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Puerarin mitigates hypoxia-reoxygenation-induced cardiomyocyte injury by modulating the PPARγ/NF-κB pathway
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DOI   10.11656/j.issn.1673-9043.2026.06.08
Key Words   puerarin;myocardial ischemia-reperfusion injury;PPARγ/NF-κB;hypoxia-reoxygenation;apoptosis;oxidative stress;inflammatory mediators
Author NameAffiliationE-mail
CHONG Haiyun School of Integrative Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
JIA Yaqian Cangzhou People's Hospital, Cangzhou 061001, China  
CAO Yuejuan Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin 300121, China drcyj@aliyun.com 
Abstract
    [Objective] To investigate the protective effects and mechanisms of puerarin(Pue) against hypoxia/reoxygenation(H/R)-induced injury in H9c2 cardiomyocytes. [Methods] An H/R injury model was established in H9c2 cardiomyocytes(6h hypoxia/2h reoxygenation),followed by intervention with different concentrations of Pue(25,50,100 μmol/L). Knockdown the expression of peroxisome proliferator activated receptor gamma(PPARγ) through small interfering RNA(siRNA) technology to validate its mechanism. Cell Counting Kit 8(CCK-8 method) was used to detect cell viability,Western Blot was used to detect the expression of cysteine aspartic acid protease-3(caspase-3),inducible nitric oxide synthase(iNOS),PPARγ and phosphorylated IκBα(p-IκBα) proteins,and enzyme linked immunosorbent assay(ELISA) was used to detect the levels of inflammatory factors interleukin-6(IL-6) and tumor necrosis factor alpha(TNF-α). [Results] H/R treatment significantly downregulated PPARγ expression,upregulated Caspase-3,iNOS,and p-IκBα protein expression,and increased IL-6 and TNF-α release. Compared with the H/R group,the Pue group significantly upregulated PPARγ protein,inhibited the nuclear factor κB(NF-κB) pathway,and simultaneously suppressed the expression of apoptosis,oxidative stress-related proteins and inflammatory factors. Mechanistic studies revealed that after knocking down PPARγ,the aforementioned protective effects of Pue were significantly reversed. [Conclusion] Pue effectively inhibits H/R-induced cardiomyocyte apoptosis,oxidative stress and inflammatory responses by regulating the PPARγ/NF-κB signaling pathway,exerting significant cardioprotective effects.

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