Skip to main content

Advertisement

Log in

Cardioprotective effects of Qishen Granule (芪参颗粒) on sarcoplasmic reticulum Ca2+ handling in heart failure rats

  • Original Article
  • Published:
Chinese Journal of Integrative Medicine Aims and scope Submit manuscript

Abstract

Objective

To assess the effects of Qishen Granule (芪参颗粒, QSG) on sarcoplasmic reticulum (SR) Ca2+ handling in heart failure (HF) model of rats and to explore the underlying molecular mechanisms.

Methods

HF rat models were induced by left anterior descending coronary artery ligation surgery and high-fat diet feeding. Rats were randomly divided into sham (n=10), model (n=10), QSG (n=12, 2.2 g/kg daily) and metoprolol groups (n=12, 10.5 mg/kg daily). The therapeutic effects of QSG were evaluated by echocardiography and blood lipid testing. Intracellular Ca2+ concentration and sarco-endoplasmic reticulum ATPase 2a (SERCA2a) activity were detected by specifific assay kits. Expressions of the critical regulators in SR Ca2+ handling were evaluated by Western blot and real-time quantitative polymerase chain reaction.

Results

HF model of rats developed ventricular remodeling accompanied with calcium overload and defective Ca2+ release-uptake cycling in cardiomyocytes. Treatment with QSG improved contractive function, attenuated ventricular remodeling and reduced the basal intracellular Ca2+ level. QSG prevented defective Ca2+ leak by attenuating hyperphosphorylation of ryanodine receptor 2, inhibiting expression of protein kinase A and up-regulating transcriptional expression of protein phosphatase 1. QSG also restored Ca2+ uptake by up-regulating expression and activity of SERCA2a and promoting phosphorylation of phospholamban.

Conclusion

QSG restored SR Ca2+ cycling in HF rats and served as an ideal alternative drug for treating HF.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Basra SS, Virani SS, Paniagua D, Kar B, Jneid H. Acute coronary syndrome: unstable angina and non-ST elevation myocardial infarction. Heart Fail Clin 2016;12:31–48.

    Article  PubMed  Google Scholar 

  2. Heggermont WA, Papageorgiou AP, Heymans S, van Bilsen M. Metabolic support for the heart: complementary therapy for heart failure? Eur J Heart Fail 2016;18:1420–1429.

    Article  PubMed  Google Scholar 

  3. Xanthakis V, Enserro D, Larson MG, Wollert K, Januzzi J, Quiroz R, et al. Prevalence, neurohormonal correlates and prognosis of heart failure stages in the community. JACC Heart Fail 2016;4:808–815.

    Article  PubMed  Google Scholar 

  4. Lompré AM, Hajjar RJ, Harding SE, Kranias EG, Lohse MJ, Marks AR. Ca2+ cycling and new therapeutic approaches for heart failure. Circulation 2010;121:822–830.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Marks AR. Calcium cycling proteins and heart failure: mechanisms and therapeutics. J Clin Invest 2013;123:46–52.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Kushnir A, Marks AR. The ryanodine receptor in cardiac physiology and disease. Advanc Pharmacol 2010;59:1–30.

    Article  CAS  Google Scholar 

  7. Wehrens XH, Lehnart SE, Reiken S, Vest JA, Wronska A, Marks AR. Ryanodine receptor/calcium release channel PKA phosphorylation: a critical mediator of heart failure progression. Proceed Nat Acad Sci 2006;103:511–518.

    Article  CAS  Google Scholar 

  8. Oort RJV, Mccauley MD, Dixit SS, Pereira L, Yang Y, Respress JL, et al. Ryanodine receptor phosphorylation by calcium/calmodulin-dependent protein kinase II promotes life-threatening ventricular arrhythmias in mice with heart failure. Circulation 2010;122:2669–2679.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Park WJ, Oh JG. SERCA2a: a prime target for modulation of cardiac contractility during heart failure. Bmb Reports 2013;46:237–243.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Shareef MA, Anwer LA, Poizat C. Cardiac SERCA2A/B: therapeutic targets for heart failure. Eur J Pharmacol 2014;724:1–8.

    Article  CAS  PubMed  Google Scholar 

  11. Maclennan DH, Kranias EG. Phospholamban: a crucial regulator of cardiac contractility. Nature Rev Molec Cell Biol 2003;4:566–577.

    Article  CAS  Google Scholar 

  12. Shan J, Betzenhauser MJ, Kushnir A, Reiken S, Meli AC, Wronska A, et al. Role of chronic ryanodine receptor phosphorylation in heart failure and β-adrenergic receptor blockade in mice. J Clin Invest 2010;120:4375–4387.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Reiken S, Gaburjakova M, Gaburjakova J, He KK, Prieto A, Becker E, et al. Beta-adrenergic receptor blockers restore cardiac calcium release channel (ryanodine receptor) structure and function in heart failure. Circulation 2001;104:2843–2848.

    Article  CAS  PubMed  Google Scholar 

  14. Tuncay E, Zeydanli EN, Turan B. Cardioprotective effect of propranolol on diabetes-induced altered intracellular Ca2+ signaling in rat. J Bioenerget Biomembr 2011;43:747–756.

    Article  CAS  Google Scholar 

  15. Michal M, Urszula M. Effect of metoprolol and ivabradine on left ventricular remodelling and Ca2+ handling in the postinfarction rat heart. Cardiovasc Res 2008;79:42–51.

    Article  Google Scholar 

  16. Dube P, Weber KT. Congestive heart failure: pathophysiologic consequences of neurohormonal activation and the potential for recovery: part II. Am J Med Sci 2011;342:503–506.

    Article  PubMed  Google Scholar 

  17. Lee HY, Baek SH. Optimal use of beta-blockers for congestive heart failure. Circulat J 2016;80:565–571.

    Article  Google Scholar 

  18. Pellicori P, Cleland JG, Zhang J, Kallvikbacka-Bennett A, Urbinati A, Shah P, et al. Cardiac dysfunction, congestion and loop diuretics: their relationship to prognosis in heart failure. Cardiovasc Drugs Ther 2016;30:599–609.

    Article  CAS  PubMed  Google Scholar 

  19. Tang WH, Huang Y. Cardiotonic modulation in heart failure: insights from traditional Chinese medicine. J Am Coll Cardiol 2013;62:1073–1074.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Shang H, Zhang J, Yao C, Liu B, Gao X, Ren M, et al. Qi-shen-yi-qi Dripping Pills for the secondary prevention of myocardial infarction: a randomised clinical trial. Evid Based Complement Altern Med 2013;2013:738391.

    Google Scholar 

  21. Xian S, Yang Z, Lee J, Jiang Z, Ye X, Luo L, et al. A randomized, double-blind, multicenter, placebo-controlled clinical study on the efficacy and safety of Shenmai injection in patients with chronic heart failure. J Ethnopharmacol 2016;186:136–142.

    Article  PubMed  Google Scholar 

  22. Wang Y, Li C, Ouyang Y, Yu J, Guo S, Liu Z, et al. Cardioprotective effects of Qishenyiqi mediated by angiotensin II type 1 receptor blockade and enhancing angiotensin-converting enzyme 2. Evid Based Complement Altern Med 2012;2012:978127.

    Google Scholar 

  23. Li C, Wang Y, Qiu Q, Shi T, Wu Y, Han J, et al. Qishenyiqi protects ligation-induced left ventricular remodeling by attenuating inflammation and fibrosis via STAT3 and NF-κB signaling pathway. PLos One 2014;9:e104255.

    Article  Google Scholar 

  24. Li C, Wang J, Wang Q, Zhang Y, Zhang N, Lu L, et al. Qishen granules inhibit myocardial inflammation injury through regulating arachidonic acid metabolism. Sci Rep 2016;6:36949.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Wang Y, Liu Z, Li C, Li D, Ouyang Y, Yu J, et al. Drug target prediction based on the herbs components: the study onthe multitargets pharmacological mechanism of Qishenkeli acting on the coronary heart disease. Evid Based Complement Altern Med 2012;2012:698531.

    Google Scholar 

  26. Lu L, Wang J, Cao Y, Zhang Q, Li C, Wu Y, et al. Establishment and evaluation of disease and syndrome integrated animal model on coronary heart disease complicated with hyperlipemia. China J Tradit Chin Med Pharm (Chin) 2016;31:1816–1821.

    Google Scholar 

  27. Mohamed AR, El-Hadidy WF, Mannaa HF. Assessment of the prophylactic role of aspirin and/or clopidogrel on experimentally induced acute myocardial infarction in hypercholesterolemic rats. Drugs R D 2014;14:233–239.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Berthiaume JM, Young ME, Chen X, Mcelfresh TA, Yu X, Chandler MP. Normalizing the metabolic phenotype after myocardial infarction: impact of subchronic high fat feeding. J Mol Cell Cardiol 2012;53:125–133.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Luo L, Chen J, Guo S, Wang J, Gao K, Zhang P, et al. Chinese herbal medicine in the treatment of chronic heart failure: three-stage study protocol for a randomized controlled trial. Evid Based Complement Altern Med 2015;2015:927160.

    Google Scholar 

  30. Santulli G, Xie W, Reiken SR, Marks AR. Mitochondrial calcium overload is a key determinant in heart failure. Proc Nat Acad Sci USA 2015;112:11389–11394.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Schultz JEJ, Glascock BJ, Witt SA, Nieman ML, Nattamai KJ, Liu LH, et al. Accelerated onset of heart failure in mice during pressure overload with chronically decreased SERCA2 calcium pump activity. Am J Physiol Heart Circulat Physiol 2004;286:H1146–H1153.

    Article  CAS  Google Scholar 

  32. Jessup M, Greenberg B, Mancini D, Cappola T, Pauly DF, Jaski B, et al. Calcium upregulation by percutaneous administration of gene therapy in cardiac disease (CUPID): a phase 2 trial of intracoronary gene therapy of sarcoplasmic reticulum Ca2+-ATPase in patients with advanced heart failure. Circulation 2011;124:304–313.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

We would like to thank Prof. WU Yan and Ms. YUAN Yue-ying (Center of Scientific Experiment, Beijing University of Chinese Medicine) for the guidance on echocardiography.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wei Wang.

Additional information

Supported by the National Natural Science Foundation of China (No. 81530100, 81470191, and 81302908)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lu, Lh., Li, C., Wang, Qy. et al. Cardioprotective effects of Qishen Granule (芪参颗粒) on sarcoplasmic reticulum Ca2+ handling in heart failure rats. Chin. J. Integr. Med. 23, 510–517 (2017). https://doi.org/10.1007/s11655-017-2809-x

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11655-017-2809-x

Keywords

Navigation