Key result
Tanshinone IIA significantly improved cardiac function and inhibited myocardial cell apoptosis in rats with heart failure compared to the model group (p < 0.05).
Why the study?
The study aimed to investigate the effects of Tanshinone IIA on myocardial cell apoptosis in a rat model of heart failure.
Does Tanshinone IIA improve cardiac function and inhibit myocardial cell apoptosis in a rat model of heart failure?
RCT (n=50)
Randomly divided
Does Tanshinone IIA improve cardiac function and inhibit myocardial cell apoptosis in a rat model of heart failure?
p-value: p=<0.05
Tanshinone IIA improves cardiac function and reduces myocardial apoptosis in a rat heart failure model, potentially via the PI3K/Akt/mTOR pathway.
No change to clinical practice; hypothesis-generating for Tanshinone IIA in heart failure models.
PURPOSE: This work aimed to investigate the effects of Tanshinone IIA (Tan IIA) on myocardial cell (MC) apoptosis in a rat model of heart failure (HF). METHODS: Tan IIA was extracted from Salvia miltiorrhiza Bunge (SMB) using an ethanol reflux method. Fifty rats were randomly divided into five groups: sham (no treatment), mod (HF model establishment), low dose (LD: 0.1 mL/kg Tan IIA), medium dose (MD: 0.3 mL/kg Tan IIA), and high dose (HD: 0.5 mL/kg Tan IIA), with 10 rats in each group. The effects of different doses of Tan IIA on cardiac function, MC apoptosis, and the levels of proteins associated with the PI3K/Akt/mTOR signaling pathway were compared. RESULTS: Mod group showed a significant decrease in systolic arterial pressure, mean arterial pressure, heart rate, left ventricular systolic pressure, left ventricular ejection fraction, left ventricular fractional shortening, and the levels of p-PI3K, p-Akt, and p-mTOR proteins versus sham group (p < 0.05). Additionally, the left ventricular end-diastolic diameter (LVIDd), end-systolic diameter, diastolic pressure, and MC apoptosis were significantly increased (p < 0.05). LD, MD, and HD groups exhibited significant improvements across various indicators of cardiac function and MC apoptosis versus mod group (p < 0.05). CONCLUSIONS: Tan IIA may improve cardiac function and inhibit MC apoptosis in rats with HF by modulating the PI3K/Akt/mTOR signaling pathway.
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Yang et al. (2024) conducted an RCT in Heart failure (n=50). Tanshinone IIA vs. Sham (no treatment) and HF model was evaluated on Cardiac function, myocardial cell apoptosis, and PI3K/Akt/mTOR signaling pathway protein levels (p=<0.05). Tanshinone IIA significantly improved cardiac function and inhibited myocardial cell apoptosis in rats with heart failure compared to the model group (p < 0.05).
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