Volume 23, Issue 11 pp. 7651-7663
ORIGINAL ARTICLE
Open Access

Attenuation of diabetic cardiomyopathy by relying on kirenol to suppress inflammation in a diabetic rat model

Bin Wu

Bin Wu

Laboratory of Platelet and Endothelium Biology, Department of Transfusion Medicine, Wuhan Hospital of Traditional Chinese and Western Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

Department of Transfusion Medicine, the Third Xiangya Hospital, Central South University, Changsha, China

Department of Physiology and Pharmacology, Medical College, Hubei University of Arts and Science, Xiangyang, China

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Xue-Yuan Huang

Xue-Yuan Huang

Department of Transfusion Medicine, the Third Xiangya Hospital, Central South University, Changsha, China

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Le Li

Le Li

Department of Cardiology, the Third Xiangya Hospital, Central South University, Changsha, China

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Xiao-Hang Fan

Xiao-Hang Fan

Department of Pathophysiology, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

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Peng-Cheng Li

Peng-Cheng Li

Laboratory of Platelet and Endothelium Biology, Department of Transfusion Medicine, Wuhan Hospital of Traditional Chinese and Western Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

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Chuan-Qi Huang

Chuan-Qi Huang

Department of Pharmacy, Wuhan Hospital of Traditional Chinese and Western Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

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Juan Xiao

Juan Xiao

Department of Immunology, Medical College, Hubei University of Arts and Science, Xiangyang, China

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Rong Gui

Corresponding Author

Rong Gui

Department of Transfusion Medicine, the Third Xiangya Hospital, Central South University, Changsha, China

Correspondence

Shun Wang, Laboratory of Platelet and Endothelium Biology, Department of Transfusion Medicine, Wuhan Hospital of Traditional Chinese and Western Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Email: [email protected]

Rong Gui, Department of Transfusion Medicine, the Third Xiangya Hospital, Central South University, Changsha, China.

Email: [email protected]

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Shun Wang

Corresponding Author

Shun Wang

Laboratory of Platelet and Endothelium Biology, Department of Transfusion Medicine, Wuhan Hospital of Traditional Chinese and Western Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

Correspondence

Shun Wang, Laboratory of Platelet and Endothelium Biology, Department of Transfusion Medicine, Wuhan Hospital of Traditional Chinese and Western Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Email: [email protected]

Rong Gui, Department of Transfusion Medicine, the Third Xiangya Hospital, Central South University, Changsha, China.

Email: [email protected]

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First published: 29 September 2019
Citations: 39

Abstract

Diabetic cardiomyopathy is characterized by diabetes-induced myocardial abnormalities, accompanied by inflammatory response and alterations in inflammation-related signalling pathways. Kirenol, isolated from Herba Siegesbeckiae, has potent anti-inflammatory properties. In this study, we aimed to investigate the cardioprotective effect of kirenol against DCM and underlying the potential mechanisms in a type 2 diabetes mellitus model. Kirenol treatment significantly decreased high glucose-induced cardiofibroblasts proliferation and increased the cardiomyocytes viability, prevented the loss of mitochondrial membrane potential and further attenuated cardiomyocytes apoptosis, accompanied by a reduction in apoptosis-related protein expression. Kirenol gavage could affect the expression of pro-inflammatory cytokines in a dose-dependent manner but not lower lipid profiles, and only decrease fasting plasma glucose, fasting plasma insulin and mean HbA1c levels in high-dose kirenol-treated group at some time-points. Left ventricular dysfunction, hypertrophy, fibrosis and cell apoptosis, as structural and functional abnormalities, were ameliorated by kirenol administration. Moreover, in diabetic hearts, oral kirenol significantly attenuated activation of mitogen-activated protein kinase subfamily and nuclear translocation of NF-κB and Smad2/3 and decreased phosphorylation of IκBα and both fibrosis-related and apoptosis-related proteins. In an Electrophoretic mobility shift assay, the binding activities of NF-κB, Smad3/4, SP1 and AP-1 in the nucleus of diabetic myocardium were significantly down-regulated by kirenol treatment. Additionally, high dose significantly enhanced myocardial Akt phosphorylation without intraperitoneal injection of insulin. Kirenol may have potent cardioprotective effects on treating for the established diabetic cardiomyopathy, which involves the inhibition of inflammation and fibrosis-related signalling pathways and is independent of lowering hyperglycaemia, hyperinsulinemia and lipid profiles.

CONFLICT OF INTEREST

The authors have no conflicts of interest to declare.

DATA AVAILABILITY STATEMENT

All data generated or analysed during this study are included in this article.

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