PMID- 19567157 OWN - NLM STAT- MEDLINE DCOM- 20091015 LR - 20161125 IS - 2542-5641 (Electronic) IS - 0366-6999 (Linking) VI - 122 IP - 12 DP - 2009 Jun 20 TI - Effects and mechanism of oridonin on pulmonary hypertension induced by chronic hypoxia-hypercapnia in rats. PG - 1380-7 AB - BACKGROUND: Pulmonary arterial hypertension (PAH) is characterized by suppressing apoptosis and enhancing cell proliferation in the vascular wall. Inducing pulmonary artery smooth muscle cells (PASMC) apoptosis had been regarded as a therapeutic approach for PAH. Oridonin can cause apoptosis in many cell lines, while little has been done to evaluate its effect on PASMC. METHODS: Thirty male Sprague-Dawley rats were randomly assigned to three groups: normal control (NC); hypoxia-hypercapnia (HH); Hypoxia-hypercapnia + oridonin (HHO). Rats were exposed to hypoxia-hypercapnia for four weeks. Cultured human PASMC (HPASMC) were assigned to three groups: normoxia (NO); hypoxia (HY); hypoxia + oridonin (HO). The mean pulmonary artery pressure, mass ratio of right ventricle over left ventricle plus septum (RV/(LV + S)), the ratio of thickness of the pulmonary arteriole wall to vascular external diameter (WT%) and the ratio of the vessel wall area to the total area (WA%) were measured. Morphologic changes of pulmonary arteries were observed under light and electron microscopes. The apoptotic characteristics in vitro and in vivo were detected. RESULTS: The mPAP, RV/(LV + S), WT%, and WA% in the HH group were significantly greater than those in the NC (P < 0.01) and HHO groups (P < 0.01); the activities of caspase-3 and caspase-9, and the expressions of Bax, cyt-C and apoptotic index (AI) in the group HH were less than those in the NC and HHO groups; and the expression of Bcl-2 in group HH was greater than that in the NC and HHO groups. HPASMC mitochondrial membrane potentials in group HO was lower than in group HY (P < 0.01), and cyt-C in the cytoplasm, AI, and caspase-9 in the HO group were greater than that in the HY group (P < 0.01), but the expression of Bcl-2 in the HO group was less than that in the HY group (P < 0.05). CONCLUSIONS: The results suggest that oridonin can lower pulmonary artery pressure effectively, and inhibit pulmonary artery structural remodeling by inducing smooth cell apoptosis via a mitochondria-dependent pathway. FAU - Wang, Liang-Xing AU - Wang LX AD - Department of Respiratory Medicine, First Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang 325003, China. 38805@163.com FAU - Sun, Yu AU - Sun Y FAU - Chen, Chan AU - Chen C FAU - Huang, Xiao-Ying AU - Huang XY FAU - Lin, Quan AU - Lin Q FAU - Qian, Guo-Qing AU - Qian GQ FAU - Dong, Wei AU - Dong W FAU - Chen, Yan-Fan AU - Chen YF LA - eng PT - Journal Article PL - China TA - Chin Med J (Engl) JT - Chinese medical journal JID - 7513795 RN - 0 (Antihypertensive Agents) RN - 0 (Diterpenes, Kaurane) RN - 0APJ98UCLQ (oridonin) SB - IM MH - Animals MH - Antihypertensive Agents/*pharmacology MH - Apoptosis MH - Blotting, Western MH - Diterpenes, Kaurane/*pharmacology MH - Hypercapnia/*physiopathology MH - *Hypertension, Pulmonary/drug therapy MH - Hypoxia/*physiopathology MH - Immunohistochemistry MH - Male MH - Membrane Potential, Mitochondrial MH - Microscopy MH - Microscopy, Electron, Transmission MH - Pulmonary Artery/*drug effects MH - Random Allocation MH - Rats MH - Rats, Sprague-Dawley EDAT- 2009/07/02 09:00 MHDA- 2009/10/16 06:00 CRDT- 2009/07/02 09:00 PHST- 2009/07/02 09:00 [entrez] PHST- 2009/07/02 09:00 [pubmed] PHST- 2009/10/16 06:00 [medline] PST - ppublish SO - Chin Med J (Engl). 2009 Jun 20;122(12):1380-7.