PMID- 31359441 OWN - NLM STAT- MEDLINE DCOM- 20200715 LR - 20211204 IS - 1096-9071 (Electronic) IS - 0146-6615 (Linking) VI - 91 IP - 12 DP - 2019 Dec TI - Ginkgo biloba extract may alleviate viral myocarditis by suppression of S100A4 and MMP-3. PG - 2083-2092 LID - 10.1002/jmv.25558 [doi] AB - Viral myocarditis (VMC) is an inflammatory cardiac disease caused by coxsackievirus B3 (CVB3) that leads to heart failure or sudden death. However, efficient therapeutic strategies for VMC remain lacking. Ginkgo biloba extract was previously demonstrated to have anti-inflammatory activity and had been used in prevention and therapy of some cardiovascular diseases (ie myocardial infarction), indicating Ginkgo biloba extract may be a potential drug for the treatment of VMC. This study was, for the first time, to investigate the intervention effects of Ginkgo biloba extract on VMC model mice and explore its potential mechanisms. As a result, VMC mice model was successfully established by CVB3 infection, exhibiting significantly higher viral titer, serum creatine kinase isoenzyme level, heart weight/body weight ratio, histopathologic scores, collagen volume fraction (CVF), and significantly increased expression of S100A4 and matrix metalloproteinase-3 (MMP-3) at protein and messenger RNA levels compared with the control group. Also, the expression of S100A4 and MMP-3/CVF was positively correlated. Ginkgo biloba extract treatment significantly reversed the trend in all the above parameters. Thus, Ginkgo biloba extract may be a promising therapeutic approach against VMC because it improved myocardial injury and alleviated the degree of myocardial fibrosis through suppression of S100A4 and MMP-3. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Wang, Wei AU - Wang W AD - Outpatient Department of Pediatrics, The First Hospital of Jilin University, Changchun, Jilin, China. FAU - Ma, Ke AU - Ma K AD - Outpatient Department of Pediatrics, The First Hospital of Jilin University, Changchun, Jilin, China. FAU - Liu, Jiangtao AU - Liu J AD - Outpatient Department of Pediatrics, The First Hospital of Jilin University, Changchun, Jilin, China. FAU - Li, Feng AU - Li F AUID- ORCID: 0000-0001-5790-1246 AD - Outpatient Department of Pediatrics, The First Hospital of Jilin University, Changchun, Jilin, China. LA - eng PT - Journal Article DEP - 20190809 PL - United States TA - J Med Virol JT - Journal of medical virology JID - 7705876 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Matrix Metalloproteinase Inhibitors) RN - 0 (Plant Extracts) RN - 0 (S100 Calcium-Binding Protein A4) RN - 0 (S100a4 protein, mouse) RN - 19FUJ2C58T (Ginkgo biloba extract) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) RN - EC 3.4.24.17 (Mmp3 protein, mouse) SB - IM MH - Animals MH - Anti-Inflammatory Agents/*therapeutic use MH - Coxsackievirus Infections/drug therapy MH - Enterovirus B, Human/*drug effects MH - Ginkgo biloba MH - Male MH - Matrix Metalloproteinase 3 MH - Matrix Metalloproteinase Inhibitors/*therapeutic use MH - Mice MH - Mice, Inbred BALB C MH - Myocarditis/*drug therapy/virology MH - Plant Extracts/*therapeutic use MH - S100 Calcium-Binding Protein A4/*antagonists & inhibitors OTO - NOTNLM OT - coxsackievirus OT - gene expression OT - inflammation EDAT- 2019/07/31 06:00 MHDA- 2020/07/16 06:00 CRDT- 2019/07/31 06:00 PHST- 2018/11/22 00:00 [received] PHST- 2019/06/25 00:00 [accepted] PHST- 2019/07/31 06:00 [pubmed] PHST- 2020/07/16 06:00 [medline] PHST- 2019/07/31 06:00 [entrez] AID - 10.1002/jmv.25558 [doi] PST - ppublish SO - J Med Virol. 2019 Dec;91(12):2083-2092. doi: 10.1002/jmv.25558. Epub 2019 Aug 9.