Key result
EPI treatment at 1 mg/kg/day reversed the transaortic constriction-induced decline in left ventricular ejection fraction (74.00% vs. 61.28%) and inhibited cardiac fibrosis.
Why the study?
(-)-Epicatechin has demonstrated cardioprotective effects, but the molecular mechanisms underlying its inhibition of cardiac fibrosis remain unclear.
Does (-)-epicatechin improve cardiac function and inhibit cardiac fibrosis in a mouse model of transaortic constriction?
Does (-)-epicatechin improve cardiac function and inhibit cardiac fibrosis in a mouse model of transaortic constriction?
Absolute Event Rate: 74% vs 61.28%
p-value: p=<0.05
(-)-Epicatechin exerts a protective effect against cardiac fibrosis and improves cardiac function in a pressure-overload mouse model via the SIRT1-SUMO1/AKT/GSK3β pathway.
EPI may inhibit cardiac fibrosis in mice via SIRT1 pathway; leaves open clinical translation and human efficacy.
CONTEXT: (-)-Epicatechin (EPI) is a crucial substance involved in the protective effects of flavanol-rich foods. Previous studies have indicated EPI has a cardioprotective effect, but the molecular mechanisms in inhibition of cardiac fibrosis are unclear. OBJECTIVE: We evaluated the effect of EPI in preventing cardiac fibrosis and the underlying molecular mechanism related to the SIRT1-SUMO1/AKT/GSK3β pathway. MATERIALS AND METHODS: Cardiac fibrosis mice model was established with transaortic constriction (TAC). Male C57BL/6 mice were randomly separated into 4 groups. Mice received 1 mg/kg/day of EPI or vehicle orally for 4 weeks. The acutely isolated cardiac fibroblasts were induced to myofibroblasts with 1 µM angiotensin II (Ang II). The cardiac function was measured with the ultrasonic instrument. Histological analysis of mice's hearts was determined with H&E or Masson method. The protein level of fibrosis markers, SUMOylation of SIRT1, and AKT/GSK3β pathway were quantified by immunofluorescence and western blot. RESULTS: EPI treatment (1 mg/kg/day) could reverse the TAC-induced decline in LVEF (TAC, 61.28% ± 1.33% vs. TAC + EPI, 74.00% ± 1.64%), LVFS (TAC, 28.16% ± 0.89% vs. TAC + EPI, 37.18% ± 1.29%). Meantime, we found that 10 µM EPI blocks Ang II-induced transformation of cardiac fibroblasts into myofibroblasts. The underlying mechanism of EPI-inhibited myofibroblasts transformation involves activation of SUMOylation of SIRT1 through SP1. Furthermore, SUMOylation of SIRT1 inhibited Ang II-induced fibrogenic effect via the AKT/GSK3β pathway. CONCLUSION: EPI plays a protective effect on cardiac fibrosis by regulating the SUMO1-dependent modulation of SIRT1, which provides a theoretical basis for use in clinical therapies.
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Luo et al. (2022) studied Cardiac fibrosis. (-)-Epicatechin (EPI) vs. Vehicle (TAC alone) was evaluated on Left ventricular ejection fraction (LVEF) (p=<0.05). EPI treatment at 1 mg/kg/day reversed the transaortic constriction-induced decline in left ventricular ejection fraction (74.00% vs. 61.28%) and inhibited cardiac fibrosis.
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