Background and aims
Therapeutic angiogenesis is a pivotal strategy for ischemic heart disease. The aim of the present study was to determine the effect and molecular mechanism of ShexiangBaoxin pills, a widely-used traditional Chinese medicine for ischemic heart disease, on angiogenesis in a rat model of myocardial infarction (MI).
Methods
We used the occlusion of left anterior descending coronary artery of Sprague-Dawley rats as a model of MI. The MI rats were treated with distilled water, ShexiangBaoxin pills, or ShexiangBaoxin pills +HET0016 (a selective blocker of the biosynthesis of 20-hydroxyeicosatetraenoic acid (20-HETE) at 10 mg/kg/day) respectively. Sham-operated rats were used as controls.
Results
Treatment with ShexiangBaoxin pills increases the level of serum 20-HETE in MI rats, which could be suppressed by HET0016 treatment. ShexiangBaoxin pills shows cardio-protective effects on MI rats, including improving cardiac function, decreasing infarction area, and promoting angiogenesis in peri-infarct area. The protective effects of ShexiangBaoxin pills are partly inhibited by HET0016. Furthermore, ShexiangBaoxin pills enhances the number of circulating endothelial progenitor cells (EPCs) and the expression of vascular endothelial growth factor (VEGF), based on immunohistochemical analysis, in peri-infarct area in MI rats, which is partly suppressed by HET0016.
Conclusions
ShexiangBaoxin pills may partially participate in angiogenesis in MI rats. The protective mechanism of ShexiangBaoxin pills may be mediated via up-regulation of 20-HETE, which promotes EPCs mobilization and VEGF expression.