Abstract
Background
Oxidative stress plays an important role in the pathogenesis of myocardial ischemia–reperfusion (IR) injury. Morin, a bioflavonoid, has demonstrated antioxidant, anti-inflammatory and other diverse pharmacological activities in various experimental models such as isoproterenol-induced myocardial injury, doxorubicin-induced cardiotoxicity and neurotoxicity, as well as cisplatin-induced nephrotoxicity. Thus, this study aimed to evaluate the effect of morin in myocardial IR injury model and its underlying mechanisms.
Method
To accomplish this, male albino Wistar rats were pre-treated with morin (40 and 80 mg/kg; po) for 28 days and on 29th day, rats experienced 45-min myocardial ischemia followed by 60-min reperfusion.
Results
In comparison to IR-control group, morin pre-treatment significantly normalized hemodynamic parameters, restored antioxidant status, improved pathological changes, reduced the release of cardiac injury markers, inhibited inflammation (TNF-α/IL-6/NFκB/IKKβ) and apoptosis (increased Bcl-2, decreased Bax/Caspase-3 and TUNEL positivity) in the myocardium. This improvement in antioxidant, inflammation and anti-apoptosis markers could be due to downregulation of SAPK (p38/JNK) pathway and upregulation of survival kinase, i.e. RISK pathway (ERK/eNOS) in the myocardium.
Conclusion
Thus, morin attenuated myocardial IR injury in rats by regulation of RISK/SAPK pathways.
Graphic abstract
Similar content being viewed by others
Abbreviations
- Akt:
-
Protein kinase A
- CK-MB:
-
Creatinine kinase-MB
- CAT:
-
Catalase
- eNOS:
-
Endothelial nitric oxide synthase
- ERK 1/2:
-
Extracellular regulated kinase 1/2
- GSH:
-
Reduced glutathione
- HR:
-
Heart rate
- IL-6:
-
Interlukin-6
- IR:
-
Ischemia–reperfusion
- JNK:
-
c-Jun N-terminal kinase
- LADCA:
-
Left anterior descending coronary artery
- LDH:
-
Lactate dehydrogenase
- LVEDP:
-
Left ventricular end diastolic pressure
- MAP:
-
Mean arterial pressure
- MAPK:
-
Mitogen-activated protein kinase
- MDA:
-
Malondialdehyde
- MI:
-
Myocardial infarction
- NF-κB:
-
Nuclear factor-kappa B
- PI3K:
-
Phosphotidylinositol 3-kinase
- RISK:
-
Reperfusion-induced salvage kinase
- SAPK:
-
Stress-activated protein kinase
- SOD:
-
Superoxide dismutase
- TNF-α:
-
Tumour necrosis factor-α
References
Benjamin EJ, Virani SS, Callaway CW, Chamberlain AM, Chang AR, Cheng S, et al. Heart Disease and Stroke Statistics-2018 update: a report from the American Heart Association. Circulation. 2018;137:e67–493.
Tong S, Zhang L, Joseph J, Jiang X. Celastrol pretreatment attenuates rat myocardial ischemia/reperfusion injury by inhibiting high mobility group box 1 protein expression via the PI3K/Akt pathway. Biochem Biophys Res Commun. 2018;497:843–9.
Turer AT, Hill JA. Pathogenesis of myocardial ischemia-reperfusion injury and rationale for therapy. Am J Cardiol. 2010;106:360–8.
Zhang X, Wang Y, Shen W, Ma S, Chen W, Qi R. Rosa rugosa flavonoids alleviate myocardial ischemia reperfusion injury in mice by suppressing JNK and p38 MAPK. Microcirculation. 2017;24:e12385.
Suchal K, Malik S, Khan SI, Malhotra RK, Goyal SN, Bhatia J, et al. Molecular pathways involved in the amelioration of myocardial injury in diabetic rats by kaempferol. Int J Mol Sci. 2017;18:1001.
Yu Z, Wang S, Zhang X, Li Y, Zhao Q, Liu T. Pterostilbene protects against myocardial ischemia/reperfusion injury via suppressing oxidative/nitrative stress and inflammatory response. Int Immunopharmacol. 2017;43:7–15.
Jang S, Javadov S. Inhibition of JNK aggravates the recovery of rat hearts after global ischemia: the role of mitochondrial JNK. PLoS ONE. 2014;9:e113526.
Chin KY, Silva LS, Darby IA, Ng DCH, Woodman OL. Protection against reperfusion injury by 3′,4′-dihydroxyflavonol in rat isolated hearts involves inhibition of phospholamban and JNK2. Int J Cardiol. 2018;254:265–71.
Min J, Wei C. Hydroxysafflor yellow A cardioprotection in ischemia-reperfusion (I/R) injury mainly via Akt/hexokinase II independent of ERK/GSK-3β pathway. Biomed Pharmacother. 2017;87:419–26.
Yang X, Yue R, Zhang J, Zhang X, Liu Y, Chen C, et al. Gastrin protects against myocardial ischemia/reperfusion injury via activation of RISK (reperfusion injury salvage kinase) and SAFE (survivor activating factor enhancement) pathways. J Am Heart Assoc. 2018;7:e005171.
Wang YY, Li YY, Li L, Yang DL, Zhou K, Li YH. Protective effects of Shenfu injection against myocardial ischemia-reperfusion injury via activation of eNOS in rats. Biol Pharm Bull. 2018;4:1406–13.
Pogula BK, Maharajan MK, Oddepalli DR, Boini L, Arella M, Sabarimuthu DQ. Morin protects heart from beta-adrenergic-stimulated myocardial infarction: an electrocardiographic, biochemical, and histological study in rats. J Physiol Biochem. 2012;68:433–46.
Al-Numair KS, Chandramohan G, Alsaif MA, Veeramani C, El Newehy AS. Morin, a flavonoid, on lipid peroxidation and antioxidant status in experimental myocardial ischemic rats. Afr J Tradit Complement Altern Med. 2014;11:14–20.
Verma VK, Malik S, Narayanan SP, Mutneja E, Sahu AK, Bhatia J, et al. Role of MAPK/NF-κB pathway in cardioprotective effect of Morin in isoproterenol induced myocardial injury in rats. Mol Biol Rep. 2019;46:1139–48.
Taguchi K, Hida M, Hasegawa M, Matsumoto T, Kobayashi T. Dietary polyphenol morin rescues endothelial dysfunction in a diabetic mouse model by activating the Akt/eNOS pathway. Mol Nutr Food Res. 2016;60:580–8.
Kaltalioglu K, Coskun-Cevher S. Potential of morin and hesperidin in the prevention of cisplatin-induced nephrotoxicity. Ren Fail. 2016;38:1291–9.
Lee MH, Han MH, Lee DS, Park C, Hong SH, Kim GY, et al. Morin exerts cytoprotective effects against oxidative stress in C2C12 myoblasts via the upregulation of Nrf2-dependent HO-1 expression and the activation of the ERK pathway. Int J Mol Med. 2017;39:399–406.
Jung JS, Choi MJ, Lee YY, Moon BI, Park JS, Kim HS. Suppression of lipopolysaccharide-induced neuroinflammation by Morin via MAPK, PI3K/Akt, and PKA/HO-1 signaling pathway modulation. J Agric Food Chem. 2017;65:373–82.
Kuzu M, Kandemir FM, Yildirim S, Kucukler S, Caglayan C, Turk E. Morin attenuates doxorubicin-induced heart and brain damage by reducing oxidative stress, inflammation and apoptosis. Biomed Pharmacother. 2018;106:443–53.
Liu S, Wu N, Miao J, Huang Z, Li X, Jia P, et al. Protective effect of morin on myocardial ischemia-reperfusion injury in rats. Int J Mol Med. 2018;42:1379–90.
Ohkawa H, Ohishi N, Yagi K. Assay of lipid peroxide in animal tissue by thiobarbituric acid reaction. Anal Biochem. 1979;95:351–8.
Moron MS, Depierre JW, Manmerik B. Level of glutathione, glutathione reductase and glutathione-s-transferase activity in rat lung and liver. Biochem Biophys Acta. 1979;82:67–78.
Marklund S, Marklund G. Involvement of the superoxide anion radical in the autooxidation of pyrogallol and a convenient assay for superoxide dismutase. Eur J Biochem. 1974;47:469–74.
Aebi H. Catalase in vitro. Methods Enzymol. 1984;105:121–6.
Bradford MM. A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem. 1976;72:248–54.
Yuan X, Niu HT, Wang PL, Lu J, Zhao H, Liu SH, et al. Cardioprotective effect of licochalcone D against myocardial ischemia/reperfusion injury in Langendorff-perfused rat hearts. PLoS ONE. 2015;10:e0128375.
Huang W, Yang Y, Zeng Z, Su M, Gao Q, Zhu B. Effect of Salvia miltiorrhiza and ligustrazine injection on myocardial ischemia/reperfusion and hypoxia/reoxygenation injury. Mol Med Rep. 2016;14:4537–44.
Al-Salam S, Hashmi S. Myocardial ischemia reperfusion injury: apoptotic, inflammatory and oxidative stress role of galectin-3. Cell Physiol Biochem. 2018;50:1123–39.
Dröse S, Brandt U. Molecular mechanisms of superoxide production by the mitochondrial respiratory chain. Adv Exp Med Biol. 2012;748:145–69.
Kalogeris T, Bao Y, Korthuis RJ. Mitochondrial reactive oxygen species: a double edged sword in ischemia/reperfusion vs preconditioning. Redox Biol. 2014;2:702–14.
Ben-Azu B, Aderibigbe AO, Omogbiya IA, Ajayi AM, Owoeye O, Olonode ET, et al. Probable mechanisms involved in the antipsychotic-like activity of morin in mice. Biomed Pharmacother. 2018;105:1079–90.
Yan Z, Guo R, Gan L, Lau WB, Cao X, Zhao J, et al. Withaferin A inhibits apoptosis via activated Akt-mediated inhibition of oxidative stress. Life Sci. 2018;211:91–101.
Lv X, Xu T, Wu Q, Zhou Y, Huang G, Xu Y, et al. 6-Gingerol activates PI3K/Akt and inhibits apoptosis to attenuate myocardial ischemia/reperfusion injury. Evid Based Complement Altern Med. 2018;2018:9024034.
Yang J, Fan Z, Yang J, Ding J, Yang C, Chen L. microRNA-22 attenuates myocardial ischemia-reperfusion injury via an anti-inflammatory mechanism in rats. Exp Ther Med. 2016;12:3249–55.
Zhu J, Huang J, Dai D, Wang X, Gao J, Han W, et al. Recombinant human interleukin-1 receptor antagonist treatment protects rats from myocardial ischemia-reperfusion injury. Biomed Pharmacother. 2018;111:1–5.
Xu T, Qin G, Jiang W, Zhao Y, Xu Y, Lv X. 6-Gingerol protects heart by suppressing myocardial ischemia/reperfusion induced inflammation via the PI3K/Akt-dependent mechanism in rats. Evid Based Complement Altern Med. 2018;2018:6209679.
Damico R, Fusco R, Gugliandolo E, Cordaro M, Siracusa R, Impellizzeri D, et al. Effects of a new compound containing palmitoylethanolamide and baicalein in myocardial ischaemia/reperfusion injury in vivo. Phytomedicine. 2018;54:27–42.
Kim M, Lorinsky MK, Gold CA, Lahey SJ, Fusco DS, Rosinski DJ, et al. Usefulness of circulating caspase-3 p17 and caspase-1 p20 peptides and cardiac troponin 1 during cardioplegia to gauge myocardial preservation. Am J Cardiol. 2018;9149:32209–14.
Dillon RL, White DE, Muller WJ. The phosphatidyl inositol 3-kinase signalling network: implications for human breast cancer. Oncogene. 2007;26:1338–45.
Tian Y, Li Z, Shen B, Zhang Q, Feng H. Protective effects of morin on lipopolysaccharide/d-galactosamine-induced acute liver injury by inhibiting TLR4/NF-κB and activating Nrf2/HO-1 signaling pathways. Int Immunopharmacol. 2017;45:148–55.
Bachewal P, Gundu C, Yerra VG, Kalvala AK, Areti A, Kumar A. Morin exerts neuroprotection via attenuation of ROS induced oxidative damage and neuroinflammation in experimental diabetic neuropathy. BioFactors. 2018;44:109–22.
Song L, Yang H, Wang HX, Tian C, Liu Y, Zeng XJ, et al. Inhibition of 12/15 lipoxygenase by baicalein reduces myocardial ischemia/reperfusion injury via modulation of multiple signaling pathways. Apoptosis. 2014;19:567–80.
Chen Y, Ba L, Huang W, Liu Y, Pan H, Mingyao E, et al. Role of carvacrol in cardioprotection against myocardial ischemia/reperfusion injury in rats through activation of MAPK/ERK and Akt/eNOS signaling pathways. Eur J Pharmacol. 2017;796:90–100.
Feng M, Wang L, Chang S, Yuan P. Penehyclidine hydrochloride regulates mitochondrial dynamics and apoptosis through p38MAPK and JNK signal pathways and provides cardioprotection in rats with myocardial ischemia-reperfusion injury. Eur J Pharm Sci. 2018;121:243–50.
Zeng C, Jiang W, Zheng R, He C, Li J, Xing J. Cardioprotection of tilianin ameliorates myocardial ischemia-reperfusion injury: role of the apoptotic signaling pathway. PLoS ONE. 2018;13:e0193845.
Mockridge JW, Marber MS, Heads RJ. Activation of Akt during simulated ischemia/reperfusion in cardiac myocytes. Biochem Biophys Res Commun. 2000;270:947–52.
Acknowledgements
All authors are grateful to the technical staff for their support. First author is obliged to DST-SERB, India (PDF/2016/003885) for providing fellowship and financial assistance to conduct the study.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Verma, V., Malik, S., Mutneja, E. et al. Attenuation of ROS-mediated myocardial ischemia–reperfusion injury by morin via regulation of RISK/SAPK pathways. Pharmacol. Rep 72, 877–889 (2020). https://doi.org/10.1007/s43440-019-00011-2
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s43440-019-00011-2