Abstract

The protective effect of astragaloside IV (AS-IV) on myocardial injury after myocardial infarction has been reported. However, the underlying mechanism is still largely unknown. We established a myocardial infarction model in C57BL/6 mice and injected intraperitoneally with 10 mg/kg/d AS-IV for 4 weeks. The cardiac function, myocardial fibrosis, and angiogenesis were investigated by echocardiography, Masson's trichrome staining, and CD31 and smooth muscle actin staining, respectively. Cardiac mitochondrial morphology was visualized by transmission electron microscopy. Cardiac function, infarct size, vascular distribution, and mitochondrial morphology were significantly better in AS-IV-treated mice than in the myocardial infarction model mice. In vitro, a hypoxia-induced H9c2 cell model was established to observe cellular apoptosis and mitochondrial function. H9c2 cells transfected with silent information regulator 3 (Sirt3) targeting siRNA were assayed for Sirt3 expression and activity. Sirt3 silencing eliminated the beneficial effects of AS-IV and abrogated the inhibitory effect of AS-IV on mitochondrial division. These results suggest that AS-IV protects cardiomyocytes from hypoxic injury by maintaining mitochondrial homeostasis in a Sirt3-dependent manner.

Highlights

  • Myocardial infarction (MI) refers to the ischemic necrosis of the myocardium

  • Treatment with ASIV decreased the infract areas significantly to 24.9%. These results indicate that astragaloside IV (AS-IV) can reduce myocardial fibrosis (Figures 1E–G)

  • The results showed that compared to the normal group, hypoxia decreased the membrane potential (MMP), and AS-IV increased the MMP, an effect of that was eliminated by silent information regulator 3 (Sirt3) silencing (Figures 9A–D)

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Summary

Introduction

Myocardial infarction (MI) refers to the ischemic necrosis of the myocardium. The blood flow of the coronary artery is sharply reduced or interrupted, resulting in serious and lasting acute ischemia in the corresponding myocardium. This eventually leads to the ischemic necrosis of the myocardium and seriously endangers patient health [1]. Therapeutic angiogenesis aims at treating ischemic diseases by generating new blood vessels from existing vasculature [2]. Therapeutic angiogenesis has been widely examined for treatment of many human diseases, such as wound healing and organ repair and regeneration [3]. The pathogenesis of myocardial injury mainly includes energy metabolism disorder [4], free radical injury [5], calcium overload [6], and inflammatory response [7], which are related to mitochondria

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