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Pathogenesis research of coronary heart disease with phlegm-stasis syndrome rat model based on PI3K/Akt pathway
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DOI   10.11656/j.issn.1672-1519.2020.02.21
Key Words   coronary heart disease;phlegm and blood-stasis syndrome;PI3K/Akt;apoptosis;animal model
Author NameAffiliationE-mail
GAO Shan Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
WANG Pengwei Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
FENG Man Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
WANG Shuo Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
LI Lin Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
PAN Ye Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
LIU Yijia Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
YU Chunquan Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China ycq-4@163.com 
Abstract
    [Objective] To investigate the pathogenesis of the rat model of coronary heart disease with phlegm and blood-stasis syndrome based on PI3K/Akt pathway.[Methods] Wistar male rats were randomly divided into blank group,sham operation group,turbidity group,blood stasis group and phlegm and blood-stasis group. On the 54th day,the left anterior descending coronary artery of the rats in blood-stasis group and the phlegm and blood-stasis group were ligated,and the rats in the sham operation group only threaded without ligation. The rats in the blank group,the blood-stasis group and the sham operation group were fed with normal feed for 8 weeks,while the phlegm group and the phlegm and blood-stasis group were fed with high fat diet for 8 weeks. The apoptosis of cardiomyocytes was observed by Tunel staining. The expressions of Akt,p-Akt,Bax,Bcl-2 and Caspase-3 were detected by Western blot.[Results] The results of Tunel staining showed that the apoptosis of phlegm group,blood-stasis group and phlegm and blood-stasis group increased significantly. Western blot results showed that the expression levels of Akt,p-Akt and Bcl-2 protein in blood-stasis group and phlegm and blood-stasis group were significantly lower than those in the blank group (P<0.05 or P<0.01). The expression levels of Bax and Caspase-3 were significantly increased (P<0.05 or P<0.01). The expression of p-Akt protein in the phlegm group was significantly increased (P<0.05),and there was no significant difference in the expression of Akt,Bcl-2,Bax and Caspase-3.[Conclusion] It is suggested that PI3K/Akt pathway maybe one of the pathogenesis of coronary heart disease with phlegm and blood-stasis syndrome by down-regulating Akt,p-Akt and Bcl-2 proteins in cardiomyocytes,up-regulating Bax and Caspase-3 proteins.

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