ω-3 fatty acid alleviates virus-induced myocardial injury by regulating TLR4 and TLR3 expression

Int Immunopharmacol. 2021 Oct:99:107973. doi: 10.1016/j.intimp.2021.107973. Epub 2021 Jul 20.

Abstract

The specific pathogenesis of viral-induced myocardial injury is unclear. TLR regulation plays an important role in virus-induced myocardial injury. The therapeutic effect and possible mechanism of omega-3 fatty acids in patients with viral-induced myocardial injury must be investigated. The study population was randomly divided into three groups: a healthy control group (n = 50); general treatment group (n = 40); and general treatment with ω-3 polyunsaturated fatty acid group (n = 36). We detected the mRNA levels of TLR3 and TLR4, downstream signal pathway proteins, inflammatory factors, oxidative stress markers, and myocardial enzymes in patients and healthy controls. ω-3 fatty acid therapy in patients with virus-induced myocardial injury significantly regulates the expression of TLR3 and TLR4 and their downstream signal protein, increases antioxidant expression, reduces the secretion of inflammatory factors, alleviates myocardial injury, and improves cardiac function. This provides a new strategy to treat virus-induced myocardial injury.

Keywords: Inflammatory; Myocardial injury; Oxidative stress; TLR; ω-3 fatty acid.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Cardiomyopathies / drug therapy*
  • Cardiomyopathies / metabolism*
  • Fatty Acids, Omega-3 / therapeutic use*
  • Female
  • Gene Expression Regulation / drug effects
  • Heart Function Tests
  • Humans
  • Inflammation Mediators / metabolism
  • Male
  • Middle Aged
  • Myocardium / enzymology
  • Oxidative Stress / drug effects
  • RNA, Messenger / biosynthesis
  • RNA, Messenger / genetics
  • Signal Transduction / drug effects
  • Toll-Like Receptor 3 / drug effects
  • Toll-Like Receptor 3 / genetics
  • Toll-Like Receptor 3 / metabolism*
  • Toll-Like Receptor 4 / drug effects
  • Toll-Like Receptor 4 / genetics
  • Toll-Like Receptor 4 / metabolism*

Substances

  • Fatty Acids, Omega-3
  • Inflammation Mediators
  • RNA, Messenger
  • TLR3 protein, human
  • TLR4 protein, human
  • Toll-Like Receptor 3
  • Toll-Like Receptor 4