Chinese Medicine,
Journal Year:
2024,
Volume and Issue:
19(1)
Published: Nov. 22, 2024
Abstract
Background
Diabetic
cardiomyopathy
(DCM),
characterized
by
myocardial
fibrosis,
is
a
major
cause
of
mortality
and
morbidity
in
diabetic
patients;
the
inhibition
cardiac
fibrosis
fundamental
strategy
for
treating
DCM.
Gastrodin
(GAS),
compound
extracted
from
Gastrodia
elata
protects
against
DCM,
but
molecular
mechanism
underlying
its
antifibrotic
effect
has
not
been
elucidated.
Methods
In
vivo,
effects
GAS
were
investigated
using
C57BL/6
mice
with
which
was
induced
administering
high-sugar,
high-fat
(HSF)
diet
streptozotocin
(STZ).
We
assessed
function
these
detected
histopathological
changes
their
hearts
degree
fibrosis.
vitro,
neonatal
rat
fibroblasts
(CFs)
transformed
into
myofibroblasts
exposing
them
to
high
glucose
combined
palmitic
acid
(HG-PA),
CFs
pEX-1
(pGCMV/MCS/EGFP/Neo)
plasmid-mediated
overexpression
KLK8,
contains
KLK8
gene.
The
siRNA
knocked
down
study
on
CF
differentiation,
collagen
synthesis,
cell
migration
specific
mechanisms
action
GAS.
Results
attenuated
pathological
DCM
mice,
rescued
impaired
function,
Additionally,
results
docking
analysis
showed
that
binds
kinin-releasing
enzyme-related
peptidase
8
(KLK8)
inhibit
increase
protease-activated
receptor-1
(PAR-1),
thus
attenuating
Specifically,
transformation
exposed
HG-PA.
Overexpressing
promoted
migration,
HG-PA-induced
migration.
Further
studies
revealed
PAR-1
antagonist,
PAR-2
could
attenuate
inhibited
upregulation
PAR1
activation,
blocking
HG-PA-exposed
triggering
TGF-β1/Smad3
signaling.
Conclusion
alleviated
model
an
HSF
STZ.
mediated
CFs.
inhibiting
KLK8-PAR1
signaling
axis,
process
TGF-β1
Smad3
are
involved.
Graphical
Signal Transduction and Targeted Therapy,
Journal Year:
2024,
Volume and Issue:
9(1)
Published: Nov. 26, 2024
Epigenetics
governs
a
chromatin
state
regulatory
system
through
five
key
mechanisms:
DNA
modification,
histone
RNA
remodeling,
and
non-coding
regulation.
These
mechanisms
their
associated
enzymes
convey
genetic
information
independently
of
base
sequences,
playing
essential
roles
in
organismal
development
homeostasis.
Conversely,
disruptions
epigenetic
landscapes
critically
influence
the
pathogenesis
various
human
diseases.
This
understanding
has
laid
robust
theoretical
groundwork
for
developing
drugs
that
target
epigenetics-modifying
pathological
conditions.
Over
past
two
decades,
growing
array
small
molecule
targeting
such
as
methyltransferase,
deacetylase,
isocitrate
dehydrogenase,
enhancer
zeste
homolog
2,
have
been
thoroughly
investigated
implemented
therapeutic
options,
particularly
oncology.
Additionally,
numerous
epigenetics-targeted
are
undergoing
clinical
trials,
offering
promising
prospects
benefits.
review
delineates
epigenetics
physiological
contexts
underscores
pioneering
studies
on
discovery
implementation
drugs.
include
inhibitors,
agonists,
degraders,
multitarget
agents,
aiming
to
identify
practical
challenges
avenues
future
research.
Ultimately,
this
aims
deepen
epigenetics-oriented
strategies
further
application
settings.
European Journal of Heart Failure,
Journal Year:
2023,
Volume and Issue:
25(12), P. 2130 - 2143
Published: Oct. 25, 2023
The
active
ingredients
in
many
traditional
Chinese
medicines
are
isoprene
oligomers
with
a
diterpenoid
or
triterpenoid
structure,
which
exert
cardiovascular
effects
by
signalling
through
nutrient
surplus
and
deprivation
pathways.
Qiliqiangxin
(QLQX)
is
commercial
formulation
of
11
different
plant
ingredients,
whose
compounds
include
astragaloside
IV,
tanshione
IIA,
ginsenosides
(Rb1,
Rg1
Re)
periplocymarin.
In
the
QUEST
trial,
QLQX
reduced
combined
risk
death
heart
failure
hospitalization
(hazard
ratio
0.78,
95%
confidence
interval
0.68-0.90),
based
on
859
events
3119
patients
over
median
18.2
months;
benefits
were
seen
taking
foundational
drugs
except
for
sodium-glucose
cotransporter
2
(SGLT2)
inhibitors.
Numerous
experimental
studies
diverse
cardiac
injuries
have
yielded
highly
consistent
findings.
marked
abrupt
injury,
mitigated
injury
upregulating
PI3K/Akt/mTOR/HIF-1α/NRF2
pathway;
abrogated
suppression
PI3K,
Akt,
mTOR,
HIF-1α
NRF2.
contrast,
prolonged
measured
stress
(as
chronic
failure),
ameliorated
oxidative
stress,
maladaptive
hypertrophy,
cardiomyocyte
apoptosis,
proinflammatory
profibrotic
pathways,
while
enhancing
mitochondrial
health
promoting
glucose
fatty
acid
oxidation
ATP
production.
These
achieved
an
action
to
upregulate
SIRT1/AMPK/PGC-1α
enhanced
autophagic
flux.
particular,
appears
enhance
interaction
PGC-1α
PPARα,
possibly
direct
binding
RXRα;
silencing
SIRT1,
RXRα
favourable
heart.
Since
PGC-1α/RXRα
also
downstream
effector
Akt/mTOR
signalling,
actions
may
explain
its
both
acute
stress.
Intriguingly,
individual
-
ginsenosides,
IIA
share
QLQX's
PGC-1α/RXRα/PPARα
signalling.
QXQL
contains
periplocymarin,
glycoside
that
inhibits
Na
Biomedicine & Pharmacotherapy,
Journal Year:
2023,
Volume and Issue:
164, P. 114978 - 114978
Published: June 2, 2023
1,8-Cineole,
the
main
component
of
volatile
oil
in
aromatic
plants,
has
diverse
pharmacological
properties,
including
antioxidant,
anti-inflammatory,
and
anti-cancer
properties.
Diabetic
retinopathy
(DR)
is
a
common
microvascular
complication
diabetes
mellitus
(DM).
Here,
we
investigated
protective
effect
1,8-cineole
on
DR
found
that
treatment
could
alter
expression
several
genes
both
high
glucose
(HG)-induced
ARPE-19
cells
retinal
tissues
DM
mice,
as
well
inhibit
ferroptosis.
Subsequent
investigations
into
molecular
mechanisms
underlying
this
inhibition
revealed
thioredoxin-interacting
protein
(TXNIP)
was
significantly
upregulated
while
peroxisome
proliferator-activated
receptor
γ
(PPAR-γ)
downregulated
HG-induced
cells,
with
effectively
reverse
these
changes.
Treatment
PPAR-γ
agonist
(rosiglitazone),
alone
or
combined
1,8-cineole,
inhibited
transcription
TXNIP
ferroptosis
cells.
Conversely,
pretreatment
GW9662,
inhibitor,
cells;
failed
to
expression.
To
explore
relationships,
constructed
adenovirus
shRNA
elucidate
negative
regulation
by
PPAR-γ.
Taken
together,
present
findings
indicate
tissue
plays
an
essential
role
pathogenesis
DR,
which
can
be
ameliorated
1,8-cineole.
Acta Histochemica,
Journal Year:
2024,
Volume and Issue:
126(1), P. 152134 - 152134
Published: Jan. 1, 2024
Endoplasmic
reticulum
(ER)
stress
plays
a
key
role
in
the
pathogenesis
of
several
organ
damages.
Studies
show
that
excessive
ER
(ERS)
can
destroy
cellular
homeostasis,
causing
cell
damage
and
physiological
dysfunction
various
organs.
In
recent
years,
Sirtuin1
(SIRT1)
has
become
research
hotspot
on
ERS.
Increasing
evidence
suggests
SIRT1
positive
ERS-induced
via
multiple
mechanisms,
including
inhibiting
apoptosis
promoting
autophagy.
also
alleviate
liver,
heart,
lung,
kidney,
intestinal
by
We
discuss
possible
mechanism
SIRT1,
explore
potential
therapeutic
targets
diseases,
provide
theoretical
basis
for
treating
ERS-related
diseases.
Frontiers in Endocrinology,
Journal Year:
2024,
Volume and Issue:
15
Published: Sept. 30, 2024
Cardiovascular
disease
(CVD)
is
the
leading
cause
of
human
mortality
worldwide.
Despite
Western
medicine
having
made
encouraging
results
in
clinical
management
CVD,
morbidity,
mortality,
and
disability
rates
remain
high.
Modern
pharmacology
has
confirmed
that
traditional
Chinese
(TCM),
characterized
by
its
multi-component,
multi-target,
integrity,
plays
a
positive
important
role
prevention
treatment
various
CVDs
China,
which
notable
advantages
stabilizing
disease,
improving
heart
function,
enhancing
quality
life.
Importantly,
TCM
gradually
being
accepted
international
community
due
to
low
cost,
high
safety,
versatile
bioactivity,
toxicity.
Unfortunately,
comprehensive
studies
on
therapeutic
effect
CVD
mechanisms
are
very
limited,
may
restrict
application
CVD.
Therefore,
this
review
performed
analyze
pathogenesis
including
inflammatory
response,
oxidative
stress,
mitochondrial
dysfunction,
pyroptosis,
ferroptosis,
dysbiosis
gut
microbiota,
etc.
Moreover,
we
summarized
latest
progress
(formulas,
extracts,
compounds)
curing
according
published
literature
from
2018
2023,
as
well
evidence.
In
conclusion,
expected
provide
useful
information
reference
for
further
drug
development
Antioxidants,
Journal Year:
2024,
Volume and Issue:
13(1), P. 121 - 121
Published: Jan. 18, 2024
Deoxynivalenol
(DON)
is
the
one
of
most
common
mycotoxins,
widely
detected
in
various
original
foods
and
processed
foods.
Tanshinone
IIA
(Tan
IIA)
a
fat-soluble
diterpene
quinone
extracted
from
Salvia
miltiorrhiza
Bunge,
which
has
multi-biological
functions
pharmacological
effects.
However,
whether
Tan
protective
effect
against
DON-induced
intestinal
toxicity
unknown.
In
this
study,
results
showed
treatment
could
attenuate
IPEC-J2
cell
death.
DON
increased
oxidation
product
accumulation,
decreased
antioxidant
ability
disrupted
barrier
function,
while
reversed
function
impairment
oxidative
stress.
Furthermore,
dramatically
improved
mitochondrial
via
quality
control.
upregulate
biogenesis
fusion
as
well
downregulate
fission
unfolded
protein
response.
addition,
significantly
attenuated
mitophagy
caused
by
DON.
Collectively,
presented
potential
underlying
mechanisms
were
involved
control–mediated
mitophagy.
Frontiers in Pharmacology,
Journal Year:
2025,
Volume and Issue:
16
Published: April 11, 2025
Diabetes
mellitus
(DM)
is
a
chronic
endocrine
and
metabolic
disorder
characterized
by
persistent
hyperglycemia
that
poses
serious
threats
to
human
health
quality
of
life.
The
morbidity,
disability,
mortality
rates
cardiovascular
complications
stemming
from
are
primary
factors
affecting
the
lifespan
patients
with
diabetes.
Currently,
there
no
cure
for
DM.
Standard
biomedical
treatments
mostly
control
symptoms
using
insulin
injections
or
oral
hypoglycemic
drugs.
Although
effect
standard
therapy
remarkable,
its
long-term
use
prone
toxic
side
effects.
Numerous
studies
have
recently
found
Traditional
Chinese
Medicine
(TCM)
has
strong
advantages
in
prevention
treatment
DM
(DACC).
collection,
processing,
preparation
clinical
TCM
guided
theory
follow
“holistic
concept.”
Multiple
components,
pathways,
targets
form
basis
treating
multiple
parts
organs
body
simultaneously.
mainly
derived
natural
medicines
their
processed
products
fewer
clinically
used
as
compound
prescriptions,
botanical
drugs,
monomers.
TCM,
either
independently
combination
treatments,
shown
unique
therapeutic
advantages.
This
review
aimed
explore
reported
mechanisms
action
DACC.
These
findings
will
aid
optimization
current
formation
schedule
integrated
treatments.