Tongsaimai reverses the hypertension and left ventricular remolding caused by abdominal aortic constriction in rats

J Ethnopharmacol. 2020 Jan 10:246:112154. doi: 10.1016/j.jep.2019.112154. Epub 2019 Aug 12.

Abstract

Treating ventricular remodeling continues to be a clinical challenge. Studies have shown that hypertension is one of the most common causes of ventricular remodeling, and is a major cause of cardiovascular risk in adults. Here, we report that Tongsaimai (TSM), a Chinese traditional medicine, could inhibit arterial pressure and left ventricular pressure to improve hemodynamic abnormalities in rats impaired by abdominal aortic constriction (AAC). Administration of TSM significantly reduced the heart mass index and the left ventricular mass index significantly in AAC rats. TSM could also markedly ameliorate cardiac collagen deposition and reduce the concentration of hydroxyproline in the heart of AAC rats. Moreover, TSM alleviated cardiac histomorphology injury resulting from AAC, including reducing cardiomyocyte hypertrophy, fibrous connective tissue hyperplasia, cardiomyocyte apoptosis, replacement fibrosis and the disorders of myocardial myofibrils, intercalated discs, mitochondria and mitochondrial crista. In addition, the levels of transforming growth factor (TGF) - β and inflammation-related molecules including tumor necrosis factor-α (TNF-α), which were over-expressed with AAC, were decreased by STM. In conclusion, STM could reverse the hypertension and left ventricular remolding caused by abdominal aortic constriction in rats.

Keywords: Abdominal aortic constriction; Hypertension; Left ventricular remolding; Rat; Tongsaimai.

MeSH terms

  • Animals
  • Antihypertensive Agents / pharmacology
  • Antihypertensive Agents / therapeutic use*
  • Aorta, Abdominal
  • Arterial Pressure / drug effects
  • Cardiomegaly / drug therapy
  • Cardiomegaly / metabolism
  • Cardiomegaly / pathology
  • Collagen / metabolism
  • Constriction
  • Drugs, Chinese Herbal / pharmacology
  • Drugs, Chinese Herbal / therapeutic use*
  • Hypertension / drug therapy*
  • Hypertension / metabolism
  • Hypertension / pathology
  • Male
  • Myocardium / metabolism
  • Myocardium / pathology
  • Rats, Sprague-Dawley
  • Renin-Angiotensin System / drug effects
  • Transforming Growth Factor beta / metabolism
  • Tumor Necrosis Factor-alpha / metabolism
  • Ventricular Remodeling / drug effects*

Substances

  • Antihypertensive Agents
  • Drugs, Chinese Herbal
  • Transforming Growth Factor beta
  • Tumor Necrosis Factor-alpha
  • tongsaimai
  • Collagen