Key result
Danlou tablet reduces high-glucose cardiomyocyte apoptosis and oxidative stress via the miR-34a/SIRT1 pathway.
Why the study?
Diabetic cardiomyopathy is highly prevalent and increases the risk of heart failure and sudden death, but whether Danlou tablet provides protection against it is unclear.
Does Danlou tablet reduce high-glucose-induced cardiomyocyte apoptosis in an in vitro model of diabetic cardiomyopathy?
Does Danlou tablet reduce high-glucose-induced cardiomyocyte apoptosis in an in vitro model of diabetic cardiomyopathy?
Danlou tablet prevents high-glucose-induced cardiomyocyte apoptosis in vitro via the miR-34a-SIRT1 axis, providing experimental support for its potential use in treating diabetic cardiomyopathy.
Should not change practice in diabetic cardiomyopathy; leaves open Danlou tablet potential pending in vivo and human validation.
Diabetic cardiomyopathy (DCM) is highly prevalent and increases the risk of heart failure and sudden death. Therefore, proper and effective treatments for DCM are in urgent demand. Danlou tablet (Dan) is reported to confer protective effects on several heart diseases. However, to our knowledge, whether Dan provides protection against DCM is unclear. In this study, we explored the effect of Dan on DCM with the in vitro DCM model using AC16 cardiomyocytes. We found that Dan treatment significantly reduced cardiomyocyte apoptosis and oxidative stress in high-glucose (HG)-treated cardiomyocytes, as evidenced by decreased Annexin V-FITC+ cardiomyocytes, intracellular reactive oxygen species (ROS) levels, Bax/Bcl2 ratio, and cleaved-Caspase3/Caspase3 ratio. Interestingly, Dan treatment caused a decreased level of microRNA-34a (miR-34a), which could enhance cardiomyocyte apoptosis. Furthermore, miR-34a mimic blocked Dan's effect in apoptosis prevention. Finally, we observed that the miR-34a mimic effectively decreased the level of sirtuin 1 (SIRT1), while the miR-34a inhibitor increased the level of SIRT1. And downregulation of SIRT1 effectively reversed the effect of miR-34a inhibitor on cardiomyocyte apoptosis. Taken together, our study showed that Dan prevented HG-induced cardiomyocyte apoptosis through downregulating miR-34a and upregulating SIRT1. Our study has provided experimental support for the potential use of Dan in treating DCM. Further detailed study of Dan and the underlying mechanisms may shed light on the prevention and treatment of DCM.
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Chen et al. (2023) studied Diabetic cardiomyopathy (in vitro high-glucose-induced AC16 cardiomyocyte apoptosis model). Danlou tablet vs. PBS / Untreated high-glucose control was evaluated on Cardiomyocyte apoptosis rate and intracellular reactive oxygen species (ROS) levels (p=<0.05). Danlou tablet (50 μg/mL) significantly reduced high-glucose-induced apoptosis and oxidative stress in AC16 cardiomyocytes by downregulating miR-34a and upregulating SIRT1 (p<0.05).
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