Why the study?
Although Citri Reticulatae Pericarpium is widely used to treat cardiovascular diseases in China, its cardiac protective effects and underlying mechanisms remain unclear.
Does Citri Reticulatae Pericarpium protect against isoproterenol-induced chronic heart failure and cardiac remodeling in preclinical models?
Does Citri Reticulatae Pericarpium protect against isoproterenol-induced chronic heart failure and cardiac remodeling in preclinical models?
Citri Reticulatae Pericarpium protects against isoproterenol-induced chronic heart failure and cardiac remodeling in mice via activation of the PPARγ pathway.
Answers are grounded in this paper and cite their sources.
CRP may protect against ISO-induced HF in preclinical models; hypothesis-generating for PPARγ activation in clinical HF.
BACKGROUND: Pericarpium (CRP), one herbal medicine in QLQX, has been widely used in treatment against digestive, respiratory and cardiovascular diseases (CVDs) in China. However, the cardiac protective effects and mechanisms of CRP are still unclear. METHODS: The effects of CRP were investigated in isoproterenol (ISO)-induced chronic HF mice model and neonatal rat ventricular cardiomyocytes (NRVMs) treated with ISO. Echocardiography was used to determine cardiac function. Hematoxylin-eosin (HE) staining and α-actinin immunofluorescent staining were used to measure cardiomyocyte size. Cardiac fibrosis was evaluated by Masson's trichrome staining. The expression of atrial natriuretic polypeptide (ANP) and brain natriuretic polypeptide (BNP) were determined by quantitative real time PCR (qRT-PCR). Western blot was applied to examine the expression of peroxisome proliferator-activated receptor gamma (PPARγ), PPARγ coactivator-1α (PGC-1α), fibrosis-related and apoptosis-related proteins. RESULTS: We found that CRP could significantly attenuate ISO-induced cardiac dysfunction, inhibit cardiac pathological hypertrophy and alleviate myocardial fibrosis and apoptosis. Mechanistically, the downregulation of PPARγ and PGC-1α in ISO-injected mice hearts and ISO-treated NRVMs could be reversed by CRP treatment. The beneficial effects of CRP against ISO-induced HF were abolished by PPARγ inhibitor (T0070907), suggesting that CRP-mediated PPARγ upregulation was essential for the preventive effect of CRP on ISO-induced cardiac dysfunction. CONCLUSIONS: In conclusion, our study demonstrated that CRP attenuates ISO-induced cardiac remodeling via PPARγ activation, which represents a new application for CRP in the prevention of chronic HF.
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Cheng et al. (2020) studied this question.
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