Abstract

High mobility group box 1 protein (HMGB1) has an important role in myocardial ischemia/reperfusion (I/R) injury. Sodium butyrate, an inhibitor of histone deacetylase, has been shown to inhibit HMGB1 expression. In the present study, the effect of sodium butyrate on myocardial I/R injury in rats was investigated. Anesthetized male rats were intraperitoneally administered sodium butyrate (100 or 300 mg/kg) 30 min prior to the induction of ischemia. The rats were then subjected to ischemia for 30 min followed by reperfusion for 4 h. Infarct size, lactate dehydrogenase (LDH), creatine kinase (CK) and superoxide dismutase (SOD) activity and malondialdehyde (MDA) levels were then measured. The expression of HMGB1 was assessed using western blot analysis. The results demonstrated that pretreatment with sodium butyrate (300 mg/kg) significantly reduced the infarct size, as well as the levels of LDH and CK (P<0.05). In addition, sodium butyrate (300 mg/kg) was shown to significantly inhibit the I/R-induced increase in the level of MDA and reduction in the level of SOD (P<0.05). Furthermore, treatment with sodium butyrate (300 mg/kg) was found to significantly inhibit the expression of TNF-α, IL-6 and HMGB1 induced by I/R injury (P<0.05). In conclusion, the results from the present study suggest that preconditioning with sodium butyrate may attenuate myocardial I/R injury by inhibition of the expression of inflammatory mediators during myocardial I/R.

Highlights

  • Myocardial ischemia/reperfusion (I/R) injury is common following acute coronary syndrome and heart transplantation. reperfusion is essential for the survival of ischemic myocardial tissue, reperfusion causes additional cellular injury

  • In the present study, it was hypothesized that sodium butyrate may protect against myocardial I/R injury by inhibiting the expression of High mobility group box 1 protein (HMGB1)

  • HMGB1 has been shown to function as a novel pro‐inflammatory cytokine with an important role in myocardial I/R injury [7,8]

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Summary

Introduction

Myocardial ischemia/reperfusion (I/R) injury is common following acute coronary syndrome and heart transplantation. reperfusion is essential for the survival of ischemic myocardial tissue, reperfusion causes additional cellular injury. High mobility group box 1 protein (HMGB1), a non‐chromosomal nuclear protein, has been identified as a novel pro‐inflammatory cytokine that functions as a late mediator of inflammation in sepsis, acute lung injury, autoimmune disease and coronary artery diseases [3,4,5,6]. Inhibition of HMGB1 by HMGB1 A box peptide (a specific HMGB1 antagonist) has been shown to have a protective effect against myocardial I/R injury and to inhibit the release of TNF‐α and IL‐6 [7,8]. These results suggest that HMGB1 may have an important role in myocardial I/R injury

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