WITHDRAWN: Shenmai Injection Exerts the Cardioprotective Effects by Modulating Autophagy-apoptosis via Beclin-1

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Background and aimDespite the excellent efficacy of anthracyclines, their clinical application is subject to cardiotoxicity. Studies have shown that Shenmai Injection(SMI) alleviated anthracycline-induced myocardial injury, however, the exact mechanism has not been clarified. Experimental procedureEach intervention was explored by detecting the viability of cardiomyocytes, LDH leakage rate, and CK levels. Finally, the effects of each intervention on autophagy-apoptosis and Beclin-1 were observed by using mCherry-EGFP-LC3B double fluorescence method, Annexin V/propidium iodide (PI), and protein immunoblotting method to explain the mechanism of Shenmai Injection. Key resultsThe viability of H9c2 cells in the model group decreased, accompanied by elevated LDH leakage rate and CK levels after doxorubicin intervention (P<0.01 or P<0.05). In contrast, SMI reversed above situation (P<0.01 or P<0.05). Besides, autophagy and apoptosis up-regulated in the model group (P<0.01), accompanied by upregulated Beclin-1, LC3-II, LC3-II/LC3-I, apoptosis effector proteins Cleaved-Caspase-9, Cleaved-Caspase-9/Caspase-9, Cleaved-Caspase-3, Cleaved-Caspase-3/Caspase-3 expressions and the downregulation of p62 protein, anti-apoptotic protein Bcl2 expressions (P<0.01 or P<0.05). Nonetheless, autophagy and apoptosis were decreased with the help of SMI (P<0.01 or P<0.05). ConclusionSMI alleviated autophagy and apoptosis of damaged cardiomyocytes by regulating Beclin-1.