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GuanxinⅤRelieves ventricular remodeling by Inhibiting Inflammation:Implication from Virtual Screening,Systematic Pharmacology,Molecular Docking,and Experimental Validation

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Chinese Journal of Integrative Medicine 2023年第12期29卷 1077-1086页

作者： LIANG Bo ZHANG Xiao-xiao GU Ning Department of Cardiology Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese MedicineNanjing(210022)China Department of Nephrology the Key Laboratory for the Prevention and Treatment of Chronic Kidney Disease of ChongqingChongqing Clinical Research Center of Kidney and Urology DiseasesXinqiao HospitalArmy Medical University(Third Military Medical University)Chongqing(400037)China School of Chinese Medicine School of Integrated Chinese and Western MedicineNanjing University of Chinese MedicineNanjing(210046)China

Objective:To reveal the anti-inflammatory mechanism of GuanxinⅤ,which is prescribed for ventricular remodeling in clinical ***:GuanxinⅤ-,ventricular remodeling-,and inflammationrelated targets were obtained through an integrated strategy of virtual screening and systematic pharmacology,and then the shared targets were visualised with a Venn ***Ⅴnetwork and the protein-protein interaction network were drawn,and enrichment analysis was ***,the main results obtained from the integrated strategy were validated by molecular docking and in vivo ***:A total of 251,11,425,and 15,246 GuanxinⅤ-,ventricular remodeling-,and inflammation-related targets were acquired,***,211 shared targets were considered to contribute to the mechanism of ventricular remodeling treated by GuanxinⅤ.Guanxin network and the protein-protein interaction network were drawn,and enrichment analysis showed some cardiovascular-related biological processes and signaling *** docking revealed that the GuanxinⅤ-derived compounds could align with key *** in vivo experiments proved that GuanxinⅤreverses ventricular remodeling by inhibiting ***:GuanxinⅤrelieves ventricular remodeling by regulating inflammation,which provides new ideas for the anti-ventricular remodeling mechanism of GuanxinⅤ.

关键词： GuanxinⅤ Chinese medicine ventricular remodeling inflammation

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Electrocardiographic measures of repolarization dispersion and their relationships with echocardiographic indices of ventricular remodeling and premature ventricular beats in hypertension

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Journal of Geriatric Cardiology 2017年第12期14卷 717-724页

作者： Ana Ciobanu Gary Tse Tong Liu Maria V Deaconu Gabriela S Gheorghe Adriana M Iliesiu Ioan T Nanea Department of Internal Medicine and Cardiology Theodor Burghele Clinical Hospital Carol Davila University of Medicine and Pharmacy Bucharest Romania Department of Medicine and Therapeutics Faculty of Medicine Chinese University of Hong Kong Hong Kong China Li Ka Shing Institute of Health Sci- ences Faculty of Medicine Chinese University of Hong Kong Hong Kong China Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular disease Department of Cardiology Tianjin Institute of Cardiology Second Hospital of Tianjin Medical University Tianjin China

Objective To examine the relationship between Tpeak- Tend interval （Tpe） and Tpe/QT ratio with occurrence of ventricular premature beats （VPBs） and left ventricular remodeling in hypertension. Methods A total of 52 patients with mild to moderate essential hypertension were included, undergoing echocardiography and 24-hours Holter monitoring. ventricular remodeling was assessed by left ventricular mass index （LVMI） using the Devereux formula and diastolic fimction by transmitral E and A wave velocities and E/A ratio. Tpe was measured in the precordial leads. The end of the T wave was set by the method of the tangent to the steepest descending slope of the T wave. Results Tpe and Tpe/QT in leads V2 （r = 0.33, P = 0.01; r = 0.27, P = 0.04 respectively） and V3 （r = 0.40, P = 0.002; r = 0.40, P = 0.003, respectively） correlated significantly with LVMI. A significant inverse relationship was observed between E/A ratio and QT （r = -0.33, P = 0.01）, Tpe in V3 （r = -0.39, P = 0.003） and Tpe/QT in V3 （r = -0.31, P = 0.02）. Tpe in V3, V5, mean Tpe and maximum Tpe with cut-offvalues of 60 ms, 59 ms, 62 ms and 71 ms, respectively, associated with the occurrence of ventricular premature beats. Conclusions The repolarization parameters Tpe interval and Tpe/QT ratio correlate with LVMI and indices of left ventricular diastolic function and show better predictive values than traditional parameters such as QT interval and QT dispersion. Lead V3 is the best lead for measuring Tpe and Tpe/QT. These ECG indices can therefore be used in clinical practice to monitor LV remodeling and predict occurrence of VPBs.

关键词： Hypertension Repolarization Tpeak-Tend ventricular remodeling

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Effects of Compound Danshen Dripping Pills on ventricular remodeling and Cardiac Function after Acute Anterior Wall ST-Segment Elevation Myocardial Infarction(CODE-AAMI):Protocol for a Randomized Placebo-Controlled Trial

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Chinese Journal of Integrative Medicine 2023年第12期29卷 1059-1065页

作者： WU Yu-jie DENG Bo WANG Si-bo QIAO Rui ZHANG Xi-wen LU Yuan WANG Li GU Shun-zhong ZHANG Yu-qing LI Kai-qiao YU Zong-liang WU Li-xing ZHAO Sheng-biao ZHOU Shuang-lin YANG Yang WANG Lian-sheng Department of Cardiology the First Affiliated Hospital of Nanjing Medical UniversityNanjing(210029)China Department of Cardiology Anqing Municipal Hospital Affiliated to Anhui Medical UniversityAnqingJiangsu Province(246003)China Department of Cardiology Huai'an First People's HospitalHuai'anJiangsu Province(223300)China Department of Cardiology the Affiliated Hospital of Xuzhou Medical UniversityXuzhouJiangsu Province(221006)China Department of Cardiology Pukou Branch of Jiangsu People's HospitalNanjing(211899)China Department of Cardiology Hai'an People's HospitalNantongJiangsu Province(226699)China Department of Cardiology the Affliated Jiangning Hospital of Nanjing Medical UniversityNanjing(211199)China Department of Cardiology Qixia District Hospital of Nanjing CityNanjing(210046)China Department of Cardiology the First People's Hospital of Kunshan Affliated to Jiangsu UniversityKunshanJiangsu Province(215300)China Department of Cardiology Nanjing Lishui District Hospital of Traditional Chinese MedicineNanjing(211299)China Department of Cardiology Nanjing Meishan HospitalNanjing(210039)China

Background:ventricular remodeling after acute anterior wall ST-segment elevation myocardial infarction(AAMI)is an important factor in occurrence of heart failure which additionally results in poor ***,the treatment of ventricular remodeling needs to be further *** Danshen Dripping Pills(CDDP),a traditional Chinese medicine,exerts a protective effect on microcirculatory disturbance caused by ischemia-reperfusion injury and attenuates ventricular remodeling after myocardial ***:This study is designed to evaluate the efficacy and safety of CDDP in improving ventricular remodeling and cardiac function after AAMI on a larger ***:This study is a multi-center,randomized,doubleblind,placebo-controlled,parallel-group clinical *** total of 268 patients with AAMI after primary percutaneous coronary intervention(pPCI)will be randomly assigned 1:1 to the CDDP group(n=134)and control group(n=134)with a follow-up of 48 *** groups will be treated with standard therapy of ST-segment elevation myocardial infarction(STEMI),with the CDDP group administrating 20 tablets of CDDP before pPCI and 10 tablets 3 times daily after pPCI,and the control group treated with a placebo *** primary endpoint is 48-week echocardiographic outcomes including left ventricular ejection fraction(LVEF),left ventricular end-diastolic volume index(LVEDVI),and left ventricular end-systolic volume index(LVESVI).The secondary endpoint includes the change in N terminal pro-B-type natriuretic peptide(NT-proBNP)level,arrhythmias,and cardiovascular events(death,cardiac arrest,or cardiopulmonary resuscitation,rehospitalization due to heart failure or angina pectoris,deterioration of cardiac function,and stroke).Investigators and patients are both blinded to the allocated ***:This prospective study will investigate the efficacy and safety of CDDP in improving ventricular remodeling and cardiac function in patients und

关键词： Compound Danshen Dripping Pills acute anterior myocardial infarction randomized controlled trial ventricular remodeling cardiac function trial design

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Effect of supplementing Qi and promoting blood circulation therapy on left ventricular remodeling: a systematic review and Meta-analysis

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Journal of Traditional Chinese Medicine 2020年第3期40卷 365-375页

作者： Mao Shuai Zuo Tian Jiang Lu Zhang Minzhou Key Discipline of Integrated Chinese and Western Medicine Second Clinical CollegeGuangzhou University of Chinese MedicineGuangzhou 510405China Cardiovascular Institute Stanford University School of MedicineStanford 94305USA Department of Critical Care Medicine Guangdong Provincial Hospital of Chinese MedicineGuangzhou 510120China

OBJECTIVE: To evaluate the effectiveness of an adjuvant therapy from Traditional Chinese Medicine for supplementing Qi and promoting blood circulation(CMSQPBC) on left ventricular remodeling in patients after myocardial infarction(MI).METHODS: Randomized controlled trials were identified in the Cochrane Library, Embase, Web of Science, PubMed, China National Knowledge Infrastructure Database, Chinese Biomedical Literature Database, China Science and Technology Journal Database, Wanfang databases, reviews, and reference lists of relevant articles. The weighted mean difference(WMD) was calculated for changes in the left ventricular ejection fraction(LVEF), LV end-diastolic volume(LVEDV) and LV end-systolic volume(LVESV) from baseline to follow-up(> 3 months) by using random-effects Meta-analysis. The primary outcome was change in LVEF, and secondary outcomes were changes in LV dimensions including LVEDV and ***: A total of 10 trials(enrolling 854 participants, median follow-up six months) evaluated the association between CMSQPBC and changes in LV function and volume. Compared with the control group, CMSQPBC significantly improved LVEF(854 patients;WMD: 4.97%, 95% CI: 3.78-6.15;P remodeling after myocardial infarction. Higher quality and more rigorous randomized trials with larger sample sizes are needed to further confirm the findings.

关键词： ventricular remodeling Myocardial infarction Reinforcing Qiactivating blood Qi-deficiency blood stasis Systematic review Meta-analysis

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Insights of Chinese Medicine on ventricular remodeling:Multiple-Targets,Individualized-Treatment

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Chinese Journal of Integrative Medicine 2017年第9期23卷 643-647页

作者： FAN Dan-cai QI Jian-yong ZHANG Min-zhou AMI Key Laboratory of Chinese Medicine in Guangzhou Intensive Care Research Team of Traditional Chinese MedicineGuangdong Province Hospital of Chinese Medicine2ndAffiliated Hospital of Guangzhou University of Chinese MedicineGuangdong Provincial Academy of Chinese Medical ScienceGuangzhou510006China

ventricular remodeling （VR） can be induced by myocardial injury, leading to progressive cardiac dysfunction and heart failure, and is associated with high morbidity and mortality. Despite being studied for more than 3 decades, current therapeutic strategies still remain unsatisfactory in efficacy, expensive, and with side effects and drug resistances. Chinese medicine （CM） has been used to treat heart diseases for thousands of years. This article reviews the published studies on the mechanisms and therapeutic applications of CM in VR. The major aspects include： mechanistic studies of VR, molecular biology and myocardial functional studies of CM therapies on VR, and mechanism of CM therapies on VR.

关键词： ventricular remodeling Chinese medicine heart failure

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ventricular remodeling by Scutellarein treatment in spontaneously hypertensive rats

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Chinese Medical Journal 2002年第3期115卷 375-377页

作者：周建中雷寒陈运贞李法琦马长生重庆医科大学附属第一医院心血管内科重庆400016 北京中日友好医院北京100029

OBJECTIVE: To observe reversal of ventricular remodeling by the protein kinase C inhibitor Scutellarein in spontaneously hypertensive rats (SHRs). METHODS: Twelve SHRs were randomly divided into two groups. Scutellarein and saline (10 mg x kg(-1) x d(-1)) were given by intraperitoneal injection to two groups of rats separately. Systolic blood pressure (SBP) and ventricular weight index (LVW/BW, RVW/BW) were measured. A polarization microscope and an image analyzer system (IAS) were used to observe changes in cardiovascular structure and to count the content of cardiac muscle interstitial collagen. RESULTS: The pathologic changes in the left ventricle in the Scutellarein group rats (SHR(D)) improved to varying degrees, including hypertrophy of the cardiac muscle and collagen volume fraction. CONCLUSION: Scutellarein can reverse ventricular remodeling, improve myocardial stiffness and protect heart cardiac muscle.

关键词： Flavanones Animals Female Flavonoids Hypertension Male Protective Agents Protein Kinase C Random Allocation Rats Rats, Inbred SHR ventricular remodeling

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Differential gene expression profile of Buyanghuanwu decoction in rats with ventricular remodeling post-myocardial infarction

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Journal of Traditional Chinese Medicine 2017年第3期37卷 341-354页

作者： Zhang Tao Hua Yue Luo Hao Chen Hongmei Shao Meng Fu Xiuqiong John Man-Tak Chu Huang Guiqiong Liu Bin Zhou Yingchun School of Traditional Chinese Medicine Southern Medical UniversityGuangzhou 510515China Nanfang Hospital Southern Medical UniversityGuangzhou 510515China the Second Affiliated Hospital of Guang Zhou Medical University Guangzhou 510260China School of Chinese Medicine Hong Kong Baptist UniversityKowloon TongHong KongChina Huizhou Hospital of Tanditional ChineseMedicine Huizhou 516001China

OBJECTIVE: To investigate the effect of Buyanghuanwu decoction(BYHWD) on gene expression in ventricular remodeling post-myocardial infarction in ***: Animal models of myocardial infarction were established by permanent ligation of the left anterior descending coronary artery. Echocardiography measurements were performed after the treatment of BYHWD(18 g·kg-1 collagen was observ·d-1) for 90 *** by mallory trichrome staining. Capillary density was quantified by using Factor rentially expⅧre immunohistochemical *** genes were explored by a short-read sequencing technology combined with a tag-based digital gene expression profiling(DGE)system. Real-time quantitative polymerase chain reaction detecting system(q PCR) was used to validate the sequencing results. After assembling the gene information from Sham, model and BYHWD groups, we constructed three DGE libraries based on each group. The sequencing of three libraries generated 66 000-73 000 unique tags, which were mapped to reference sequences for annotation of expressed ***: Among them, 511 and 352 differentially expressed genes were found in comparison with sham/model and model/BYHWD, respectively. Fifty-five genes exhibited reversed direction of gene expression differences between Sham/Model and Model/BYHWD groups. We found that transforming growth factor beta receptor-1, junctophilin-2,monocyte chemotactic protein 1, neuropeptide Y,arachidonate 5-Lipoxygenase, arachidonate 15-Lipoxygenase were significantly modulated, which suggested the involvement of these genes in BYHWD ***: The DGE profiling data provide comprehensive gene expression information at the transcriptional level that could facilitate our understanding of the pharmacological mechanisms of BYHWD in ventricular remodeling post-myocardial infarction.

关键词： ventricular remodeling Myocardialinfarction Gene expression Buyanghuanwu de-coction

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Effect of exercise training on left ventricular remodeling in patients with myocardial infarction and possible mechanisms

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World Journal of Clinical Cases 2021年第22期9卷 6308-6318页

作者： Meng Cai Lei Wang Yan-Long Ren Department of Geriatrics Beijing Jishuitan HospitalBeijing 100000China Department of Cardiology Beijing Anzhen HospitalCapital Medical UniversityBeijing 100029China

BACKGROUND A growing amount of evidence provides support for the hypothesis that acute myocardial infarction(AMI)patients should go through cardiopulmonary exercise testing(CPET)about 3-5 d after AMI is diagnosed,make reasonable exercising prescription,and conduct exercise training under *** To investigate the effect of exercise training(ET)on left ventricular systolic function and left ventricular remodeling(LVRM)and to study the possible mechanisms of LVRM by the changes of matrix metallopeptidase 9(MMP-9)and tissue inhibitor of metalloproteinases 1(TIMP-1)in patients with acute STsegment elevation myocardial infarction(STEMI).METHODS Sixty patients with first STEMI undergoing direct percutaneous coronary intervention from February 2008 to October 2008 were randomly assigned to an exercise group(n=30)and a control group(n=30).The levels of MMP-9 and TIMP-1 were measured in all patients at 1 d,10-14 d,30 d,and 6 mo after ***-dimensional echocardiography and cardiopulmonary exercise testing were done in patients at 10-14 d and 6 mo after *** There was no significant difference in CPET at baseline between the exercise group and the control *** 6 mo,the time of exercise,peak and anaerobic threshold values of O2 uptake,and metabolic equivalents increased in both groups,but markedly increased in the exercise *** baseline,there were no significant differences in left ventricular ejection fraction(LVEF)between the two *** 6 mo,LVEF increased in the exercise group,but not in the control *** 6 mo,the percentage of patients with positive result of LVRM was 26.6%in the exercise group and 52.6%in the control group(P<0.05).The levels of plasma MMP-9 and TIMP-1 and the ratio of MMP-9 to TIMP-1 in both groups had no significant difference at 1 d and 10-14 d after AMI,but at 30 d and 6 mo,the levels of plasma MMP-9 and TIMP-1 in the exercise group were significantly lower than those in the control group;the ratio of MMP-9 to TI

关键词： Myocardial infarction Rehabilitation Exercise training ventricular remodeling Matrix metallopeptidase 9 Tissue inhibitor of metalloproteinases 1

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Hepatocyte growth factor improves right ventricular remodeling in pulmonary arterial hypertensive rats via decreasing neurohormonal activation and inhibiting apoptosis

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Chinese Medical Journal 2014年第10期127卷 1924-1930页

作者： Wang Xiaolin Wang Yongjin Rong Shuling Ma Hongbiao Ma Qing Zhao Junqing Department of Paediatrics Heping Hospital Changzhi Medical College Changzhi Shanxi 046000 China Department of Cardiology Hepqng Hospital Changzhi Medical College Changzhi Shanxi0460()O China ~ Department of Rehabilitation Heping Hospital Changzhi MedicalCollege Changzhi Shanxi 046000 China

Background Hepatocyte growth factor （HGF） inhibits the development of pulmonary artery hypertension （PAH） by reducing pulmonary artery pressure and right ventricle （RV） ***,whether HGF can prevent RV remodeling via inhibiting apoptosis in RV cardiomyocytes and decreasing neurohormonal activation remains *** The PAH and subsequent RV remodeling in rats were induced by subcutaneous injection of monocrotaline （MCT）.The PAH rats were transfected with adenovirus carrying HGF （Ad-HGF） via intratracheal *** weeks after transfection,the hemodynamics indexes were measured,serum levels for angiotonin Ⅱ （ANG Ⅱ） and brain natriuretic peptide （BNP） were determined by *** analysis was used to assess the RV hypertrophy and *** cardiomyocyte apoptosis in RV was assayed by TUNEL *** mRNA expression of BNP,angiotensin-converting enzyme （ACE）,Bax and Bcl-2 in RV was determined by reverse transcriptase polymerase chain reaction （RT-PCR）,the protein expression of transforming growth factor （TGF）-β1 and tumor necrosis factor （TNF）-α in RV was determined by Western *** HGF treatment significantly decreased the mean PAH,RV systolic pressure,serum ANG Ⅱ and BNP *** treatment also significantly decreased the RV hypertrophy,collagen deposition,and the number of apoptotic ***,HGF treatmemt significantly decreased the expression of BNP,ACE,Bax,TGF-β1,and TNF-α,while it significantly increased the expression of *** Gene transfer of HGF decreases MCT-induced PAH and improves RV *** effect is mediated not only by improving the hemodynamics but also by decreasing neurohormonal activation and inhibiting cardiomyocytes *** gene treatment may be an effective strategy for improving RV remodeling in MCT-induced PAH.

关键词： hepatocyte growth factor pulmonary artery hypertension apoptosis ventricular remodeling

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Effects of angiotensin converting enzyme inhibitor,angio-tensin II type I receptor blocker and their combination on postinfarcted ventricular remodeling in rats

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Chinese Medical Journal 2006年第8期119卷 649-655页

作者： ZHANG Rui-ying WANG Lan-feng ZHANG Lei MENG Xiang-ning LI Shao-jun WANG Wu-ru Department of Cardiology First Clinical Hospital Harbin Medical University Harbin 150001 China Department of Pathology First Clinical Hospital Harbin Medical University Harbin 150001 China

Background Transforming growth factor （TGF） β1-Smads signal plays an important role in cardiac remodeling following myocardial infarction （MI）. In addition, both angiotensin converting enzyme inhibitor （ACEI） and angiotensin Ⅱ type Ⅰ receptor blocker （ARB） can effectively prevent left ventricular remodeling. The current study focused on whether the combination of ACEI and ARB is more beneficial for preventing ventricular remodeling and whether Smad proteins mediate this beneficial effect. Methods MI was induced by ligating the left anterior descending coronary artery in rats. Twenty-four hours after ligation, the survived rats were randomly divided into five groups and treated for 8 weeks： placebo group, ACEI group （benazepril 10 mg · kg^-1· d^-1）, ARB group （irbesartan 50mg · kg^-1· d^-1）, ACEI＋ARB group （benazepril 10 mg · kg^-1· d^-1＋irbesartan 50 mg · kg^-1· d^-1） and control group （sham-operated rats）. After 8 weeks, we examined the following indexes： the ratio of ventricular weight to body weight （VW/BW）, left ventricular end diastolic dimension （LVDd）, ejection fraction （EF）, fractional shortening （FS）, ratio of E-wave to A-wave velocity, collagen of noninfarcted zone, the mRNA expression of TGFβ1, Smad 2, and Smad 3 by RT-PCR in noninfarcted zone, the protein expression of Smad 2 and Smad 3 in noninfarcted zone by Western blot. Results VW/BW significantly increased in the placebo groups compared with that in the control group （P〈0.01）. This increase was limited in ACEI, ARB, and combined groups （P〈0.01 compared with placebo group）. There was no significant difference among the three actively treated groups. Collagen was increased in placebo group （5.68±0.5）% compared with that in control group （P〈0.01）. ACEI, ARB and combined treatment attenuated this increase of collagen [（4.3 ± 0.5）%, （3.5 ± 0.5）%, （3.2± 0.4）%] in comparison with that in placebo group （P〈0.01 respectively）. Combined treatment showed more significant effect on collagen deposition. EF an

关键词： Smad ventricular remodeling angiotensin converting enzyme inhibitor angiotensin II type I receptor blocker

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