PMID- 33996504 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210518 IS - 2214-7500 (Electronic) IS - 2214-7500 (Linking) VI - 8 DP - 2021 TI - The cardio and renoprotective role of ginseng against epinephrine-induced myocardial infarction in rats: Involvement of angiotensin II type 1 receptor/protein kinase C. PG - 908-919 LID - 10.1016/j.toxrep.2021.04.008 [doi] AB - The expression of angiotensin II type 1 receptor (AT1 receptor)/protein kinase C (PKC) in heart tissues has a vital role in myocardial infarction (MI). The current work aimed to clarify the renal complication enhanced by MI following epinephrine injection via AT1 receptor/ PKC expression; in addition, the impact of ginseng extract on epinephrine-induced MI and its renal complication was assessed. Adult male albino Wistar rats were pretreated orally with ginseng extract (200 & 400 mg/kg/day) for 14 days, then two successive doses of epinephrine injection (100 mg/kg, i.p.). Epinephrine evoked electrocardiographic (ECG) and renal changes accompanied with a significant increase in heart and kidney contents of malodialdehyde (MDA), nitric oxide (NO), protein kinase C (PKC), heart contents of nuclear factor-kabba B (NF-kappaB) and angiotensin 1receptor (AT1R), as well as a decrease in heart and kidney reduced glutathione (GSH) and nuclear factor-erythroid-related factor 2 (Nrf2) contents. In histopathological investigations epinephrine exhibited deleterious heart changes in the form of acute MI with the presence of necrosis of cardiomyocytes with iNOS expression and produced glomerulus and renal tubules degeneration. Pretreatment of rats with ginseng extract in both doses significantly corrected epinephrine-induced heart and renal changes. The current work revealed that epinephrine-induced MI associated with aggravated renal complication and ginseng extract has cardio and reno protective role against this as it reduces infarct size, preserves cardiac and renal tissues and functions through activating Nrf2 and down-regulating NF-kappaB, PKC, AT1R and iNOS. CI - (c) 2021 Published by Elsevier B.V. FAU - Salama, Abeer AU - Salama A AD - Pharmacology Department, Medical Division, National Research Centre, 33 El Bohouth St. (Former El-Tahrir St.), 12622 Dokki, Cairo, Egypt. FAU - Mansour, Dina AU - Mansour D AD - Pharmacology Department, Medical Division, National Research Centre, 33 El Bohouth St. (Former El-Tahrir St.), 12622 Dokki, Cairo, Egypt. FAU - Hegazy, Rehab AU - Hegazy R AD - Pharmacology Department, Medical Division, National Research Centre, 33 El Bohouth St. (Former El-Tahrir St.), 12622 Dokki, Cairo, Egypt. LA - eng PT - Journal Article DEP - 20210420 PL - Ireland TA - Toxicol Rep JT - Toxicology reports JID - 101630272 PMC - PMC8099916 OTO - NOTNLM OT - AT1R OT - Ginseng OT - Myocardial infarction OT - Nrf2 OT - PKC COIS- The authors report no declarations of interest. EDAT- 2021/05/18 06:00 MHDA- 2021/05/18 06:01 PMCR- 2021/04/20 CRDT- 2021/05/17 06:15 PHST- 2020/01/11 00:00 [received] PHST- 2021/02/26 00:00 [revised] PHST- 2021/04/16 00:00 [accepted] PHST- 2021/05/17 06:15 [entrez] PHST- 2021/05/18 06:00 [pubmed] PHST- 2021/05/18 06:01 [medline] PHST- 2021/04/20 00:00 [pmc-release] AID - S2214-7500(21)00084-6 [pii] AID - 10.1016/j.toxrep.2021.04.008 [doi] PST - epublish SO - Toxicol Rep. 2021 Apr 20;8:908-919. doi: 10.1016/j.toxrep.2021.04.008. eCollection 2021.