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Zhao GJ, Hou N, Cai SA, Liu XW, Li AQ, Cheng CF, Huang Y, Li LR, Mai YP, Liu SM, Ou CW, Xiong ZY, Chen XH, Chen MS, Luo CF. Contributions of Nrf2 to Puerarin Prevention of Cardiac Hypertrophy and its Metabolic Enzymes Expression in Rats. J Pharmacol Exp Ther 2018; 366:458-469. [PMID: 29945930 DOI: 10.1124/jpet.118.248369] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2018] [Accepted: 05/21/2018] [Indexed: 12/16/2022] Open
Abstract
Previous evidence has suggested that puerarin may attenuate cardiac hypertrophy; however, the potential mechanisms have not been determined. Moreover, the use of puerarin is limited by severe adverse events, including intravascular hemolysis. This study used a rat model of abdominal aortic constriction (AAC)-induced cardiac hypertrophy to evaluate the potential mechanisms underlying the attenuating efficacy of puerarin on cardiac hypertrophy, as well as the metabolic mechanisms of puerarin involved. We confirmed that puerarin (50 mg/kg per day) significantly attenuated cardiac hypertrophy, upregulated Nrf2, and decreased Keap1 in the myocardium. Moreover, puerarin significantly promoted Nrf2 nuclear accumulation in parallel with the upregulated downstream proteins, including heme oxygenase 1, glutathione transferase P1, and NAD(P)H:quinone oxidoreductase 1. Similar results were obtained in neonatal rat cardiomyocytes (NRCMs) treated with angiotensin II (Ang II; 1 μM) and puerarin (100 μM), whereas the silencing of Nrf2 abolished the antihypertrophic effects of puerarin. The mRNA and protein levels of UGT1A1 and UGT1A9, enzymes for puerarin metabolism, were significantly increased in the liver and heart tissues of AAC rats and Ang II-treated NRCMs. Interestingly, the silencing of Nrf2 attenuated the puerarin-induced upregulation of UGT1A1 and UGT1A9. The results of chromatin immunoprecipitation-quantitative polymerase chain reaction indicated that the binding of Nrf2 to the promoter region of Ugt1a1 or Ugt1a9 was significantly enhanced in puerarin-treated cardiomyocytes. These results suggest that Nrf2 is the key regulator of antihypertrophic effects and upregulation of the metabolic enzymes UGT1A1 and UGT1A9 of puerarin. The autoregulatory circuits between puerarin and Nrf2-induced UGT1A1/1A9 are beneficial to attenuate adverse effects and maintain the pharmacologic effects of puerarin.
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Affiliation(s)
- Gan-Jian Zhao
- The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Cardiovascular Disease (G.-J.Z., A.-Q.L., C.-F.C., Y.H., L.-R.L., S.-M.L., C.-F.L.), School of Pharmaceutical Sciences and the Fifth Affiliated Hospital, Guangzhou Medical University (N.H., X.-W.L., Y.-P.M.), The Second Affiliated Hospital of Guangzhou Medical University (S.-A.C., X.-H.C.); Zhujiang Hospital, Southern Medical University, Guangdong Provincial Center of Biomedical Engineering for Cardiovascular Disease (C.-W.O., M.-S.C.), and The First Affiliated Hospital, Sun Yat-sen University (Z.-Y.X.), Guangzhou, China
| | - Ning Hou
- The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Cardiovascular Disease (G.-J.Z., A.-Q.L., C.-F.C., Y.H., L.-R.L., S.-M.L., C.-F.L.), School of Pharmaceutical Sciences and the Fifth Affiliated Hospital, Guangzhou Medical University (N.H., X.-W.L., Y.-P.M.), The Second Affiliated Hospital of Guangzhou Medical University (S.-A.C., X.-H.C.); Zhujiang Hospital, Southern Medical University, Guangdong Provincial Center of Biomedical Engineering for Cardiovascular Disease (C.-W.O., M.-S.C.), and The First Affiliated Hospital, Sun Yat-sen University (Z.-Y.X.), Guangzhou, China
| | - Shao-Ai Cai
- The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Cardiovascular Disease (G.-J.Z., A.-Q.L., C.-F.C., Y.H., L.-R.L., S.-M.L., C.-F.L.), School of Pharmaceutical Sciences and the Fifth Affiliated Hospital, Guangzhou Medical University (N.H., X.-W.L., Y.-P.M.), The Second Affiliated Hospital of Guangzhou Medical University (S.-A.C., X.-H.C.); Zhujiang Hospital, Southern Medical University, Guangdong Provincial Center of Biomedical Engineering for Cardiovascular Disease (C.-W.O., M.-S.C.), and The First Affiliated Hospital, Sun Yat-sen University (Z.-Y.X.), Guangzhou, China
| | - Xia-Wen Liu
- The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Cardiovascular Disease (G.-J.Z., A.-Q.L., C.-F.C., Y.H., L.-R.L., S.-M.L., C.-F.L.), School of Pharmaceutical Sciences and the Fifth Affiliated Hospital, Guangzhou Medical University (N.H., X.-W.L., Y.-P.M.), The Second Affiliated Hospital of Guangzhou Medical University (S.-A.C., X.-H.C.); Zhujiang Hospital, Southern Medical University, Guangdong Provincial Center of Biomedical Engineering for Cardiovascular Disease (C.-W.O., M.-S.C.), and The First Affiliated Hospital, Sun Yat-sen University (Z.-Y.X.), Guangzhou, China
| | - Ai-Qun Li
- The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Cardiovascular Disease (G.-J.Z., A.-Q.L., C.-F.C., Y.H., L.-R.L., S.-M.L., C.-F.L.), School of Pharmaceutical Sciences and the Fifth Affiliated Hospital, Guangzhou Medical University (N.H., X.-W.L., Y.-P.M.), The Second Affiliated Hospital of Guangzhou Medical University (S.-A.C., X.-H.C.); Zhujiang Hospital, Southern Medical University, Guangdong Provincial Center of Biomedical Engineering for Cardiovascular Disease (C.-W.O., M.-S.C.), and The First Affiliated Hospital, Sun Yat-sen University (Z.-Y.X.), Guangzhou, China
| | - Chuan-Fang Cheng
- The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Cardiovascular Disease (G.-J.Z., A.-Q.L., C.-F.C., Y.H., L.-R.L., S.-M.L., C.-F.L.), School of Pharmaceutical Sciences and the Fifth Affiliated Hospital, Guangzhou Medical University (N.H., X.-W.L., Y.-P.M.), The Second Affiliated Hospital of Guangzhou Medical University (S.-A.C., X.-H.C.); Zhujiang Hospital, Southern Medical University, Guangdong Provincial Center of Biomedical Engineering for Cardiovascular Disease (C.-W.O., M.-S.C.), and The First Affiliated Hospital, Sun Yat-sen University (Z.-Y.X.), Guangzhou, China
| | - Yin Huang
- The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Cardiovascular Disease (G.-J.Z., A.-Q.L., C.-F.C., Y.H., L.-R.L., S.-M.L., C.-F.L.), School of Pharmaceutical Sciences and the Fifth Affiliated Hospital, Guangzhou Medical University (N.H., X.-W.L., Y.-P.M.), The Second Affiliated Hospital of Guangzhou Medical University (S.-A.C., X.-H.C.); Zhujiang Hospital, Southern Medical University, Guangdong Provincial Center of Biomedical Engineering for Cardiovascular Disease (C.-W.O., M.-S.C.), and The First Affiliated Hospital, Sun Yat-sen University (Z.-Y.X.), Guangzhou, China
| | - Li-Rong Li
- The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Cardiovascular Disease (G.-J.Z., A.-Q.L., C.-F.C., Y.H., L.-R.L., S.-M.L., C.-F.L.), School of Pharmaceutical Sciences and the Fifth Affiliated Hospital, Guangzhou Medical University (N.H., X.-W.L., Y.-P.M.), The Second Affiliated Hospital of Guangzhou Medical University (S.-A.C., X.-H.C.); Zhujiang Hospital, Southern Medical University, Guangdong Provincial Center of Biomedical Engineering for Cardiovascular Disease (C.-W.O., M.-S.C.), and The First Affiliated Hospital, Sun Yat-sen University (Z.-Y.X.), Guangzhou, China
| | - Yun-Pei Mai
- The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Cardiovascular Disease (G.-J.Z., A.-Q.L., C.-F.C., Y.H., L.-R.L., S.-M.L., C.-F.L.), School of Pharmaceutical Sciences and the Fifth Affiliated Hospital, Guangzhou Medical University (N.H., X.-W.L., Y.-P.M.), The Second Affiliated Hospital of Guangzhou Medical University (S.-A.C., X.-H.C.); Zhujiang Hospital, Southern Medical University, Guangdong Provincial Center of Biomedical Engineering for Cardiovascular Disease (C.-W.O., M.-S.C.), and The First Affiliated Hospital, Sun Yat-sen University (Z.-Y.X.), Guangzhou, China
| | - Shi-Ming Liu
- The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Cardiovascular Disease (G.-J.Z., A.-Q.L., C.-F.C., Y.H., L.-R.L., S.-M.L., C.-F.L.), School of Pharmaceutical Sciences and the Fifth Affiliated Hospital, Guangzhou Medical University (N.H., X.-W.L., Y.-P.M.), The Second Affiliated Hospital of Guangzhou Medical University (S.-A.C., X.-H.C.); Zhujiang Hospital, Southern Medical University, Guangdong Provincial Center of Biomedical Engineering for Cardiovascular Disease (C.-W.O., M.-S.C.), and The First Affiliated Hospital, Sun Yat-sen University (Z.-Y.X.), Guangzhou, China
| | - Cai-Wen Ou
- The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Cardiovascular Disease (G.-J.Z., A.-Q.L., C.-F.C., Y.H., L.-R.L., S.-M.L., C.-F.L.), School of Pharmaceutical Sciences and the Fifth Affiliated Hospital, Guangzhou Medical University (N.H., X.-W.L., Y.-P.M.), The Second Affiliated Hospital of Guangzhou Medical University (S.-A.C., X.-H.C.); Zhujiang Hospital, Southern Medical University, Guangdong Provincial Center of Biomedical Engineering for Cardiovascular Disease (C.-W.O., M.-S.C.), and The First Affiliated Hospital, Sun Yat-sen University (Z.-Y.X.), Guangzhou, China
| | - Zhen-Yu Xiong
- The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Cardiovascular Disease (G.-J.Z., A.-Q.L., C.-F.C., Y.H., L.-R.L., S.-M.L., C.-F.L.), School of Pharmaceutical Sciences and the Fifth Affiliated Hospital, Guangzhou Medical University (N.H., X.-W.L., Y.-P.M.), The Second Affiliated Hospital of Guangzhou Medical University (S.-A.C., X.-H.C.); Zhujiang Hospital, Southern Medical University, Guangdong Provincial Center of Biomedical Engineering for Cardiovascular Disease (C.-W.O., M.-S.C.), and The First Affiliated Hospital, Sun Yat-sen University (Z.-Y.X.), Guangzhou, China
| | - Xiao-Hui Chen
- The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Cardiovascular Disease (G.-J.Z., A.-Q.L., C.-F.C., Y.H., L.-R.L., S.-M.L., C.-F.L.), School of Pharmaceutical Sciences and the Fifth Affiliated Hospital, Guangzhou Medical University (N.H., X.-W.L., Y.-P.M.), The Second Affiliated Hospital of Guangzhou Medical University (S.-A.C., X.-H.C.); Zhujiang Hospital, Southern Medical University, Guangdong Provincial Center of Biomedical Engineering for Cardiovascular Disease (C.-W.O., M.-S.C.), and The First Affiliated Hospital, Sun Yat-sen University (Z.-Y.X.), Guangzhou, China
| | - Min-Sheng Chen
- The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Cardiovascular Disease (G.-J.Z., A.-Q.L., C.-F.C., Y.H., L.-R.L., S.-M.L., C.-F.L.), School of Pharmaceutical Sciences and the Fifth Affiliated Hospital, Guangzhou Medical University (N.H., X.-W.L., Y.-P.M.), The Second Affiliated Hospital of Guangzhou Medical University (S.-A.C., X.-H.C.); Zhujiang Hospital, Southern Medical University, Guangdong Provincial Center of Biomedical Engineering for Cardiovascular Disease (C.-W.O., M.-S.C.), and The First Affiliated Hospital, Sun Yat-sen University (Z.-Y.X.), Guangzhou, China
| | - Cheng-Feng Luo
- The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Cardiovascular Disease (G.-J.Z., A.-Q.L., C.-F.C., Y.H., L.-R.L., S.-M.L., C.-F.L.), School of Pharmaceutical Sciences and the Fifth Affiliated Hospital, Guangzhou Medical University (N.H., X.-W.L., Y.-P.M.), The Second Affiliated Hospital of Guangzhou Medical University (S.-A.C., X.-H.C.); Zhujiang Hospital, Southern Medical University, Guangdong Provincial Center of Biomedical Engineering for Cardiovascular Disease (C.-W.O., M.-S.C.), and The First Affiliated Hospital, Sun Yat-sen University (Z.-Y.X.), Guangzhou, China
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