Background and Purpose: Our previous research discovered that
cinnamamide derivatives are a new type of potential cardioprotective
agents myocardial ischemia-reperfusion (MIR) injury, among which
Compound 10 exhibits wonderful beneficial action in vitro. However, the
exact mechanism of Compound 10 still needs to be elucidated.
Experimental Approach: The protective effect of Compound 10 was
determined by detecting the cell viability and LDH leakage rate in H9c2
cells subjected to H2O2. Alterations of electrocardiogram,
echocardiography, cardiac infarct area, histopathology and serum
myocardial zymogram were tested in MIR rats. Additionally, the potential
mechanism of Compound 10 was explored through PCR. Network pharmacology
and Western blotting was conducted to monitor levels of proteins related
to autophagic flux and mTOR, autophagy regulatory substrate, induced by
Compound 10 both in vitro and in vivo, as well as expressions of
Sirtuins family members. Key Results: Compound 10 significantly
ameliorated myocardial injury, as demonstrated by increased cell
viability, decreased LDH leakage in vitro, and declined serum myocardial
zymogram, ST elevation, cardiac infarct area and improved cardiac
function and microstructure of heart tissue in vivo. Importantly,
Compound 10 markedly enhanced the obstruction of autophagic flux and
inhibited excessive autophagy initiation against MIR by decreased P-mTOR
and increased LAMP2. Furthermore, Sirt1 knockdown hindered Compound 10’s
regulation on mTOR, leading to interrupted cardiac autophagic flux.
Conclusions and Implications: Compound 10 exerted cardioprotective
effects on MIR by reducing excessive autophagy and improving autophgic
flux blockage. Our work would take a novel insight in seeking effective
prevention and treatment strategies against MIR injury. Keywords:
Myocardial ischemia-reperfusion; Cinnamamide derivatives; Autophagic
flux; Sirt1; mTOR;