目的:观察竹节参总皂苷对大鼠心肌梗死的保护作用,并初步探讨其发挥作用的机制。方法:通过结扎左冠状动脉前降支建立大鼠心肌梗死模型,模型成功后随机分为模型组、竹节参总皂苷组(50 mg/kg、100 mg/kg),连续灌胃给药4周,假手术组和模型组给予等体积的生理盐水。4周后进行心功能检测;取心脏,称重后计算心脏重量指数;HE、Masson、苦味酸-天狼星红染色,观察心肌组织形态并计算胶原容积分数。取血清,检测SOD、CAT、GSH-Px的活性和MDA的含量;ELISA法检测TNF-α、TGFβ炎症因子的含量。结果:模型组大鼠心功能明显受损,心脏重量指数升高,并发生纤维化;血清中抗氧化物酶的活性降低,脂质过氧化物含量升高,且炎症因子含量升高,与假手术组比较有显著性差异。竹节参总皂苷(50 mg/kg、100 mg/kg)能使以上症状得到显著改善。结论:竹节参总皂苷对心肌梗死大鼠具有保护作用,其作用机制可能与降低氧化应激反应和炎症损伤相关。
Objective:To observe the cardioprotective effects of saponins from Panax japonicus(SPJ) on myocardial infarction in rats and the possible mechanism of it.Methods: Myocardial infarction injury rats induced by ligating of the left anterior descending branch(LAD),rats were randomly divided into four groups: sham-operated,LAD,LAD + SPJ(SPJ,50mg/kg/day and 100mg/kg/day,orally).After operation the foregoing groups were pretreated with homologous drug once a day for 4 weeks respectively;sham-operated and LAD were given an equal volume of saline.Four weeks later,we evaluate cardiac function;and hearts were harvested to assess heart weight index;histopathological damages and Collagen volume fraction were evaluated by He,Masson,and picric acid-Sirius red staining.Blood samples were collected to determine serum levels of superoxide dismutase(SOD),catalase(CAT),glutathione peroxidase(GSH-Px),malondialdehyde(MDA);inflammatory factors TNF-α and TGFβ were Detected by ELISA.Results: Myocardial infarction induced by ligation of LAD significantly suppressed cardiac function,increased heart weight index and fibrosis;we also found a significant increase in oxidative stress as evidenced by increases in the downregulation of SOD,CAT,GSH-Px and upregulation of MAD.In parallel there was a significant increase in inflammatory cytokine levels,such as TNF-α and TGFβ.It showed significant difference between sham group and LAD group.SPJ(50 mg/kg and 100 mg/kg) can significantly improve these symptoms.Conclusion: The results suggest that SPJ plays a protective role on myocardial infarction in rats,and the possibility of its mechanism may reduce oxidation stress and inflammatory response.