Key result
Fuzheng Yangxin Recipe improves cardiac function and reduces apoptosis in rat MI via STAT3 activation.
Why the study?
Fuzheng Yangxin Recipe is clinically effective for treating heart failure caused by ischemic heart disease, but its myocardial protective mechanisms remain to be investigated.
Does Fuzheng Yangxin Recipe improve cardiac function and protect cardiomyocytes in a rat model of ischemic heart failure?
Does Fuzheng Yangxin Recipe improve cardiac function and protect cardiomyocytes in a rat model of ischemic heart failure?
Answers are grounded in this paper and cite their sources.
Fuzheng Yangxin Recipe demonstrates cardioprotective effects in a rat model of ischemic heart failure, potentially mediated through the regulation of STAT3 expression and anti-apoptotic pathways.
Background: Under Chinese medicine theory guidance, Fuzheng Yangxin Recipe (FZYX) is clinically effective for the treatment of heart failure (HF) caused by ischemic heart disease (IHD). This study aimed to investigate the mechanism of the myocardial protective effects of FZYX on HF. Materials and methods: The Gene expression omnibus database was used to identify differential genes of the IHD subtype. Through network pharmacological methods, the targets of the active components of FZYX were obtained. We also constructed IHD-induced HF model rats by ligating the left anterior descending coronary artery. Echocardiography, pathological section staining, enzyme-linked immunosorbent assay, western blotting, immunohistochemistry, and quantitative real-time PCR analyses were performed to verify the protective effects of FZYX on the myocardium. Results: We identified 53 active components and 37 potential targets of FZYX associated with the IHD subtype. Signal transducer and activator of transcription 3 (STAT3) is a key protein in the protein-protein interaction (PPI) network. A total of 146 biological processes, 10 cellular components and 40 molecular function subcategories were identified by Gene Ontology (GO) enrichment analysis, and 18 signalling pathways, including apoptosis, were identified by Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis. In vivo experiments showed that FZYX significantly inhibited cardiomyocyte apoptosis, promoted the expression and phosphorylation of STAT3, and improved cardiac function. Conclusion: FZXY improves cardiac function and protects cardiomyocytes from injury via multi-component, multi-target and multi-pathway action, especially its possible role in regulating STAT3 expression and anti-apoptotic effect.
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Wang et al. (2022) studied Heart failure (ischemic heart disease and dilated cardiomyopathy) (n=313). Fuzheng Yangxin Recipe (FZYX) vs. Placebo (PBS) and ARNI was evaluated on Cardiac function (LVEF, LVFS) and structural alterations. Fuzheng Yangxin Recipe significantly improved cardiac function and attenuated cardiomyocyte apoptosis in a rat model of myocardial infarction, likely by promoting the expression and phosphorylation of STAT3.
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