Myocardial infarction is a significant contributor to illness and death on a global scale. Limited advancements have been made in regenerative therapies due to the inadequate natural regeneration of the adult mammalian myocardium and difficulties in drug delivery. Nanocarriers such as exosomes, nanoparticles, and liposomes present numerous potential benefits for treating myocardial infarction, such as enhanced drug delivery, extended, and retention therapeutic effects. Nevertheless, numerous obstacles have hindered the extensive clinical application of these technologies. Zinc nanoparticles (Zn NPs) are frequently used in the healthcare industry, specifically in cardiovascular treatments. The research documented a sustainable method for synthesizing Zn NPs by Achillea millefolium extract, utilizing eco-friendly practices. Ultraviolet–visible (UV–VIS) spectrophotometry, field emission scanning electron microscope (FE-SEM), energy dispersive X-ray (EDX), transmission electron microscopy (TEM) and Fourier-transform infrared spectroscopy (FTIR) were utilized to examine the Zn NPs, while also exploring their potential in treating myocardial infarction. The Achillea millefolium extract contains tannin at 16.49 %, phenols at 39.19 %, saponin at 14.21 %, steroids at 22.84 %, flavonoids at 7.11 %, and alkaloids at 0.16 %. The animals were classified into three separate groups: (1) isoproterenol; (2) control; (3) Zn NPs + isoproterenol (100 μg/ml). Mice were given isoproterenol to induce myocardial infarction. Real-time PCR and western blot techniques were employed to quantify the activation of PPAR-Υ/NF-κB and the subsequent release of cytokines induced by lipopolysaccharide. Following the administration of varying doses of Zn NPs, the assessment of cardiac function was carried out through biochemical, histochemical, and electrocardiogram (ECG) analysis. The nanoparticles displayed a round shape when they were created. Recent research indicates that Zn NPs exhibit cardioprotective characteristics against myocardial infarction, potentially by suppressing NF-κB signaling and stimulating PPAR-γ. Zn NPs administration led to a reduction in interleukin 6 (IL-6), IL-1β, and TNF-α in the mice hearts. The use of Zn NPs notably decreased cell death and inflammatory cytokines expression. The beneficial impacts of Zn NPs may potentially stem from the gene expression normalization in PPAR-Υ/NF-κB/ΙκB-α/ΙΚΚα/β and PPAR-Υ phosphorylation pathways. The levels of myocardial injury markers are significantly inhibited by Zn NPs, leading to a reduction in mortality rates and an amelioration in the ventricular wall infarction condition. Furthermore, the administration of Zn NPs effectively prevents the characteristic ST segment depression observed in animals with myocardial infarction.
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