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January 1, 2015The Tohoku Journal of Experimental Medicine13 citationsOpen Access

Salvia Miltiorrhiza Bge.f.alba Ameliorates the Progression of Monocrotaline-Induced Pulmonary Hypertension by Protecting Endothelial Injury in Rats

YWYun WangSCShao-Hua CaoYCYingjie Cui

Key Result

Aqueous extract of Salvia Miltiorrhiza Bge.f.alba significantly reduced mean pulmonary artery pressure and improved right ventricle function in rats with monocrotaline-induced pulmonary hypertension.

Structured PICO

Does aqueous extract of Salvia Miltiorrhiza Bge.f.alba improve hemodynamics and vascular remodeling in rats with monocrotaline-induced pulmonary hypertension?

P
Population
40 male Sprague-Dawley rats with monocrotaline-induced pulmonary hypertension treated for 21 days.
I
Intervention
Aqueous extract of Salvia Miltiorrhiza Bge.f.alba (AESM) administered orally at low dose (4.6 g/kg/day) or high dose (14 g/kg/day) for 21 days.
C
Comparator
MCT-treated rats receiving equal volume of distilled water (vehicle), and healthy control rats receiving vehicle.
O
Outcome
Hemodynamic indices (mPAP, RVSP, +dp/dt max, -dp/dt max), right ventricular hypertrophy (RV/LV+S ratio), pulmonary artery remodeling, and plasma vasoactive factors.surrogate

Aqueous extract of Salvia Miltiorrhiza Bge.f.alba ameliorates monocrotaline-induced pulmonary hypertension in rats by protecting against endothelial injury and modulating vasoactive factors.

Main Result

p-value: p=<0.05

Limitations

  • An obvious dose-response relationship was not observed between the low and high doses.
  • The specific active component of AESM responsible for the primary effect on PH remains unknown.
  • Efficacy comparison between Salvia Miltiorrhiza Bge.f.alba and genuine Danshen is needed.
  • Need to examine which component of AESM has a primary effect on PH
  • Need to compare efficacy between Salvia Miltiorrhiza Bge.f.alba versus genuine Danshen

Abstract

Pulmonary hypertension (PH) is a life-threatening disease that is characterized by elevated pulmonary blood pressure, abnormally thickened pulmonary arteries, and right ventricular hypertrophy. Monocrotaline (MCT) has been used to generate an experimental model of PH in rats, with PH initiated from injuries of lung vascular endothelium. Salvia Miltiorrhiza Bge.f.alba is a widely used traditional herb in China, known to exert protective effects on vascular endothelial cell injury in animal experiments. However, the role of Salvia Miltiorrhiza Bge.f.alba in PH remains unclear. Thus, we investigated the effects of the aqueous extract of Salvia Miltiorrhiza Bge.f.alba (AESM) on MCT-induced PH and explored the pertinent mechanism. PH was induced in rats by a single subcutaneous injection of MCT (60 mg/kg body weight). Low or high dose (4.6 g/kg or 14 g/kg body weight) of AESM was then administered orally for 21 days to PH rats. Hemodynamic study showed that AESM reduced mean pulmonary artery pressure and improved right ventricle function. Lung pathological analysis revealed that AESM reduced wall thickness and lumen stenosis of pulmonary vessels. Also AESM ameliorated right ventricular hypertrophy. Measurement of biochemical parameters indicated that AESM decreased endothelin-1 and thromboxane A2 in plasma and increased nitrogen monoxide and prostacyclin in the plasma and reduced the increase of transforming growth factor β1 in lung tissue. Our results suggest that AESM may ameliorate the progression of MCT-induced PH in rats, at least in part by its protective effect on endothelial injury. Therefore, Salvia Miltiorrhiza Bge.f.alba could be useful in the treatment of PH.

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Cite This Study

Wang et al. (2015) studied Monocrotaline-induced pulmonary hypertension (n=40). Aqueous extract of Salvia Miltiorrhiza Bge.f.alba (AESM) vs. Monocrotaline (MCT) alone was evaluated on Hemodynamic indices (mPAP, RVSP, +dp/dt max, -dp/dt max) (p=<0.05). Aqueous extract of Salvia Miltiorrhiza Bge.f.alba significantly reduced mean pulmonary artery pressure and improved right ventricle function in rats with monocrotaline-induced pulmonary hypertension.

synapsesocial.com/papers/6a7dbe9fe37ea741e699a3a2https://doi.org/10.1620/tjem.236.155
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