PMID- 37146706 OWN - NLM STAT- MEDLINE DCOM- 20230522 LR - 20230522 IS - 1879-0712 (Electronic) IS - 0014-2999 (Linking) VI - 950 DP - 2023 Jul 5 TI - The protective effects of sophocarpine on sepsis-induced cardiomyopathy. PG - 175745 LID - S0014-2999(23)00256-X [pii] LID - 10.1016/j.ejphar.2023.175745 [doi] AB - This investigation elucidates the impact of sophocarpine treatment on lipopolysaccharide (LPS) stimulated sepsis-induced cardiomyopathy (SIC) via in vivo and in vitro experiments. Echocardiography, ELISA, TUNEL, Western blotting experiments, and Hematoxylin/Eosin, Dihydroethidium, and Immunohistochemistry staining assays, were carried out to identify associated indicators. The echocardiography revealed that sophocarpine treatment alleviated LPS-induced cardiac dysfunction as indicated by fractional shortening shortened and improved ejection fraction. Heart injury biomarkers, such as creatine kinase, lactate dehydrogenase, and creatine kinase-MB, were assessed, and indicated that sophocarpine treatment could alleviate LPS-induced upregulation of these indices. Furthermore, different experimental protocols revealed that sophocarpine treatment inhibits LPS-induced pathological alterations and decreases LPS-stimulated inflammatory cytokines, IL-1beta, monocyte chemoattractant protein-1, IL-6, NOD-like receptor protein-3, and TNF-alpha, increase. Apoptotic proteins such as cytochrome-c, Bax, and cleaved-caspase-3 were increased, and Bcl-2 was alleviated after LPS stimulation; however, these effects were inhibited by sophocarpine treatment. Decreased antioxidant proteins [superoxide dismutase-1 (SOD-1) and SOD-2] induced by LPS stimulation were upregulated by sophocarpine treatment. LPS upregulated autophagic proteins such as Beclin-1 and the ratio of microtubule-associated protein 1A/1B-light chain 3 (LC3)-II/LC3-I and downregulated sequestosome 1 (SQSTM1, or P62), sophocarpine therapy reversed these effects. Moreover, it was indicated that sophocarpine treatment inhibited the Toll-like receptor-4 (TLR-4)/nuclear transcription factor-kappa B (NF-kappaB) signaling pathway and activated nuclear factor erythroid 2-related factor-2 (Nrf2)/heme oxygenase-1 (HO-1) signaling pathway. In conclusion, sophocarpine treatment could alleviate LPS-trigger SIC by repressing oxidative stress, autophagy, inflammation, and apoptosis via TLR-4/NF-kappaB inhibition and Nrf2/HO-1 signaling pathway activation, implicating the potential of sophocarpine as a new therapeutic approach against SIC. CI - Copyright (c) 2023 Elsevier B.V. All rights reserved. FAU - Fu, Yang AU - Fu Y AD - Department of Cardiovascular Medicine, The Second Affiliated Hospital of Nanchang University, Nanchang of Jiangxi, China; Jiangxi Key Laboratory of Molecular Medicine, China. FAU - Zhang, Hong-Jin AU - Zhang HJ AD - Department of Cardiovascular Medicine, The Second Affiliated Hospital of Nanchang University, Nanchang of Jiangxi, China; Jiangxi Key Laboratory of Molecular Medicine, China. FAU - Zhou, Wei AU - Zhou W AD - Department of Cardiovascular Medicine, The Second Affiliated Hospital of Nanchang University, Nanchang of Jiangxi, China; Jiangxi Key Laboratory of Molecular Medicine, China. FAU - Lai, Ze-Qun AU - Lai ZQ AD - Department of Cardiovascular Medicine, The Second Affiliated Hospital of Nanchang University, Nanchang of Jiangxi, China; Jiangxi Key Laboratory of Molecular Medicine, China. FAU - Dong, Yi-Fei AU - Dong YF AD - Department of Cardiovascular Medicine, The Second Affiliated Hospital of Nanchang University, Nanchang of Jiangxi, China; Jiangxi Key Laboratory of Molecular Medicine, China. Electronic address: yf_dong66@126.com. LA - eng PT - Journal Article DEP - 20230503 PL - Netherlands TA - Eur J Pharmacol JT - European journal of pharmacology JID - 1254354 RN - 0 (NF-kappa B) RN - 0 (Toll-Like Receptor 4) RN - 0 (Lipopolysaccharides) RN - 0 (NF-E2-Related Factor 2) RN - 6483-15-4 (sophocarpine) RN - EC 2.7.3.2 (Creatine Kinase) SB - IM MH - Humans MH - NF-kappa B/metabolism MH - Toll-Like Receptor 4 MH - Lipopolysaccharides MH - NF-E2-Related Factor 2/metabolism MH - *Cardiomyopathies/drug therapy/etiology MH - *Sepsis/complications/drug therapy MH - Creatine Kinase OTO - NOTNLM OT - Lipopolysaccharide OT - Sepsis-induced cardiomyopathy OT - Sophocarpine COIS- Declaration of competing interest None. EDAT- 2023/05/06 09:42 MHDA- 2023/05/22 06:42 CRDT- 2023/05/05 19:25 PHST- 2023/02/07 00:00 [received] PHST- 2023/04/10 00:00 [revised] PHST- 2023/04/24 00:00 [accepted] PHST- 2023/05/22 06:42 [medline] PHST- 2023/05/06 09:42 [pubmed] PHST- 2023/05/05 19:25 [entrez] AID - S0014-2999(23)00256-X [pii] AID - 10.1016/j.ejphar.2023.175745 [doi] PST - ppublish SO - Eur J Pharmacol. 2023 Jul 5;950:175745. doi: 10.1016/j.ejphar.2023.175745. Epub 2023 May 3.