QiShenYiQi Pill for Myocardial Collagen Metabolism and Apoptosis in Rats of Autoimmune Cardiomyopathy
Overview
Affiliations
Context: QiShenYiQi pill (QSYQ) is a traditional Chinese medicine with a myocardial protective effect.
Objective: To explore the effect of QSYQ on myocardial collagen metabolism in rats with autoimmune cardiomyopathy and explore the underlying mechanism from the aspect of apoptosis.
Materials And Methods: We established an autoimmune cardiomyopathy model using Lewis rats. The rats were then randomly divided into six groups (n = 8): control, model, 3-methyladenine (15 mg/kg, intraperitoneal injection), QSYQ low-dose (135 mg/kg, gavage), QSYQ medium dose (270 mg/kg, gavage), and QSYQ high-dose (540 mg/kg, gavage) for four weeks. Van Gieson staining was applied for myocardial pathological characteristics, TUNEL fluorescence for myocardial cell apoptosis, enzyme-linked immunosorbent assay (ELISA) for serum PICP, PIIINP, and CTX-I levels, and western blot analysis for type I/III myocardial collagen, Bcl-2, Bax, and caspase-3 proteins.
Results: Results showed that QSYQ (135, 270, or 540 mg/kg) significantly reduced the expression of myocardial type I/III collagen, and concentrations of serum PICP, PIIINP, and CTX-I in rats. Moreover, QSYQ could alleviate myocardial fibrosis more effectively at a higher dose. QSYQ could also inhibit myocardial apoptosis via downregulating Bcl-2 expression, and upregulating Bax and caspase-3 expression levels.
Discussion And Conclusions: The QSYQ can improve myocardial collagen metabolism by inhibiting apoptosis, which provides a potential therapeutic approach for autoimmune cardiomyopathy.
Chinese and western medicine treatment of myocardial fibrosis drugs.
Zhu Y, Zhang F, Li Z, Zhou Y, Shu Y, Ruan J Front Cardiovasc Med. 2025; 11:1477601.
PMID: 39882321 PMC: 11774883. DOI: 10.3389/fcvm.2024.1477601.
Li L, Zhang Y, Luo Y, Meng X, Pan G, Zhang H Drug Des Devel Ther. 2023; 17:771-790.
PMID: 36925998 PMC: 10013573. DOI: 10.2147/DDDT.S399423.