Skip to main content

Advertisement

Log in

Ginsenoside Rg1 Reduces Cardiotoxicity While Increases Cardiotonic Effect of Aconitine in vitro

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

Abstract

Objective

To explore the synergic mechanism of ginsenoside Rg1 (Rg1) and aconitine (AC) by acting on normal neonatal rat cardiomyocytes (NRCMs) and pentobarbital sodium (PS)-induced damaged NRCMs.

Methods

The toxic, non-toxic, and effective doses of AC and the most suitable compatibility concentration of Rg1 for both normal and damaged NRCMs exposed for 1 h were filtered out by 3- (4,5)-dimethylthiahiazo (-z-y1)-3,5-diphenytetrazoliumromide, respectively. Then, normal NRCMs or impaired NRCMs were treated with chosen concentrations of AC alone or in combination with Rg1 for 1 h, and the cellular activity, cellular ultrastructure, apoptosis, leakage of acid phosphatase (ACP) and lactate dehydrogenase (LDH), intracellular sodium ions [Na+], potassium ions [K+] and calcium ions [Ca2+] levels, and Nav1.5, Kv4.2, and RyR2 genes expressions in each group were examined.

Results

For normal NRCMs, 3000 µ mol/L AC significantly inhibited cell viability (P<0.01), promoted cell apoptosis, and damaged cell structures (P<0.05), while other doses of AC lower than 3000 µ mol/L and the combinations of AC and Rg1 had little toxicity on NRCMs. Compared with AC acting on NRCMs alone, the co-treatment of 3000 and 10 µ mol/L AC with 1 µ mol/L Rg1 significantly decreased the level of intracellular Ca2+ (P<0.01 or P<0.05), and the co-treatment of 3000 µ mol/L AC with 1 µ mol/L Rg1 significantly decreased the level of intracellular Ca2+ via regulating Nav1.5, RyR2 expression (P<0.01). For damaged NRCMs, 1500 µ mol/L AC aggravated cell damage (P<0.01), and 0.1 and 0.001 µ mol/L AC showed moderate protective effect. Compared with AC used alone, the co-treatment of Rg1 with AC reduced the cell damage, 0.1 µ mol/L AC with 1 µ mol/L Rg1 significantly inhibited the level of intracellular Na+ (P<0.05), 1500 µ mol/L AC with 1 µ mol/L Rg1 significantly inhibited the level of intracellular K+ (P<0.01) via regulating Nav1.5, Kv4.2, RyR2 expressions in impaired NRCMs.

Conclusion

Rg1 inhibited the cardiotoxicity and enhanced the cardiotonic effect of AC via regulating the ion channels pathway of [Na+], [K+], and [Ca2+].

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. Sun XL, Zhang B, Wang SH, Liu SY, Zhou QY. Analysis of the rule of TCM compatibility in TCM prescriptions containing Ginseng Radix et Rhizoma in ancient books for Xiaoke Bing. Evid Based Complement Alternat Med 2020;2020:9472304.

    PubMed  PubMed Central  Google Scholar 

  2. Xu YW, Yang L, Liang K, An R, Wang XH, Zhang H. Pharmacokinetic effects of ginsenoside Rg1 on aconitine, benzoylaconine and aconine by UHPLC-MS/MS. Biomed Chromatogr 2020;34:e4793.

    Article  CAS  Google Scholar 

  3. Yan X, Wu HJ, Ren JX, Liu YN, Wang SQ, Yang JY, et al. Shenfu Formula reduces cardiomyocyte apoptosis in heart failure rats by regulating microRNAs. J Ethnopharmacol 2018;227:105–112.

    Article  Google Scholar 

  4. Guo ZJ, Li CS. Therapeutic effects of Shenfu Injection on post-cardiac arrest syndrome. Chin J Integr Med 2013;19:716–720.

    Article  Google Scholar 

  5. Xu ZM, Li CB, Liu QL, Li P, Yang H. Ginsenoside Rg1 prevents doxorubicin-induced cardiotoxicity through the inhibition of autophagy and endoplasmic reticulum stress in mice. Int J Mol Sci 2018;19:3658.

    Article  Google Scholar 

  6. Xu ZM, Li CB, Liu QL, Yang H, Li P. Ginsenoside Rg1 protects H9c2 cells against nutritional stress-induced injury via aldolase/AMPK/PINK1 signalling. J Cell Biochem 2019;120:18388–18397.

    Article  CAS  Google Scholar 

  7. Li L, Pan CS, Yan L, Cui YC, Liu YY, Mu HN, et al. Ginsenoside Rg1 ameliorates rat myocardial ischemia-reperfusion injury by modulating energy metabolism pathways. Front Physiol 2018;9:78.

    Article  Google Scholar 

  8. Li QH, Xiang Y, Chen Y, Tang Y, Zhang Y. Ginsenoside Rg1 protects cardiomyocytes against hypoxia/reoxygenation injury via activation of Nrf2/HO-1 signaling and inhibition of JNK. Cell Physiol Biochem 2017;44:21–23.

    Article  Google Scholar 

  9. Zhu C, Wang Y, Liu H, Mu HM, Lu Y, Zhang JY, et al. Oral administration of ginsenoside Rg1 prevents cardiac toxicity induced by doxorubicin in mice through anti-apoptosis. Oncotarget 2017;8:83792–83801.

    Article  Google Scholar 

  10. Luo M, Yan DS, Sun QS, Tao JL, Xu L, Sun H, et al. Ginsenoside Rg1 attenuates cardiomyocyte apoptosis and inflammation via the TLR4/NF-kB/NLRP3 pathway. J Cell Biochem 2020;121:2994–3004.

    Article  CAS  Google Scholar 

  11. Li X, Gu L, Yang L, Zhang D, Shen J. Aconitine: a potential novel treatment for systemic lupus erythematosus. J Pharmacol Sci 2017;133:115–121.

    Article  CAS  Google Scholar 

  12. Gao X, Zhang X, Hu J, Xu X, Zuo Y, Wang Y, et al. Aconitine induces apoptosis in H9c2 cardiac cells via mitochondria-mediated pathway. Mol Med Rep 2018;17:284–292.

    CAS  PubMed  Google Scholar 

  13. Chan TY. Aconite poisoning. Clin Toxicol (Phila) 2009;47:279–285.

    Article  CAS  Google Scholar 

  14. Chan TY. Aconite poisoning presenting as hypotension and bradycardia. Hum Exp Toxicol 2009;28:795–797.

    Article  Google Scholar 

  15. Smith SW, Shah RR, Hunt JL, Herzog CA. Bidirectional ventricular tachycardia resulting from herbal aconite poisoning. Ann Emerg Med 2005;45:100–101.

    Article  Google Scholar 

  16. Yim KM, Tse ML, Lau FL. Reversible intraventricular conduction defect in aconitine poisoning. Singapore Med J 2009;50:e302–e305.

    CAS  PubMed  Google Scholar 

  17. Wang SY, Wang GK. Voltage-gated sodium channels as primary targets of diverse lipid-soluble neurotoxins. Cell Signal 2003;15:151–159.

    Article  CAS  Google Scholar 

  18. Wright SN. Comparison of aconitine-modified human heart (hH1) and rat skeletal (mu1) muscle Na+ channels: an important role for external Na+ ions. J Physiol 2002;538:759–771.

    Article  CAS  Google Scholar 

  19. Li Y, Tu D, Xiao H, Du Y, Zou A, Liao Y, et al. Aconitine blocks HERG and Kv1.5 potassium channels. J Ethnopharmacol 2010;131:187–195.

    Article  CAS  Google Scholar 

  20. Wang YJ, Chen BS, Lin MW, Lin AA, Peng H, Sung RJ, et al. Time-dependent block of ultrarapid-delayed rectifier K+ currents by aconitine, a potent cardiotoxin, in heart-derived H9c2 myoblasts and in neonatal rat ventricular myocytes. Toxicol Sci 2008;106:454–463.

    Article  CAS  Google Scholar 

  21. Fu M, Wu M, Wang JF, Qiao YJ, Wang Z. Disruption of the intracellular Ca2+ homeostasis in the cardiac excitation-contraction coupling is a crucial mechanism of arrhythmic toxicity in aconitine-induced cardiomyocytes. Biochem Biophys Res Commun 2007;354:929–936.

    Article  CAS  Google Scholar 

  22. Zhang Y, Yu L, Jin W, Fan H, Li M, Zhou T, et al. Reducing toxicity and increasing efficiency: aconitine with liquiritin and glycyrrhetinic acid regulate calcium regulatory proteins in rat mrocardial cell. Afr J Tradit Complement Altern Med 2017;14:69–79.

    Article  CAS  Google Scholar 

  23. Tang L, Gong Y, Lv C, Ye L, Liu L, Liu Z. Pharmacokinetics of aconitine as the targeted marker of Fuzi (Aconitum carmichaeli) following single and multiple oral administrations of Fuzi extracts in rat by UPLC/MS/MS. J Ethnopharmacol 2012;141:736–741.

    Article  CAS  Google Scholar 

  24. Xie X. Study on the mechanism of aconite cardiotoxicity [Dissertation]. Chendu: Chengdu University of Traditional Chinese Medicien;2012.

    Google Scholar 

  25. Zou B. Ion channel profiling to advance drug discovery and development. Drug Discov Today Technol 2015;18:18–23.

    Article  Google Scholar 

  26. Kitaguchi T, Moriyama Y, Taniguchi T, Maeda S, Ando H, Uda T, et al. CSAHi study: detection of drug-induced ion channel/receptor responses, QT prolongation, and arrhythmia using multi-electrode arrays in combination with human induced pluripotent stem cell-derived cardiomyocytes. J Pharmacol Toxicol Methods 2017;85:73–81.

    Article  CAS  Google Scholar 

  27. Landstrom AP, Dobrev D, Wehrens XHT. Calcium signaling and cardiac arrhythmias. Circ Res 2017;120:1969–1993.

    Article  CAS  Google Scholar 

  28. Tan XQ, Cheng XL, Zhang L, Wu BW, Liu QH, Meng J, et al. Multi-walled carbon nanotubes impair Kv4.2/4.3 channel activities, delay membrane repolarization and induce bradyarrhythmias in the rat. PLoS One 2014;9:e101545.

    Article  Google Scholar 

  29. Marchi S, Patergnani S, Missiroli S, Morciano G, Rimessi A, Wieckowski MR, et al. Mitochondrial and endoplasmic reticulum calcium homeostasis and cell death. Cell Calcium 2018;69:62–72.

    Article  CAS  Google Scholar 

  30. Jiang X, Gao L, Zhang Y, Wang G, Liu Y, Yan C. A comparison of the effects of ketamine, chloral hydrate and pentobarbital sodium anesthesia on isolated rat hearts and cardiomyocytes. J Cardiovasc Med (Hagerstown) 2011;12:732–735.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Cheng Peng.

Additional information

Supported by the National Natural Science Foundation of China (Nos. 81630101 and 81891012), Department of Science and Technology of Sichuan Province (No. 2018JZ0081), the Open Research Fund of Chengdu University of Traditional Chinese Medicine Key Laboratory of Systematic Research of Distinctive Chinese Medicine Resources in Southwest China (No. 2020XSGG001), Special Project for the Central Government to Guide the Development of Local Science and Technology in Sichuan Province (No. 20ZYKJCX0006)

Conflict of Interest

The authors have no conflicts of interest to declare.

Author Contributions

Xu X and Xie XF contributed equally to this work. Xie XF and Dong YH designed the study, Xu X analyzed the data, Xu X and Xie XF worte the paper, Peng C provided research fund support. Dong YH, Xu Xin and Zhang HQ performed the experiments.

Electronic supplementary material

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Xu, X., Xie, Xf., Dong, Yh. et al. Ginsenoside Rg1 Reduces Cardiotoxicity While Increases Cardiotonic Effect of Aconitine in vitro. Chin. J. Integr. Med. 28, 693–701 (2022). https://doi.org/10.1007/s11655-022-3509-0

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11655-022-3509-0

Keywords

Navigation