MiR-219a-5p exerts a protective function in a mouse model of myocardial infarction

Background:Myocardial infarction(MI)is known worldwide for its important disabling features,including myocarditis and cardiomyocyte apoptosis.It is believed that microRNA(miRNA)has a role in the cellular processes of apoptosis and myocarditis,and miR-219a-5p has been found to suppress the inflammatory response.However,unknown is the precise mechanism by which miR-219a-5p contributes to MI.Methods:We measured the expression of miR-219a-5p and evaluated its effects on target proteins,inflammatory factors,and apoptosis in a mouse model of MI.Echocardiography was utilized to examine the MI clinical index,and triphenyl tetrazolium chloride staining was employed to analyze the infarcted region.Enzyme-linked immunosorbent assay and Western blotting measured serum and molecular markers in heart tissues.To quantify the association with miR-219a-5p and ATPase sarcoplasmic/endoplasmic reticulum Ca^(2+) transporting 2(ATP2A2),the luciferase activity assay and Pearson’s correlation analysis were employed.Results:MiR-219a-5p exhibited low expression in a mouse model of MI,and its amplification prevented both apoptotic and inflammatory reactions.Specifically,miR-219a-5p targeted ATP2A2.Conclusion:In a mouse model of MI,miR-219a-5p exerted a potent protective effect via direct targeting of ATP2A2.

Dapagliflozin and sacubitril on myocardial microperfusion in patients with post-acute myocardial infarction heart failure and type 2 diabetes

BACKGROUND Coronary heart disease and type 2 diabetes mellitus(T2DM)frequently coexist,creating a complex and challenging clinical scenario,particularly when complicated with acute myocardial infarction(AMI).AIM To examine the effects of dapagliflozin combined with sakubactrovalsartan sodium tablets on myocardial microperfusion.METHODS In total,98 patients were categorized into control(n=47)and observation(n=51)groups.The control group received noxital,while the observation group was treated with dapagliflozin combined with noxital for 6 months.Changes in myocardial microperfusion,blood glucose level,cardiac function,N-terminal prohormone of brain natriuretic peptide(NT-proBNP)level,growth differentiation factor-15(GDF-15)level,and other related factors were compared between the two groups.Additionally,the incidence of major adverse cardiovascular events(MACE)and adverse reactions were calculated.RESULTS After treatment,in the observation and control groups,the corrected thrombolysis in myocardial infarction frame counts were 37.12±5.02 and 48.23±4.66,respectively.The NT-proBNP levels were 1502.65±255.87 and 2015.23±286.31 pg/mL,the N-terminal pro-atrial natriuretic peptide(NT-proANP)levels were 1415.69±213.05 and 1875.52±241.02 ng/mL,the GDF-15 levels were 0.87±0.43 and 1.21±0.56 g/L,and the high-sensitivity C-reactive protein(hs-CRP)levels were 6.54±1.56 and 8.77±1.94 mg/L,respectively,with statistically significant differences(P<0.05).The cumulative incidence of MACEs in the observation group was significantly lower than that in the control group(P<0.05).The incidence of adverse reactions was 13.73%(7/51)in the observation group and 10.64%(5/47)in the control group,with no statistically significant difference(P>0.05).CONCLUSION Dapagliflozin combined with nocinto can improve myocardial microperfusion and left ventricular remodeling and reduce MACE incidence in patients with post-AMI heart failure and T2DM.The underlying mechanism may be related to the reduction in the expression levels of NT-proANP,GDF-15,and hs-CRP.

Impact of depression on in-hospital outcomes for adults with type 2 myocardial infarction:A United States population-based analysis

BACKGROUND Type 2 myocardial infarction(T2MI)is an ischemic myocardial injury in the context of oxygen supply/demand mismatch in the absence of a primary coronary event.However,though there is a rising prevalence of depression and its potential association with type 1 myocardial infarction(T1MI),data remains nonexistent to evaluate the asso-ciation with T2MI.AIM To identify the prevalence and risk of T2MI in adults with depression and its impact on the in-hospital outcomes.METHODS We queried the National Inpatient Sample(2019)to identify T2MI hospitalizations using Internal Classification of Diseases-10 codes in hospitalized adults(≥18 years).In addition,we compared sociodemographic and comorbidities in the T2MI cohort with vs without comorbid depression.Finally,we used multivariate regression analysis to study the odds of T2MI hospitalizations with vs without depression and in-hospital outcomes(all-cause mortality,cardiogenic shock,cardiac arrest,and stroke),adjusting for confounders.Statistical significance was RESULTS There were 331145 adult T2MI hospitalizations after excluding T1MI(median age:73 years,52.8%male,69.9%white);41405(12.5%)had depression,the remainder;289740 did not have depression.Multivariate analysis revealed lower odds of T2MI in patients with depression vs without[adjusted odds ratio(aOR)=0.88,95%confidence interval(CI):0.86-0.90,P=0.001].There was the equal prevalence of prior MI with any revascularization and a similar prevalence of peripheral vascular disease in the cohorts with depression vs without depression.There is a greater prevalence of stroke in patients with depression(10.1%)vs those without(8.6%).There was a slightly higher prevalence of hyperlipidemia in patients with depression vs without depression(56.5%vs 48.9%),as well as obesity(21.3%vs 17.9%).There was generally equal prevalence of hypertension and type 2 diabetes mellitus in both cohorts.There was no significant difference in elective and non-elective admissions frequency between cohorts.Patients with depression vs without depression also showed a lower risk of all-cause mortality(aOR=0.75,95%CI:0.67-0.83,P=0.001),cardiogenic shock(aOR=0.65,95%CI:0.56-0.76,P=0.001),cardiac arrest(aOR=0.77,95%CI:0.67-0.89,P=0.001)as well as stroke(aOR=0.79,95%CI:0.70-0.89,P=0.001).CONCLUSION This study revealed a significantly lower risk of T2MI in patients with depression compared to patients without depression by decreasing adverse in-hospital outcomes such as all-cause mortality,cardiogenic shock,cardiac arrest,and stroke in patients with depression.

富里酸和Ca^(2+)共存对嗜酸性氧化亚铁硫杆菌介导生成次生高铁矿物的影响

为揭示富里酸和Ca^(2+)共存对嗜酸性氧化亚铁硫杆菌(Acidithiobacillus ferrooxidans)氧化酸性矿山废水(AMD)中的Fe^(2+)和形成次生高铁矿物的影响,分析了pH、Fe^(2+)氧化率、铁沉淀率以及次生高铁矿物矿相、基团等相关指标。结果表明,Ca^(2+)确实具有提高嗜酸性氧化亚铁硫杆菌氧化Fe^(2+)的能力。低质量浓度(0.2 g/L)的富里酸对嗜酸性氧化亚铁硫杆菌活性的提高具有促进作用,高质量浓度(0.4 g/L)的富里酸具有抑制作用,而增加Ca^(2+)反过来能够减弱高浓度富里酸对嗜酸性氧化亚铁硫杆菌的抑制作用。对形成的次生高铁矿物进行X射线衍射(XRD)和傅立叶红外光谱(FTIR)分析,结果表明高浓度富里酸促进了另一次生高铁矿物草黄铁矾的生成。

川芎嗪抑制ROCK的表达降低模拟失重大鼠血管Ca^(2+)敏感性

研究失重条件下血管平滑肌收缩性、Ca^(2+)敏感性及其调控通路RhoA-ROCK蛋白表达的变化,以及川芎嗪干预对其的影响。大鼠尾部悬吊模拟失重,在机体前、后部分别选取颈总动脉和肠系膜上动脉。在模拟失重大鼠颈总动脉中,由苯肾上腺素(PHE)或KCl诱发的血管收缩性和Ca^(2+)敏感性增强,RhoA激酶2(ROCK II)的表达、肌球蛋白磷酸酶靶亚基1(MYPT1)和肌球蛋白调节轻链(MLC)的磷酸化水平均上升,血管孵育Y-27632(ROCK特异性抑制剂)后可降低以上变化。模拟失重大鼠灌饲川芎嗪亦可降低以上变化。模拟失重后,大鼠肠系膜上动脉的收缩性和Ca^(2+)敏感性、ROCK II的表达、MYPT1和MLC的磷酸化水平降低,血管孵育Y-27632对以上变化无明显作用。模拟失重大鼠灌饲川芎嗪亦对以上变化无明显作用。结果表明,由RhoA-ROCK调控的血管平滑肌Ca^(2+)敏感性的变化可能是失重条件下机体前后部血管收缩性发生区域性重塑的关键因素。川芎嗪可抑制ROCK蛋白的表达,降低血管平滑肌升高的Ca^(2+)敏感性,从而纠正失重条件下机体前部血管收缩性的增强,但对失重条件下机体后部血管收缩性的减弱无恢复作用。

外源Ca^(2+)对玉米幼苗镉胁迫的缓解效应

本试验以玉米为研究材料,对玉米幼苗进行一定浓度的镉(20mg/L)胁迫,通过对玉米幼苗施加不同浓度的Ca^(2+)(0、2、5、8mmol/L),研究Ca^(2+)对镉胁迫下玉米幼苗的叶绿素、MDA、可溶性糖、可溶性蛋白、游离脯氨酸和POD活性6个生理生化指标的影响。结果表明:施加外源Ca^(2+)显著增加了镉胁迫下南瓜幼苗叶片中叶绿素含量(P<0.05),而MDA含量、可溶性糖含量、游离脯氨酸含量以及POD活性均显著降低(P<0.05),对可溶性蛋白的缓解作用不显著(P>0.05)。其中以5mmol/LCa^(2+)的缓解效果最好。

复合混凝剂中Ca^(2+)对高溶解态磷坑塘水混凝效果的影响

文章以Ca^(2+)改性后的AlCl_(3)和PACl作为混凝剂进行混凝实验,通过出水浊度、余铝、总磷、絮体粒径及有机物组成等分析改性后混凝剂的作用机理,探讨混凝剂中存在的Ca^(2+)对高磷坑塘水混凝效果的影响机制。浊度去除方面,低投加量下Ca^(2+)可明显降低出水浊度。当投加量为0.10 mmol/L时,PACl出水浊度下降了33.52 NTU,AlCl_(3)出水浊度下降了28.72 NTU。余铝去除方面,当AlCl_(3)作混凝剂时,Ca^(2+)可以通过增加混凝剂的电中和能力来降低出水余铝浓度。溶解态磷去除方面,Ca^(2+)与磷酸根反应或通过压缩双电层和吸附电中和作用来增加溶解态磷的去除率。当投加量为0.20 mmol/L时,Ca^(2+)浓度为0.9 mmol/L,PACl溶解态磷去除率较未改性前提高16.1%。絮体粒径方面,Ca^(2+)可以促进颗粒之间脱稳凝聚,增加絮体粒径和分形维数,AlCl_(3)在0.20 mmol/L投加量下絮体粒径增加79μm。并且Ca^(2+)的加入使AlCl_(3)生成的絮体抗剪切能力更强,但是絮体受到破坏后更不容易恢复,使PACl形成絮体强度因子和恢复因子变大。有机物去除方面,Ca^(2+)可以提高有机物的去除率。对于0.20 mmol/L投加量,Ca^(2+)为0.06 mmol/L投加量条件下AlCl_(3)改性后混凝剂荧光响应值由1100降至800。

Ca^(2+)/CaN/NFAT信号通路在肿瘤中的研究进展

肿瘤成为危害人类健康的主要原因,其发生发展与免疫炎症密切相关.Ca^(2+)/CaN/NFAT信号通路是目前已知的免疫炎症通路,可促进多种免疫细胞活化,介导免疫炎症因子释放,进而影响机体的免疫功能.目前,Ca^(2+)/CaN/NFAT信号通路在肿瘤中的存在和作用越来越受关注.多项研究表明与该通路与肿瘤发生发展密切相关.故本文从Ca^(2+)/CaN/NFAT信号通路概述、信号通路对肿瘤发生发展的影响、信号通路对肿瘤免疫炎症的作用及与信号通路相关药物在防治肿瘤中的作用四方面进行综述,以期为临床防治肿瘤提供新视角新靶点.

Ca^(2+)-ATPase参与植物耐盐性调控的研究进展

盐胁迫下细胞质Ca^(2+)浓度升高,细胞会激活Ca^(2+)调节的靶酶或者与Ca^(2+)高度亲和的受体蛋白,其中,与Ca^(2+)高度亲和的受体蛋白中,植物钙泵(Ca^(2+)-ATPase)是P型ATP酶,包含内质网Ca^(2+)-ATPases与质膜Ca^(2+)-ATPas‐es,通过主动运输将Ca^(2+)从细胞质转移到质外体或细胞器。大量研究表明,植物的耐盐性在很大程度上与其维持钙泵即Ca^(2+)-ATPase活性的能力有关。多种植物Ca^(2+)-ATPase对盐胁迫表现出敏感性,并受到外源Ca^(2+)的保护,表明外源钙处理与Ca^(2+)-ATPase活性可能在盐胁迫下的细胞内钙稳态和信号转导中起重要作用。该研究概述了植物Ca^(2+)-ATPase类型、结构与性质,亚细胞定位Ca^(2+)-ATPase及外源钙与亚细胞定位Ca^(2+)-ATPase参与植物耐盐调控研究进展,重点对质膜、液泡膜、核膜、内质网及高尔基体Ca^(2+)-ATPases参与植物耐盐调控的研究进展进行了综述,并提出展望。该研究为了解植物耐盐性生理及分子机制提供帮助,同时为作物耐盐栽培提供新思路。

β-细辛醚通过抑制TRPV4的表达缓解谷氨酸诱导的Ca^(2+)超载

谷氨酸处理会导致Ca^(2+)超载,瞬时受体电位香草素受体4(transient receptor potential vanilloid 4,TRPV4)在其中的作用及可能机制尚不清楚。β-细辛醚能快速透过血脑屏障,对兴奋性毒性具有较强的神经保护作用。文章以高分化的PC12细胞为研究对象,探究β-细辛醚(15、30、60μmol/L)预处理4 h,40 mmol/L谷氨酸处理实时记录对PC12细胞Ca^(2+)浓度的影响,采用钙成像技术检测Ca^(2+)浓度的变化;采用实时荧光定量聚合酶链式反应(polymerase chain reaction,PCR)、Western Blot及免疫荧光技术检测TRPV4的mRNA和蛋白的表达;采用Lipofectiamine 2000脂质体实验转染TRPV4-siRNA和pEX-3-TRPV4,观察沉默和过表达TRPV4对谷氨酸引起Ca^(2+)超载的影响。结果表明:与正常对照组相比,谷氨酸处理5 min可诱导Ca^(2+)超载,显著提高TRPV4的mRNA和蛋白的表达;与模型组相比,β-细辛醚能够剂量依赖性地降低谷氨酸诱导的Ca^(2+)超载和TRPV4的表达;沉默TRPV4抑制细胞Ca^(2+)超载;过表达TRPV4则部分逆转β-细辛醚抑制谷氨酸诱导的Ca^(2+)超载。该研究证明,谷氨酸处理PC12细胞5 min通过上调TRPV4的表达诱导Ca^(2+)超载,β-细辛醚作为TRPV4的拮抗剂,是一种潜在的抑制兴奋性毒性的药物。

活血益肾法联合西药对踝关节骨折术后血清Ca^(2+)、ALP及踝关节功能的影响

目的探讨活血益肾法联合西药对踝关节骨折术后血清Ca^(2+)、碱性磷酸酶(ALP)及踝关节功能的影响。方法选取踝关节骨折术后患者105例,随机分为试验组(n=53)和对照组(n=52)。对照组给予地塞米松治疗,试验组在对照组的基础上加用活血益肾法治疗。比较两组临床疗效、血清Ca^(2+)、ALP、踝关节功能水平变化情况、临床症状改善情况及不良反应发生情况。结果治疗后,试验组踝关节功能恢复优良率显著高于对照组;治疗后,试验组血清Ca^(2+)、ALP水平高于对照组;治疗后,两组肌力背伸、跖屈和背伸关节主动活动度、跖屈关节主动活动度水平均升高,且试验组高于对照组;治疗后,试验组临床各症状改善时间均显著低于对照组;以上组间差异均有统计学意义(P<0.05)。治疗期间,两组不良反应比较差异无统计学意义(P>0.05)。结论踝关节骨折术后应用活血益肾法联合西药效果显著,可有效改善患者血清Ca^(2+)、ALP及踝关节功能水平。

miR-361介导PI3K/Akt/Ca^(2+)通路对大鼠肥大细胞增殖情况及组胺与IL-4表达水平的影响

目的:探讨miR-361介导PI3K/AKt/Ca^(2+)通路对活化大鼠肥大细胞增殖情况及组胺与白细胞介素-4(IL-4)表达水平的影响。方法:将大鼠肥大细胞(RBL-2H3细胞)分为miR-361过表达组、miR-361抑制组、miR-361对照组和正常对照组,miR-361过表达组、miR-361抑制组、miR-361对照组细胞分别转染miR-361过表达、miR-361抑制及miR-361无义序列寡核苷酸片段,测定并比较各组细胞miR-361 mRNA、组胺、IL-4及PI3K/AKt/Ca^(2+)通路相关蛋白水平。结果:miR-361过表达组细胞miR-361 mRNA相对表达水平高于miR-361抑制组、miR-361对照组及正常对照组,差异均有统计学意义(P<0.05)。CCK-8法检测结果显示,miR-361过表达组24、48、72 h细胞增值率均低于miR-361抑制组、miR-361对照组及正常对照组,差异均有统计学意义(P<0.05)。ELISA法检测结果显示,miR-361过表达组细胞组胺和IL-4水平的表达水平低于miR-361抑制组、miR-361对照组及正常对照组,差异均有统计学意义(P<0.05)。Western印迹法检测结果显示,miR-361过表达组细胞p-AKT、AKT、p-PI3K、PI3K蛋白表达水平均高于miR-361抑制组、miR-361对照组及正常对照组,差异均有统计学意义(P<0.05)。结论:miR-361过表达可抑制大鼠肥大细胞的增殖,降低组胺与IL-4的表达水平,其作用机制可能与其能够提高PI3K/AKt/Ca^(2+)通路活性有关。

STIM1和Orai1/TRPCs在右心衰竭Ca^(2+)重塑中的作用

本文总结右心衰竭心肌细胞动作电位变化、心肌细胞内T管和内质网的改变,详细阐述了钙调神经磷酸酶(Calcineurin)-活化细胞活因子(NFAT)通路对心肌收缩力的作用。重点描述基质相互作用因子1(STIM1)和钙释放激活钙通道蛋白1(Orai1)/瞬时受体电位通道(TRPCs)通路在右心室心肌细胞兴奋收缩耦联、肥大及右心室成纤维细胞迁移增强方面的机制。

Ca^(2+)对茅苍术丛生芽诱导及生理特征的影响

为提高茅苍术组培苗品质,以信阳野生茅苍术种子获取的初代无菌试管苗为试材,采用植物组织培养试验方法,研究不同浓度Ca^(2+)对茅苍术丛生芽诱导及生理特征的影响。结果表明:Ca^(2+)浓度为1.50 mmol/L时茅苍术丛生芽增殖数最高,为16.36个;Ca^(2+)浓度为3.00 mmol/L时丛生芽总干重最高,为0.37 g;Ca^(2+)浓度为6.00 mmol/L时丛生芽总鲜重、单芽平均叶片数最高,分别为3.19 g、5.44个;Ca^(2+)浓度为12.00 mmol/L时茅苍术丛生芽的株高最高,为493.95 mm;Ca^(2+)浓度为24.00 mmol/L时叶绿素a含量、叶绿素b含量、类胡萝卜素含量、叶绿素总量和丛生芽SOD总活性最高,分别为1.54 mg/g、0.40 mg/g、0.36 mg/g、1.94 mg/g和329.36 U/g。在茅苍术组织培养过程中可根据不同需求选择相应的Ca^(2+)浓度。

Synergistic strengthening mechanism of Ca^(2+)-sodium silicate to selective separation of feldspar and quartz

Inhibitors are important for flotation separation of quartz and feldspar.In this study,a novel combined inhibitor was used to separate quartz and feldspar in near-neutral pulp.Selective inhibition of the combined inhibitor was assessed by micro-flotation experiments.And a series of detection methods were used to detect differences in the surface properties of feldspars and quartz after flotation reagents and put forward the synergistic strengthening mechanism.The outcomes were pointed out that pre-mixing combined inhibitors were more effective than the addition of Ca^(2+)and SS in sequence under the optimal proportion of 1:5.A concentrate from artificial mixed minerals that was characterized by a high quartz grade and a high recovery was acquired,and was found to be 90.70wt% and 83.70%,respectively.It was demonstrated that the combined inhibitor selectively prevented the action of the collector and feldspar from Fourier-transform infrared(FT-IR)and adsorption capacity tests.The results of X-ray photoelectron spectroscopy(XPS)indicated that Ca^(2+)directly interacts with the surface of quartz to increase the adsorption of collectors.In contrast,the chemistry property of Al on the feldspar surface was altered by combined inhibitor due to Na^(+)and Ca^(2+)taking the place of K^(+),resulting in the composite inhibitor forms a hydrophilic structure,which prevents the adsorption of the collector on the surface of feldspar by interacting with the Al active site.The combination of Ca^(2+)and SS synergically strengthens the difference of collecting property between quartz and feldspar by collector,thus achieving the effect of efficient separation.A new strategy for flotation to separate quartz from feldspar in near-neutral pulp was provided.

外源Ca^(2+)对两种产脲酶细菌修复Cd-As复合污染水稻土的影响

微生物诱导碳酸盐沉淀(Microbially induced carbonate precipitation,MICP)技术已被广泛应用于土壤重金属污染修复。为促进MICP过程,提高土壤修复效果,以Cd-As复合污染的水稻土为研究对象,利用巴氏八叠球菌(Octococcus pasteurii)和蜡样芽孢杆菌(Bacillus cereus)两种产脲酶细菌,分析比较了外源添加氯化钙(CaCl2)对两种菌株固定土壤中Cd、As效果的影响,并对修复后土壤理化性质、酶活性及微生物多样性的变化进行了检测。结果表明:两种菌株均能固定土壤Cd、As,其中,蜡样芽孢杆菌对土壤Cd、As的固定效果更佳,与巴氏八叠球菌处理相比,蜡样芽孢杆菌处理下土壤有效态Cd、As含量分别降低了16.7%、11.1%;添加外源Ca^(2+)后,在两种细菌处理下有效态Cd、As含量均发生显著变化,分别降低了17.3%~22.2%、16.8%~26.7%,可见Ca^(2+)的添加能有效促进MICP过程,促进对Cd、As的固定。此外,与未添加Ca^(2+)处理相比,添加Ca^(2+)后,两种细菌处理下显著提高了土壤脲酶活性(52.6%~113.3%)、蔗糖酶活性(13.1%~28.9%)、碱解氮含量(3.4%~25.5%)、速效钾含量(2.1%~34.1%)以及微生物多样性,表明外源Ca^(2+)可有效提高土壤肥力及土壤生态功能。综上,基于MICP作用,可通过添加外源Ca^(2+)来增强产脲酶细菌对Cd-As复合污染土壤的修复效果,其中,蜡样芽孢杆菌修复效果更佳。

氧糖剥夺再灌注对神经元Wnt5a/FZD2/Ca^(2+)通路的影响

目的:探讨氧糖剥夺再灌注(OGD/Rep)后神经元细胞内Wnt5a/FZD2/Ca^(2+)通路的变化。方法:采用OGD/Rep模型构建神经元细胞局部缺血/再灌注损伤,分正常组、再灌注(0、3、6、9、12、24 h)组。免疫荧光鉴定皮层神经元细胞,CCK-8法确定神经元细胞OGD时间,Western blotting检测非经典Wnt/Ca^(2+)信号通路中Wnt5a、FZD2、IP3-R和p-CaMKⅡ/CaMKⅡ蛋白的变化,免疫荧光和酶标仪检测细胞内Ca^(2+)和活性氧(ROS)的含量。结果:MAP-2免疫荧光鉴定原代皮层神经元细胞纯度较高。与正常组比较,神经元细胞OGD 3 h后细胞存活率为55.46%;与正常组比较,OGD/Rep后非经典Wnt/Ca^(2+)信号通路相关蛋白Wnt5a(3、6、9、12、24 h)、FZD2(3、6、9 h)、IP3-R(6、9、12、24 h)和p-CaMKⅡ/CaMKⅡ(6 h)的相对表达量上调(P<0.05~P<0.01);与正常组比较,OGD/Rep后神经细胞内Ca^(2+)和ROS的表达量均升高(P<0.01)。结论:神经元细胞OGD/Rep能激活Wnt5a/FZD2/Ca^(2+)信号通路。

Gefapixant,a Novel P2X3 Antagonist,Protects against Post Myocardial Infarction Cardiac Dysfunction and Remodeling Via Suppressing NLRP3 Inflammasome

Objective The ATP responsive P2 purinergic receptors can be subdivided into metabotropic P2X family and ionotropic P2Y family.Among these,P2X3 is a type of P2X receptor which is specifically expressed on nerves,especially on pre-ganglionic sensory fibers.This study investigates whether gefapixant possesses the potential of inhibiting cardiac sympathetic hypersensitivity to protect against cardiac remodeling in the context of myocardial infarction.Methods The Sprague-Dawley rats were divided randomly into three groups:sham group-myocardial infarction group,and myocardial infarction with gefapixant treatment group.Myocardial infarction was induced by left anterior descending branch ligation.The gefapixant solution was intraperitoneally injected each time per day for 7 days and the appropriate dosage of gefapixant was determined according to the results of hematoxylin-eosin(HE)staining and myocardial injury biomarkers.Conditions of cardiac function were assessed by echocardiograph and cardiac fibrosis was evaluated by Western blotting and immunofluorescence staining of collagen I and collagen III.The sympathetic innervation was detected by norepinephrine concentration(pg/mL),in-vivo electrophysiology,and typical sympathetic biomarkers.Inflammatory cell infiltration was shown from immunofluorescence staining and pro-inflammatory signaling pathway activation was checked by immunohistology,quantitative realtime PCR(qPCR)and Western blotting.Results It was found that gefapixant injection of 10 mg/kg per day had the highest dosage-efficacy ratio.Furthermore,gefapixant treatment improved cardiac pump function as shown by increased LVEF and LVFS,and decreased LVIDd and LVIDs.The expression levels of collagen I and collagen III,and TNF-αwere all decreased by P2X3 inhibition.Mechanistically,the decreased activation of nucleotide-binding and oligomerization domain-like receptors family pyrin-domain-containing 3(NLRP3)inflammasome and subsequent cleavage of caspase-1 which modulated interleukin-1β(IL-1β)and IL-18 level in heart after gefapixant treatment were associated with the suppressed cardiac inflammation.Conclusion It is suggested that P2X3 inhibition by gefapixant ameliorates post-infarct autonomic nervous imbalance,cardiac dysfunction,and remodeling possibly via inactivating NLRP3 inflammasome.

Growth differentiation factor 11 promotes macrophage polarization towards M2 to attenuate myocardial infarction via inhibiting Notch1 signaling pathway

Background:Myocardial infarctions(MI)is a major threat to human health especially in people exposed to cold environment.The polarization of macrophages towards different functional phenotypes(M1 macrophages and M2 macrophages)is closely related to MI repairment.The growth differentiation factor 11(GDF11)has been reported to play a momentous role in inflammatory associated diseases.In this study,we examined the regulatory role of GDF11 in macrophage polarization and elucidated the underlying mechanisms in MI.Methods:In vivo,the mice model of MI was induced by permanent ligation of the left anterior descending coronary artery(LAD),and mice were randomly divided into the sham group,MI group,and MI+GDF11 group.The protective effect of GDF11 on myocardial infarction and its effect on macrophage polarization were verified by echocardiography,triphenyl tetrazolium chloride staining and immunofluorescence staining of heart tissue.In vitro,based on the RAW264.7 cell line,the effect of GDF11 in promoting macrophage polarization toward the M2 type by inhibiting the Notch1 Signaling pathway was validated by qRT-PCR,Western blot,and flow cytometry.Results:We found that GDF11 was significantly downregulated in the cardiac tissue of MI mice.And GDF11 supplementation can improve the cardiac function.Moreover,GDF11 could reduce the proportion of M1 macrophages and increase the accumulation of M2 macrophages in the heart tissue of MI mice.Furthermore,the cardioprotective effect of GDF11 on MI mice was weakened after macrophage clearance.At the cellular level,application of GDF11 could inhibit the expression of M1 macrophage(classically activated macrophage)markers iNOS,interleukin(IL)-1β,and IL-6 in a dose-dependent manner.In contrast,GDF11 significantly increased the level of M2 macrophage markers including IL-10,CD206,arginase 1(Arg1),and vascular endothelial growth factor(VEGF).Interestingly,GDF11 could promote M1 macrophages polarizing to M2 macrophages.At the molecular level,GDF11 significantly down-regulated the Notch1 signaling pathway,the activation of which has been demonstrated to promote M1 polarization in macrophages.Conclusions:GDF11 promoted macrophage polarization towards M2 to attenuate myocardial infarction via inhibiting Notch1 signaling pathway.

基于Ca^(2+)-CaMKⅡ信号通路的济川煎治疗阳虚便秘的作用及分子机制

目的基于Ca^(2+)-CaMKⅡ通路观察济川煎对阳虚便秘大鼠的治疗作用及分子机制。方法采用白醋+活性炭冰水联合复方地芬诺酯片复制阳虚便秘大鼠模型。将模型成功大鼠随机分为5组,即模型组、莫沙必利组(1.88 mg·kg^(-1))、济川煎高(8.26 g·kg^(-1))、中(4.31 g·kg^(-1))、低(2.16 g·kg^(-1))剂量组,灌胃给药每日1次,连续7 d。末次给药,记录大鼠状态并评分,进行排便功能测定;分离模型大鼠结肠平滑肌细胞并鉴定,FCM检测结肠平滑肌细胞内Ca^(2+)浓度变化;采用ELISA法检测大鼠血清中cAMP、cGMP含量及其比值;采用RT-PCR及Western blot法检测大鼠结肠平滑肌细胞CaM、CaMKⅡ亚型的表达情况。结果济川煎可明显缓解模型大鼠腹胀,摄食、饮水量、排便减少及体质量降低的症状(P<0.05),评分明显升高(P<0.01);能明显缩短首粒排便时间(P<0.01),增加排便粒数(P<0.05);济川煎还可明显增加模型大鼠血清中cAMP含量(P<0.05),减少cGMP含量(P<0.01),cAMP/cGMP比值明显增加(P<0.01);明显降低大鼠结肠平滑肌细胞内Ca^(2+)浓度(P<0.01);PCR及Western blot检测结果显示,济川煎可明显降低CaM及CaMKⅡβ、γ、δ亚型蛋白表达(P<0.01)。结论济川煎对阳虚便秘具有明显的治疗作用,可能与其调节Ca^(2+)-CaMKⅡ信号通路有关。