Key result
Qi-reinforcing and blood-activating therapy increases myocardial microvessel density and angiogenic factors after infarction in rats.
Why the study?
The effect of medicines for activating blood and reinforcing Qi on new micro-vessel formation and VEGF and bFGF protein expressions in the infarcted myocardium edge area of rats with acute myocardial infarction required investigation.
Does not support clinical use in AMI; leaves open translation of rat angiogenesis effects to human therapy.
OBJECTIVE: To study the effect of medicines for activating blood and reinforcing Qi on the number of new micro-vessels and the protein expressions of VEGF and bFGF in the infarcted myocardium edge area of acute myocardial infarction (AMI) model in rats. METHOD: The AMI model of rats was established. After the successful model establishment, rats were randomly divided into the sham-operated group, the model group, the Danshen-Huangqi (1 : 2) group, the Danshen-Huangqi (1 : 1) group, the Chuanxiong-Huangqi (1 : 2) group, the Danshen group, the Chuanxiong group, the Chishao group and the Shexiang Baoxin pill group, with five rats in each group. Rats in each medicated group were orally administered with drugs as per 13.5 g x kg(-1) x d(-1) once everyday for three weeks. The immunohistochemical SP method was adopted to detect the expression of vWF in myocardial tissues, and count the number of micro-vessels (MVC). The protein expression of VEGF and bFGF in myocardial tissues were determined by Western blot. RESULT: The new micro-vessels stained by vWF factor could be found in the infarcted myocardium edge area of the sham-operated group, the model group and all of medicated groups. The sham-operated group show unobvious new micro-vessels in myocardial tissues. A small amount of new micro-vessels could be seen in the infarcted myocardium edge area of the model group. Whereas a larger number of micro-vessels could be seen in the infarcted myocardium edge area of all of medicated groups. The differences between the sham-operated group and the model group had statistical significance (P < 0.05). The differences between each medicated group and the model group had statistical significance as well (P < 0.05 or P < 0.01). The lowest protein expression of VEGF and bFGF was found in myocardium of the sham-operated group, with the statistical significance compared with the model group (P < 0.05). Compared with the model group, each medicated group showed significant increase in the protein expression of VEGF and bFGF, with the statistical significance between them (P < 0.05 or P < 0.01). CONCLUSION: The Danshen group, the Chuanxiong group, the Chishao group, the Danshen-Huangqi (1 : 2) group, the Danshen-Huangqi (1 : 1) group and the Chuanxiong-Huangqi (1 : 2) group show the effect in promoting angiogenesis. Their mechanism for promoting angiogenesis may be related to the improvement of the protein expressions of VEGF and bFGF, so as to increase the contents of VEGF and bFGF and promote the angiogenesis of new vessels.
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Yin et al. (2014) studied Acute myocardial infarction (rat model) and cerebral ischemia (in vitro model) (n=45). Medicines for activating blood and reinforcing Qi (Danshen, Chuanxiong, Chishao, Huangqi, Shexiang Baoxin pill, and Huangqi-Honghua) vs. Untreated model group and sham-operated group was evaluated on Number of new micro-vessels (MVC) and protein expression of VEGF and bFGF in infarcted myocardium edge area (p=<0.05). Medicines for activating blood and reinforcing Qi significantly increased new micro-vessel counts and VEGF/bFGF expression in infarcted rat myocardium compared to controls (P<0.05).
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