Abstract

Oridonin (ORI), the major pharmacological component extracted from a traditional Chinese medicine, possesses a beneficial effect on myocardial ischemia/reperfusion (I/R) injury. However, the underlying molecular mechanism by which ORI effects take place is not completely known. Thus, whether ORI works via downregulating oxidative stress and nod-like receptor protein-3 (NLRP3) inflammasome pathway was investigated in this study. Mice underwent surgery to induce myocardial I/R injury, and some were administered ORI (10 mg/kg/day) pretreatment, while others were not. The myocardial enzymes' levels, infarct area, and inflammatory injury were measured. The activation situation of oxidative stress and NLRP3 inflammasome was also detected. We found that ORI pretreatment significantly alleviated CK-MB and cTnI levels and infarct size induced by I/R. ORI mitigated the inflammatory injury by decreasing the pathological damage and lowering TNF-α, IL-1β, and IL-18 levels. Moreover, the SOD1 and eNOS levels were significantly increased by ORI, while MDA and iNOS levels were relatively decreased. The oxidative stress was reversed using ORI pretreatment. Importantly, NLRP3 inflammasome pathway was also inhibited by ORI, as reflected by the lower protein levels of NLRP3, caspase-1, and IL-1β. In conclusion, ORI alleviates myocardial injury induced by I/R via inhibiting the oxidative stress and NLRP3 inflammasome pathway.

Highlights

  • It is known that myocardial ischemia/reperfusion (I/R) injury will appear when the partially or completely occlusive coronary artery is strategically reopened in acute myocardial infarction (AMI) patients [1, 2]

  • Abundant radical oxygen species (ROS) and proinflammatory mediators are released from the injured mitochondria to tissue fluids, which will lead to severe inflammatory injury [5, 6]

  • Our results show that ORI reduces the infarct size and pathological damage in cardiac tissues and alleviates the inflammatory injury induced by I/R

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Summary

Introduction

It is known that myocardial ischemia/reperfusion (I/R) injury will appear when the partially or completely occlusive coronary artery is strategically reopened in acute myocardial infarction (AMI) patients [1, 2]. The ischemic myocardium can only be partially salvaged, and further damages will flood in [3, 4]. Abundant radical oxygen species (ROS) and proinflammatory mediators are released from the injured mitochondria to tissue fluids, which will lead to severe inflammatory injury [5, 6]. Over the past few decades, various pharmacological interventions have been used to improve the survival of myocardial tissues after artificial reperfusion [7, 8]. Due to the myocardial ischemia injury and mitochondrial damage, NLRP3 inflammasome is subsequently activated and increased gradually within 6–24 h [10, 11]. Upon its activation, proIL-1β and proIL-18 are converted to active forms, which aggravate the inflammatory

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