PMID- 30864233 OWN - NLM STAT- MEDLINE DCOM- 20191231 LR - 20191231 IS - 1098-2299 (Electronic) IS - 0272-4391 (Linking) VI - 80 IP - 3 DP - 2019 May TI - The protective effect of kaempferol on heart via the regulation of Nrf2, NF-kappabeta, and PI3K/Akt/GSK-3beta signaling pathways in isoproterenol-induced heart failure in diabetic rats. PG - 294-309 LID - 10.1002/ddr.21495 [doi] AB - This study was designed to delineate the effect of kaempferol (KF) on heart failure (HF) in diabetic rats. Streptozotocin-induced male diabetic rats received KF orally at 10 and 20 mg/kg for 42 consecutive days. In last 2 days of the experimental period, isoproterenol was subcutaneously injected at 85 mg/kg to induce HF. The hearts were processed for hemodynamic, biochemical, molecular, and histological investigations. Systolic blood pressure, diastolic blood pressure, and mean arterial blood pressure were elevated in KF-treated HF-induced diabetic rats. Moreover, KF treatment resulted in decreased fasting blood glucose and glycosylated hemoglobin levels with increased serum insulin levels. Besides, serum cardiac injury markers like troponin-I, creatine kinase-muscle/brain, lactate dehydrogenase, and brain natriuretic peptide levels were significantly reduced in KF treatment. KF treatment has shown decrease in cardiac heme oxygenase-1, nuclear factor erythroid 2-related factor 2 (Nrf-2), and gamma-glutamylcysteine synthetase with increased Keap1 mRNA levels. The cardioprotection of KF was improved by inhibition of apoptosis via blocking phosphorylation of Akt/glycogen synthase kinase (GSK)-3beta and p38 mitogen-activated protein-kinase/extracellular signal-regulated kinases signaling pathways in HF-induced diabetic rats. Moreover, reduced cardiac apoptosis in KF treatment was confirmed by decreased terminal deoxynucleotidyl transferase dUTP nick-end labeling (TUNEL) positive cells, histopathological changes in HF-induced diabetic rats. Therefore, the cardioprotective effect of KF is attributed to the regulation of Nrf2, nuclear factor kappa-light-chain-enhancer of activated B cells, and Akt/GSK-3beta signaling pathways in HF-induced diabetic rats. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Zhang, Long AU - Zhang L AD - Cardiology Department, Xidian Group Hospital, Xi'an, People's Republic of China. FAU - Guo, Zhaoxia AU - Guo Z AD - Department of Cardiovascular, Gansu Provincial Hospital, Lanzhou, People's Republic of China. FAU - Wang, Yan AU - Wang Y AD - Medical Research and Laboratory Diagnostic Center, Jinan Central Hospital Affiliated to Shandong University, Jinan, People's Republic of China. FAU - Geng, Jun AU - Geng J AD - Medical Research and Laboratory Diagnostic Center, Jinan Central Hospital Affiliated to Shandong University, Jinan, People's Republic of China. FAU - Han, Shuyi AU - Han S AUID- ORCID: 0000-0002-6520-7817 AD - Medical Research and Laboratory Diagnostic Center, Jinan Central Hospital Affiliated to Shandong University, Jinan, People's Republic of China. LA - eng PT - Journal Article DEP - 20190312 PL - United States TA - Drug Dev Res JT - Drug development research JID - 8204468 RN - 0 (Cardiotonic Agents) RN - 0 (Kaempferols) RN - 0 (NF-E2-Related Factor 2) RN - 0 (NF-kappa B) RN - 0 (Nfe2l2 protein, rat) RN - 731P2LE49E (kaempferol) RN - EC 2.7.11.1 (Glycogen Synthase Kinase 3 beta) RN - EC 2.7.11.1 (Gsk3b protein, rat) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - L628TT009W (Isoproterenol) SB - IM MH - Animals MH - Cardiotonic Agents/*pharmacology/therapeutic use MH - Diabetes Mellitus, Experimental/drug therapy/*metabolism MH - Glycogen Synthase Kinase 3 beta/metabolism MH - Heart/drug effects MH - Heart Failure/chemically induced/drug therapy/*metabolism MH - Isoproterenol MH - Kaempferols/*pharmacology/therapeutic use MH - Male MH - Myocardial Infarction/drug therapy/*metabolism MH - Myocardium/*metabolism MH - NF-E2-Related Factor 2/genetics/metabolism MH - NF-kappa B/metabolism MH - Phosphatidylinositol 3-Kinases/metabolism MH - Proto-Oncogene Proteins c-akt/metabolism MH - Rats, Wistar MH - Signal Transduction/drug effects OTO - NOTNLM OT - apoptosis OT - diabetes OT - heart failure OT - inflammation OT - oxidative stress EDAT- 2019/03/14 06:00 MHDA- 2020/01/01 06:00 CRDT- 2019/03/14 06:00 PHST- 2018/09/06 00:00 [received] PHST- 2018/11/05 00:00 [revised] PHST- 2018/11/07 00:00 [accepted] PHST- 2019/03/14 06:00 [pubmed] PHST- 2020/01/01 06:00 [medline] PHST- 2019/03/14 06:00 [entrez] AID - 10.1002/ddr.21495 [doi] PST - ppublish SO - Drug Dev Res. 2019 May;80(3):294-309. doi: 10.1002/ddr.21495. Epub 2019 Mar 12.