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January 20, 2023Lipids in Health and DiseaseOpen Access

Astragalus polysaccharide prevents heart failure-induced cachexia by alleviating excessive adipose expenditure in white and brown adipose tissue

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Key result

Astragalus polysaccharide prevented fat wasting in heart failure-induced cachexia by inhibiting lipolysis and adipose browning in white adipose tissue and decreasing thermogenesis in brown adipose tissue.

Why the study?

Whether Astragalus polysaccharide regulates lipid metabolism in the context of cachexia remains unclear.

Does Astragalus polysaccharide prevent cachexia and improve cardiac function in a rat model of heart failure?

Population

Salt-sensitive hypertension-induced cardiac cachexia rat model

Comparison

Astragalus polysaccharide administration vs untreated heart failure cachexia model

Design

Preclinical animal study

Authors

DMDufang MaTWTao WuYQYiwei Qu

Discussion

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Overview

Hypothesis-generating for APS in rat HF cachexia; leaves open clinical translation.

Structured PICO

Does Astragalus polysaccharide prevent cachexia and improve cardiac function in a rat model of heart failure?

P
Population
24 male Dahl salt-sensitive rats, with 18 fed a high-salt diet to induce heart failure and cardiac cachexia, treated for 6 weeks.
I
Intervention
Astragalus polysaccharide (APS) low dose (200 mg/kg) or high dose (800 mg/kg) intragastrically once a day for 6 weeks.
C
Comparator
Pure water intragastrically (Model group on high-salt diet) and Control group (normal salt diet).
O
Outcome
Cardiac function (EF, FS), fat mass, and markers of lipolysis and adipose browning in white adipose tissue and thermogenesis in brown adipose tissue.surrogate

Main Result

p-value: p=<0.05

Astragalus polysaccharide prevents heart failure-induced cachexia by inhibiting lipolysis and adipose browning in white adipose tissue and decreasing thermogenesis in brown adipose tissue in a rat model.

Limitations

  • Differences in food intake can affect body weight and fat mass despite pair feeding
  • Activity factors of the rats were not recorded
  • Ignored the effect of a high-salt diet on adipose tissue metabolism
  • Only focuses on the anti-inflammatory and sympathetic inhibition effects of APS

Cite This Study

Ma et al. (2023) studied Heart failure-induced cardiac cachexia (n=24). Astragalus polysaccharide vs. Pure water (Model group) was evaluated on Adipose expenditure (fat mass, lipolysis, browning in WAT, thermogenesis in BAT) (p=<0.05). Astragalus polysaccharide prevented fat wasting in heart failure-induced cachexia by inhibiting lipolysis and adipose browning in white adipose tissue and decreasing thermogenesis in brown adipose tissue.

synapsesocial.com/papers/6a9c8fee61578aa241069cf7https://doi.org/10.1186/s12944-022-01770-3
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1&lt;p&gt;Cardiac Cachexia: A Well-Known but Challenging Complication of Heart Failure&lt;/p&gt;2020 · 66 citations
  2. 2High-salt intake negatively regulates fat deposition in mouse2017 · 31 citations
  3. 3Astragalus Polysaccharides: An Effective Treatment for Diabetes Prevention in NOD Mice2008 · 61 citations
  4. 4Adipose tissue dysfunction in cancer cachexia2018 · 148 citations