Abstract

Cucurbitacin I is a naturally occurring triterpenoid derived from Cucurbitaceae family plants that exhibits a number of potentially useful pharmacological and biological activities. However, the therapeutic impact of cucurbitacin I on the heart has not heretofore been reported. To evaluate the functional role of cucurbitacin I in an in vitro model of cardiac hypertrophy, phenylephrine (PE)-stimulated cardiomyocytes were treated with a sub-cytotoxic concentration of the compound, and the effects on cell size and mRNA expression levels of ANF and β-MHC were investigated. Consequently, PE-induced cell enlargement and upregulation of ANF and β-MHC were significantly suppressed by pretreatment of the cardiomyocytes with cucurbitacin I. Notably, cucurbitacin I also impaired connective tissue growth factor (CTGF) and MAPK signaling, pro-hypertrophic factors, as well as TGF-β/Smad signaling, the important contributing factors to fibrosis. The protective impact of cucurbitacin I was significantly blunted in CTGF-silenced or TGF-β1-silenced hypertrophic cardiomyocytes, indicating that the compound exerts its beneficial actions through CTGF. Taken together, these findings signify that cucurbitacin I protects the heart against cardiac hypertrophy via inhibition of CTGF/MAPK, and TGF- β/Smad-facilitated events. Accordingly, the present study provides new insights into the defensive capacity of cucurbitacin I against cardiac hypertrophy, and further suggesting cucurbitacin I’s utility as a novel therapeutic agent for the management of heart diseases.

Highlights

  • Cardiac hypertrophy is an adaptive response of the heart to various pathological stimuli

  • Similar results were found for incubation of the cardiomyocytes with 10 μM cucurbitacin I treatment for 48 and 72 h, with cell viability reduced to 72% and 64% of the control value, respectively (Fig 1B, 1C and 1D)

  • The disorder is initially considered as compensatory for mechanical loading, prolonged cardiac hypertrophy leads to systolic and diastolic dysfunction and the development of heart failure [2]

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Summary

Introduction

Cardiac hypertrophy is an adaptive response of the heart to various pathological stimuli (e.g., hypertension, valvular disease, and myocardial infarction). Cardiac hypertrophy is a major independent risk factor for cardiovascular morbidity and mortality [2]. CTGF is a key mediator and biochemical marker of tissue fibrosis [4]. Numerous studies have demonstrated that CTGF crucially contributes to the pathogenic process of cardiac fibrosis. CTGF is a pro-hypertrophic factor in cardiac myocytes. CTGF activate numerous MAPKs, hypertrophic activators, including ERK1/2, JNK, and p38 kinases [5]. Various kinds of extracellular stimuli (e.g., TGF-β, endothelin-1, and VEGF) upregulate CTGF expression. TGF-β and CTGF have a cooperative interaction to elicit overt cardiac hypertrophy and fibrosis [6]. Activated TGF-β propagates its downstream intracellular pro-hypertrophic signals through the activation of Smad proteins [7]

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