Yixin Ningshen Tablet Alleviates Comorbidity of Myocardial Infarction and Depression by Enhancing Myocardial Energy Metabolism and Increasing Availability of Monoamine Neurotransmitter

作     者：JIANG Bing WU Ruo-ming LI Hai-dong LI Kun LI Hui DANG Wen-zhen FENG Gui-ze BAO Wei-lian YE Guan SHEN Xiao-yan JIANG Bing;WU Ruo-ming;Li Hai-dong;LI Kun;LI Hui;DANG Wen-zhen;FENG Gui-ze;BAO Wei-lian;YE Guan;SHEN Xiao-yan

作者机构：Department of PharmacologySchool of PharmacyFudan UniversityShanghai 200120China Department of Pharmacology of Chinese Materia MedicaSchool of Traditional Chinese MedicineGuangdong Pharmaceutical UniversityGuangzhou 510006China Central Research InstituteShanghai Pharmaceuticals Holding Co.Ltd.Shanghai 200120China 

出 版 物：《Chinese Journal of Integrative Medicine》 (中国结合医学杂志（英文版）)

年 卷 期：2022年第28卷第7期

页      面：586-593页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 100205[医学-精神病与精神卫生学] 10[医学] 

基　　金：Supported by the Science and Technology Commission of Shanghai Municipality (No. 15DZ1900103  15DZ1900100) 

主　　题：Yixin Ningshen Tablet depression cardiovascular disorders inflammatory factor monoamine neurotransmitter kynurenine pathway Chinese medicine 

摘      要：Objective: To investigate the therapeutic effect of Yixin Ningshen Tablet(YXNS) on comorbidity of myocardial infarction(MI) and depression in rats and explore the underlying mechanism. Methods: The Sprague-Dawley rats were randomly divided into 5 groups with 7 rats in each group according to their weights,including control, model, fluoxetine(FLXT, 10 mg/kg), low-dose YXNS(LYXNS, 100 mg/kg), and high-dose YXNS(HYXNS, 300 mg/kg) groups. All rats were pretreated with corresponding drugs for 12 weeks. The rat model of MI and depression was constructed by ligation of left anterior descending coronary artery and chronic mild stress stimulation. The echocardiography, sucrose preference test, open field test, and forced swim test were performed. Myocardial infarction(MI) area and myocardial apoptosis was also detected. Serum levels of interleukin(IL)-6, IL-1β, tumor necrosis factor-α(TNF-α), 5-hydroxytryptamine(5-HT), adrenocorticotrophic hormone(ACTH), corticosterone(CORT), and norepinephrine(NE) were determined by enzyme linked immunosorbent assay. The proteins of adenosine 5’-monophosphate-activated protein kinase(AMPK), p-AMPK,peroxisome proliferator-activated receptor gamma coactivator-1α(PGC-1α), and nuclear respiratory factor 1(NRF1) in heart were detected by Western blot analysis. The expression levels of TNF-α, IL-6, indoleamine 2,3-dioxygenase(IDO1), kynurenine 3-monooxygenase(KMO), and kynureninase(KYNU) in hippocampus were detected by real-time quantitative polymerase chain reaction. Results: Compared with the model group,the cardiac function of rats treated with YXNS significantly improved(P0.01). Meanwhile, YXNS effectively reduced MI size and cardiomyocytes apoptosis of rats(P0.01 or P0.05), promoted AMPK phosphorylation,and increased PGC-1α protein expression(P0.01 or P0.05). HYXNS significantly increased locomotor activity of rats, decreased the levels of TNF-α, IL-6 and IL-1β, and increased the serum levels of 5-HT, NE, ACTH,and CORT(all P0.05). More