Key result
Astragaloside IV improves cardiac function and reduces infarct size in rats with myocardial I/R injury.
Why the study?
The study was conducted to investigate the effect of astragaloside IV on myocardial ischemia-reperfusion injury in rats and its related mechanisms.
Does astragaloside IV alleviate myocardial ischemia-reperfusion injury in rats?
RCT (n=60)
randomly divided
Does astragaloside IV alleviate myocardial ischemia-reperfusion injury in rats?
p-value: p=< 0.05
Astragaloside IV demonstrates cardioprotective effects against ischemia-reperfusion injury in a rat model, potentially mediated via the PI3K/AKT/GSK-3β signaling pathway.
May attenuate rat myocardial I/R injury; leaves open clinical translation of As-IV.
PURPOSE: To investigate the effect of astragaloside IV (As-IV) on myocardial ischemia-reperfusion (I/R) injury in rats and reltaed mechanisms. METHODS: Sixty rats were randomly divided into sham-operated, control I/R and 2.5, 5 and 10 mg/kg As-IV groups, 12 rats in each group. The later three groups were intragastrically administered with As-IV for 7 days, with a dose of 2.5, 5 and 10 mg/kg, respectively. The myocardial I/R injury model was constructed in later four groups. At the end of reperfusion, the cardiac function indexes, serum lactate dehydrogenase (LDH) and creatine kinase (CK) levels, heart weight (HW)/body weight (BW) ratio and infarct size, and expressions of phosphatidylinositol-3 kinase/serine-threonine protein kinase (PI3K/AKT) and glycogen synthase kinase-3β (GSK-3β) proteins and the phosphorylated forms (p-AKT, p-GSK-3β) were determined. RESULTS: Compared with control I/R group, in 5 and 10 mg/kg As-IV groups the left ventricular systolic pressure, fractional shortening and ejection fraction were increased, the left ventricular end-diastolic pressure was decreased, the serum LDH and CK levels were decreased, the HW/BW ratio and myocardial infarct size were decreased, and the p-Akt/Akt ratio and p-GSK-3β/GSK-3β ratio were increased (all P < 0.05). CONCLUSION: As-IV can alleviate the myocardial I/R injury in rats through regulating PI3K/AKT/GSK-3β signaling pathways.
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Wei et al. (2019) conducted an RCT in myocardial ischemia-reperfusion (I/R) injury (n=60). Astragaloside IV (As-IV) vs. sham-operated and control I/R was evaluated on cardiac function indexes, serum LDH and CK levels, HW/BW ratio, infarct size, and PI3K/AKT/GSK-3β protein expressions (p=< 0.05). Astragaloside IV at 5 and 10 mg/kg improved cardiac function, reduced infarct size, and decreased serum LDH and CK levels compared to control in rats with myocardial I/R injury (all P < 0.05).
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