Rudraksha减轻肺动脉高压大鼠右心室功能障碍

Pamelika Das , Bhavneesh Kumar , Manoj L. Yellurkar , Vani Sai Prasanna , Sulogna Sarkar , Amit Kumar Taraphdar , Devendra Kumar Dhaked , Satheesh Kumar Nanjappan , Remya Sreedhar , Amrita Sahu , Indrajit Bhattacharya , Sharmistha Sutar , Ravichandiran Velayutham , Somasundaram Arumugam
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引用次数: 0

摘要

背景:在肺动脉高压、慢性心脏疾病和先天性心脏病患者中,由于压力过载导致的右心室衰竭(RVF)是危及生命的命运。虽然裂谷热在重症监护病房很常见,但作为主要临床疾病的裂谷热的管理选择有限。方法:以硅筛选为基础,通过单次皮下注射(60mg/kg),模拟雄性Wistar大鼠肺动脉高压(PH)诱导的裂谷热。在确认疾病后,分别用250mg/kg和500mg/kg的Elaeocarpus angustifolius(同名:Elaeocarpus ganitrus (rudraksha))水酒精种子提取物治疗4周。除了血液动力学表征外,还使用碘化造影剂进行了顺序微计算机断层扫描(CT)。牺牲后评估血液参数,随后进行蛋白表达、组织病理学和基因表达研究。结果右颈静脉置管血流动力学评估显示,鲁德乐沙治疗后右心室功能有明显改善。两种剂量均显著增加了卒中量、心输出量、右心室收缩末和舒张末压,降低了疾病严重程度和相关的肝充血。组织学研究显示,与肺切片相比,心脏形态明显恢复。Rudraksha的抗氧化活性被添加到它的治疗活性。治疗后α-平滑肌肌动蛋白(SMA)、半凝集素-3、c反应蛋白(CRP)、肌钙蛋白I、结缔组织生长因子(CTGF)和心房钠素(ANP)等纤维化和炎症标志物的下调提示了该提取物在心力衰竭中的有益作用。结论本研究为有效预防压力超载引起的裂谷热的发展提供了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rudraksha attenuates right ventricular dysfunction in pulmonary hypertension induced Wistar rats

Background

Right ventricular failure (RVF) due to pressure overload is a life-threatening fate in patients with pulmonary hypertension, chronic cardiac disorders and congenital heart diseases. Although it is frequent in critical care units, limited management options are available for RVF as a primary clinical entity.

Methodology

Initiated with in silico screening, pulmonary hypertension (PH)-induced RVF was mimicked in male Wistar rats with a single subcutaneous injection of monocrotaline (60mg/kg). Treatment with 250mg/kg and 500mg/kg of hydroalcoholic seed extract of Elaeocarpus angustifolius (synonym: Elaeocarpus ganitrus (rudraksha)) was conducted for four weeks after disease confirmation. Sequential micro-computed tomography (CT) scanning using iodinated contrast media was done in addition to hemodynamic characterization. Blood parameters were assessed after the sacrifice, followed by protein expression, histopathology and gene expression studies.

Results

Right jugular vein catheterization during hemodynamic assessment showed significant improvement in the right ventricular functions after treatment with rudraksha. Both doses significantly increased the stroke volume, cardiac output, and right ventricular end-systolic and end-diastolic pressure, reducing the disease severity and associated liver congestion. Histological studies showed distinct restoration of the cardiac morphology in contrast to lung sections. Rudraksha's antioxidant activities are added to its therapeutic activity. Downregulation of fibrotic and inflammatory markers like α-smooth muscle actin (SMA), galectin-3, C-reactive protein (CRP), troponin I, connective tissue growth factor (CTGF), and atrial natriuretic peptide (ANP) after treatment with rudraksha prompted the beneficial role of this extract in heart failure.

Conclusion

Hence, our study provides the basis for an effective formulation that could prevent the progression of pressure overload-induced RVF.
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