Abstract

Indonesian herbal medicine Centella asiatica, Justicia gendarussa and Imperata cylindrica decoction (CJID) are known to be efficacious for hypertension. Oxidative stress plays an important role in hypertension-induced left ventricular hypertrophy (H-LVH). This study evaluated whether CJID inhibit cardiac remodeling in spontaneously hypertensive rats (SHRs) through mechanism of oxidative stress-related cardiac-NADPH oxidase (NOXs) pathway: NOX1, NOX2 and NOX4. Forty-weeks-old SHRs and normotensive-WKY rats, were both randomly divided into 2 groups: CJID and control. All rats were treated for 5 weeks. Systolic blood pressure (SBP) and heart rate (HR) were measured. LV morphology, function and performance were assessed by histological staining and echocardiography. Serum and cardiac superoxide dismutase (SOD) activity and malondialdehyde (MDA) content were assessed. Cardiac superoxide and hydrogen peroxide (H2O2) productions, protein expressions of SOD2, SOD3, NOX1, NOX2 and NOX4 were also determined. We found that SBP and HR were significantly decreased in SHRs-treated group. Echocardiography showed that CJID significantly improved LV morphometry and function. CJID decreased MDA level, but increased SOD activity. Cardiac superoxide and H2O2 generation were decreased in SHRs-treated group. CJID caused cardiac SODs expressions to be increased but NOXs expressions to be suppressed. In conclusion, CJID prevents H-LVH by reducing reactive oxygen species production via the NOXs-dependent pathway.

Highlights

  • Hypertension sets to become a vital factor in health worldwide, since it causes increase in death rate and disability among people in many countries [1]

  • This study evaluated whether CJID inhibit cardiac remodeling in spontaneously hypertensive rats (SHRs) through mechanism of oxidative stressrelated cardiac-NADPH oxidase (NOXs) pathway: NOX1, NOX2 and NOX4

  • After treatment for 2 weeks, Systolic blood pressure (SBP) was significantly lower in SHRs and it continued to decrease in subsequent weeks by 6.7%, 6.8%, 22% and 24.2%, respectively until end of study (P < 0.01)

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Summary

Introduction

Hypertension sets to become a vital factor in health worldwide, since it causes increase in death rate and disability among people in many countries [1]. A well-recognized risk of cardiovascular-related death is left ventricular hypertrophy (LVH) [2]. LVH is a sensitive indicator of early alteration in the heart because of pressure overload in hypertension [6, 7]. It is an important risk factor of coronary heart disease, heart failure and stroke in patients with hypertension [3, 8]. Recent studies have shown that LVH can increase cardiac-related death [9]. The improvement of cardiac performance can be reached by inhibition of LVH independently of other risk factors [10]

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