PMID- 31402870 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 10 DP - 2019 TI - Tanshinone IIA Exerts Anti-Inflammatory and Immune-Regulating Effects on Vulnerable Atherosclerotic Plaque Partially via the TLR4/MyD88/NF-kappaB Signal Pathway. PG - 850 LID - 10.3389/fphar.2019.00850 [doi] LID - 850 AB - Background: Tanshinone IIA (Tan IIA), a lipophilic constituent from Salvia miltiorrhiza Bunge, has shown a promising cardioprotective effect including anti-atherosclerosis. This study aims at exploring Tan IIA's anti-inflammatory and immune-regulating roles in stabilizing vulnerable atherosclerotic plaque in ApoE-deficient (ApoE(-/-)) mice. Methods: Male ApoE(-/-) mice (6 weeks) were fed with a high-fat diet for 13 weeks and then randomized to the model group (MOD) or Tan IIA groups [high dose: 90 mg/kg/day (HT), moderate dose: 30 mg/kg/day (MT), low dose: 10 mg/kg/day (LT)] or the atorvastatin group (5 mg/kg/day, ATO) for 13 weeks. Male C57BL/6 mice (6 weeks) were fed with ordinary rodent chow as control. The plaque stability was evaluated according to the morphology and composition of aortic atherosclerotic (AS) plaque in H&E staining and Movat staining sections by calculating the area of extracellular lipid, collagenous fiber, and foam cells to the plaque. The expression of the Toll-like receptor 4 (TLR4)/myeloid differentiation factor88 (MyD88)/nuclear factor-kappa B (NF-kappaB) signal pathway in aorta fractions was determined by immunohistochemistry. Serum levels of blood lipid were measured by turbidimetric inhibition immunoassay. The concentrations of tumor necrosis factor-alpha (TNF-alpha) and monocyte chemoattractant protein-1 (MCP-1) were detected by cytometric bead array. Results: Tan IIA stabilized aortic plaque with a striking reduction in the area of extracellular lipid (ATO: 13.15 +/- 1.2%, HT: 12.2 +/- 1.64%, MT: 13.93 +/- 1.59%, MOD: 18.84 +/- 1.46%, P < 0.05) or foam cells (ATO: 16.05 +/- 1.26%, HT: 14.88 +/- 1.79%, MT: 16.61 +/- 1.47%, MOD: 22.08 +/- 1.69%, P < 0.05) to the plaque, and an evident increase in content of collagenous fiber (ATO: 16.22 +/- 1.91%, HT: 17.58 +/- 1.33%, MT: 15.71 +/- 2.26%, LT:14.92 +/- 1.65%, MOD: 9.61 +/- 0.7%, P < 0.05) to the plaque than that in the model group, concomitant with down-regulation of the protein expression of TLR4, MyD88, and NF-kappaB p65, and serum level of MCP-1 and TNF-alpha in a dose-dependent manner. There were no differences in serum TC, LDL, HDL, or TG levels between ApoE(-/-) mice and those treated with atorvastatin. Conclusions: These results suggest that Tan IIA could stabilize vulnerable AS plaque in ApoE(-/-) mice, and this anti-inflammatory and immune-regulating effect may be achieved via the TLR4/MyD88/NF-kappaB signaling pathway. FAU - Chen, Zhuo AU - Chen Z AD - Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Gao, Xiang AU - Gao X AD - Internal medicine, Tieying Hospital of Fengtai District, Beijing, China. FAU - Jiao, Yang AU - Jiao Y AD - Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Qiu, Yu AU - Qiu Y AD - Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Wang, Anlu AU - Wang A AD - Graduate School, Beijing University of Chinese Medicine, Beijing, China. FAU - Yu, Meili AU - Yu M AD - Beijing First Hospital of Integrated Chinese and Western Medicine, Beijing, China. FAU - Che, Fangyuan AU - Che F AD - Cardiovascular Department, Beijing hospital of Traditional Chinese Medicine Shunyi branch, Beijing, China. FAU - Li, Siming AU - Li S AD - Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Liu, Jing AU - Liu J AD - Graduate school, China Academy of Chinese Medical, Beijing, China. FAU - Li, Jingen AU - Li J AD - Dongzhimen Hospital, The First Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China. FAU - Zhang, He AU - Zhang H AD - Graduate School, Beijing University of Chinese Medicine, Beijing, China. FAU - Yu, Changan AU - Yu C AD - China-Japan Friendship Hospital, Beijing, China. FAU - Li, Geng AU - Li G AD - China-Japan Friendship Hospital, Beijing, China. FAU - Gao, Yanxiang AU - Gao Y AD - China-Japan Friendship Hospital, Beijing, China. FAU - Pan, Lin AU - Pan L AD - China-Japan Friendship Hospital, Beijing, China. FAU - Sun, Weiliang AU - Sun W AD - China-Japan Friendship Hospital, Beijing, China. FAU - Guo, Jing AU - Guo J AD - China-Japan Friendship Hospital, Beijing, China. FAU - Cao, Bingyan AU - Cao B AD - Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Zhu, Yilin AU - Zhu Y AD - Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Xu, Hao AU - Xu H AD - Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China. LA - eng PT - Journal Article DEP - 20190726 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC6677033 OTO - NOTNLM OT - TLR4/MyD88/NF-kappaB OT - Tanshinone IIA OT - anti-inflammatory OT - atherosclerosis OT - immune regulation EDAT- 2019/08/14 06:00 MHDA- 2019/08/14 06:01 PMCR- 2019/07/26 CRDT- 2019/08/13 06:00 PHST- 2019/01/27 00:00 [received] PHST- 2019/07/03 00:00 [accepted] PHST- 2019/08/13 06:00 [entrez] PHST- 2019/08/14 06:00 [pubmed] PHST- 2019/08/14 06:01 [medline] PHST- 2019/07/26 00:00 [pmc-release] AID - 10.3389/fphar.2019.00850 [doi] PST - epublish SO - Front Pharmacol. 2019 Jul 26;10:850. doi: 10.3389/fphar.2019.00850. eCollection 2019.