Luteolin Attenuates Cardiac Ischemia/Reperfusion Injury in Diabetic Rats by Modulating Nrf2 Antioxidative Function

Oxid Med Cell Longev. 2019 Apr 8:2019:2719252. doi: 10.1155/2019/2719252. eCollection 2019.

Abstract

Luteolin has been reported to attenuate ischemia/reperfusion (I/R) injury in the diabetic heart through endothelial nitric oxide synthase- (eNOS-) related antioxidative response. Though the nuclear factor erythroid 2-related factor 2 (Nrf2) is regarded as a key endogenous factor to reduce diabetic oxidative stress, whether luteolin reduces cardiac I/R injury in the diabetic heart via enhancing Nrf2 function needs to be clarified. We hypothesized that pretreatment with luteolin could alleviate cardiac I/R injury in the diabetic heart by affecting the eNOS/Nrf2 signaling pathway. The diabetic rat was produced by a single injection of streptozotocin (65 mg/kg, i.p.) for 6 weeks, and then, luteolin (100 mg/kg/day, i.g.), eNOS inhibitor L-NAME, or Nrf2 inhibitor brusatol was administered for the succedent 2 weeks. After that, the isolated rat heart was exposed to 30 min of global ischemia and 120 min of reperfusion to establish I/R injury. Luteolin markedly ameliorated cardiac function and myocardial viability; upregulated expressions of heme oxygenase-1, superoxide dismutase, glutathione peroxidase, and catalase; and reduced myocardial lactate dehydrogenase release, malondialdehyde, and 8-hydroxydeoxyguanosine in the diabetic I/R heart. All these ameliorating effects of luteolin were significantly reversed by L-NAME or brusatol. Luteolin also markedly reduced S-nitrosylation of Kelch-like ECH-associated protein 1 (Keap1) and upregulated Nrf2 and its transcriptional activity. This effect of luteolin on Keap1/Nrf2 signaling was attenuated by L-NAME. These data reveal that luteolin protects the diabetic heart against I/R injury by enhancing eNOS-mediated S-nitrosylation of Keap1, with subsequent upregulation of Nrf2 and the Nrf2-related antioxidative signaling pathway.

MeSH terms

  • 8-Hydroxy-2'-Deoxyguanosine / metabolism
  • Animals
  • Antioxidants / metabolism*
  • Blood Glucose / metabolism
  • Cardiotonic Agents / pharmacology
  • Cardiotonic Agents / therapeutic use
  • Cell Nucleus / drug effects
  • Cell Nucleus / metabolism
  • Diabetes Mellitus, Experimental / blood
  • Diabetes Mellitus, Experimental / complications*
  • Hemodynamics / drug effects
  • Kelch-Like ECH-Associated Protein 1 / metabolism
  • L-Lactate Dehydrogenase / metabolism
  • Luteolin / pharmacology
  • Luteolin / therapeutic use*
  • Male
  • Malondialdehyde / metabolism
  • Myocardial Reperfusion Injury / blood
  • Myocardial Reperfusion Injury / complications*
  • Myocardial Reperfusion Injury / drug therapy*
  • Myocardial Reperfusion Injury / physiopathology
  • NF-E2-Related Factor 2 / metabolism*
  • Nitrosation
  • Rats, Sprague-Dawley
  • Tissue Survival / drug effects
  • Ventricular Function / drug effects

Substances

  • Antioxidants
  • Blood Glucose
  • Cardiotonic Agents
  • Kelch-Like ECH-Associated Protein 1
  • NF-E2-Related Factor 2
  • Malondialdehyde
  • 8-Hydroxy-2'-Deoxyguanosine
  • L-Lactate Dehydrogenase
  • Luteolin