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Breviscapine regulates the effect of Nrf2/Gpx4 pathway on myocardial apoptosis in MIRI model and its mechanism
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DOI   10.11656/j.issn.1672-1519.2022.09.20
Key Words   myocardial ischemia-reperfusion injury;breviscapine;nuclear factor E2-related factor 2/Glutathione peroxidase 4;apoptosis;oxidative stress
Author NameAffiliation
SHI Lulu Zhangjiakou First Hospital, Zhangjiakou 075000, China 
HAN Weinan Zhangjiakou First Hospital, Zhangjiakou 075000, China 
WANG Qiang Zhangjiakou First Hospital, Zhangjiakou 075000, China 
XU Ningning Zhangjiakou First Hospital, Zhangjiakou 075000, China 
Abstract
    [Objective] To explore the effect and mechanism of breviscapine's regulation of nuclear factor E2-related factor 2(Nrf2)/glutathione peroxidase 4(Gpx4) pathway on myocardial apoptosis in myocardial ischemia reperfusion injury (MIRI) models.[Methods] The 45 rats were randomly divided into Sham group,MIRI group and MIRI+breviscapine group (n=15).The MIRI model was established by ligating the left anterior descending coronary artery.After 24 h of modeling,the MIRI+breviscapine group was given breviscapine by gavage (200 mg/kg,1 time/d,7 d).Cardiac function,myocardial tissue injury,apoptosis,serum oxidative stress factor,and Nrf2/Gpx4 pathway expression levels were compared in each group.[Results] The above indicators of the three groups were significantly different (P<0.05).LVESP,±dP/dt max,SOD,Nrf2 and Gpx4 mRNA in MIRI group.And protein levels were significantly lower than those in Sham group,LVEDP,apoptosis index,MDA levels were significantly higher than thosein Sham group (P<0.05).LVESP,±dP/dt max,SOD,Nrf2 and Gpx4 mRNA and protein levels in MIRI+breviscapine group were significantly higher than those in MIRI group,while LVEDP,apoptosis index and MDA were significantly lower than those in MIRI group (P<0.05).[Conclusion] Breviscapine has the function of alleviating myocardial cell apoptosis in MIRI model rats,and its mechanism of protecting heart function may be related to the promotion of Nrf2/Gpx4 pathway.

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