mechanism of beraprost sodium in the intervention of myocardial fibrosis after myocardial infarction through GSK-3β.
Beraprost sodium attenuates post-myocardial infarction fibrosis in a rat model by promoting YBX1 binding to the GSK-3β promoter, thereby activating the cAMP/p-CREB signaling pathway.
Does not support clinical use of beraprost sodium post-MI; hypothesis-generating in rats, human trials needed.
OBJECTIVE: The aim of this study was to elucidate the mechanism of beraprost sodium (BPS) in the intervention of myocardial fibrosis after myocardial infarction (MI) through glycogen synthase kinase-3β (GSK-3β) and to provide new ideas for intervention in myocardial fibrosis. MATERIALS AND METHODS: MI model rats given BPS and cardiac fibroblasts (CFs) treated with BPS and TGF-β. HE staining and Masson staining were used to detect the pathological changes of myocardial tissue. Fibrotic markers were detected by immunohistochemical staining. The expressions of GSK-3β, cAMP response element binding protein (CREB), and p-CREB were analyzed by qPCR and western blot analysis. EDU staining was used to detect the proliferation of CFs. The promoter activity of GSK-3β was detected by luciferase assay. Chromatin immunoprecipitation assay was used to detect the binding levels of GSK-3β promoter and Y-box binding protein 1 (YBX1). The levels of intracellular cyclic adenosine monophosphate (cAMP) were analyzed by enzyme-linked immunosorbent assay (ELISA). RESULTS: After operation, BPS improved myocardial fibrosis and upregulated GSK-3β protein expression in male SD rats. BPS can down-regulate α-smooth muscle actin (α-SMA) level and up-regulate GSK-3β protein expression in CFs after TGF-β stimulation. Furthermore, GSK-3β knockdown can reverse the effect of BPS on TGF-β-activated CFs, enhance α-SMA expression, and promote the proliferation of CFs. BPS could regulate GSK-3β expression by promoting the binding of GSK-3β promoter to YBX1. BPS induced upregulation of p-CREB and cAMP, resulting in reduced fibrosis, which was reversed by the knockdown of GSK-3β or prostaglandin receptor (IPR) antagonists. CONCLUSION: BPS treatment increased the binding of YBX1 to the GSK-3β promoter, and GSK-3β protein expression was upregulated, which further caused the upregulation of p-CREB and cAMP, and finally inhibited myocardial fibrosis.
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Li et al. (2023) studied Myocardial fibrosis post-myocardial infarction (n=18). Beraprost sodium (BPS) vs. Saline was evaluated on Myocardial fibrosis markers (α-SMA and Collagen Ⅰ) and GSK-3β expression (p=<0.05). Beraprost sodium treatment significantly attenuated myocardial fibrosis and upregulated GSK-3β protein expression in a rat model of myocardial infarction.
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