Study of the Mechanism of Action of Guanxin Shutong Capsules in the Treatment of Coronary Heart Disease Based on Metabolomics

Background: Guan-Xin-Shu-Tong capsule (GXSTC) is a traditional Chinese medicine (TCM) that has been used to treat coronary heart disease (CHD) for many years in China. However, the holistic mechanism of GXSTC against CHD is still unclear. Therefore, the purpose of this paper was to systematically ex...

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Main Authors: Dan Wang, Chang Shi, Zhen-Hua Ge, Yu-Xi Wei, Tian-Tian Liu, Yue Wang, Xin-Feng Zhou, Zi-Jun Yang, Wei-Ting Wang, Yan-Wen Zhang, Xue-Hui Zhu, Jun Zhang, Ying Li, Min Gong, Xiao-Hui Wu, Hong-Quan Duan
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-03-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2021.650438/full
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author Dan Wang
Chang Shi
Zhen-Hua Ge
Zhen-Hua Ge
Yu-Xi Wei
Yu-Xi Wei
Tian-Tian Liu
Yue Wang
Xin-Feng Zhou
Zi-Jun Yang
Wei-Ting Wang
Yan-Wen Zhang
Xue-Hui Zhu
Jun Zhang
Ying Li
Min Gong
Xiao-Hui Wu
Hong-Quan Duan
author_facet Dan Wang
Chang Shi
Zhen-Hua Ge
Zhen-Hua Ge
Yu-Xi Wei
Yu-Xi Wei
Tian-Tian Liu
Yue Wang
Xin-Feng Zhou
Zi-Jun Yang
Wei-Ting Wang
Yan-Wen Zhang
Xue-Hui Zhu
Jun Zhang
Ying Li
Min Gong
Xiao-Hui Wu
Hong-Quan Duan
author_sort Dan Wang
collection DOAJ
description Background: Guan-Xin-Shu-Tong capsule (GXSTC) is a traditional Chinese medicine (TCM) that has been used to treat coronary heart disease (CHD) for many years in China. However, the holistic mechanism of GXSTC against CHD is still unclear. Therefore, the purpose of this paper was to systematically explore the mechanism of action GXSTC in the treatment of CHD rats using a metabolomics strategy.Methods: A CHD model was induced by ligation of the left anterior descending coronary artery (LAD). In each group, echocardiography was performed; the contents of creatine kinase (CK), lactate dehydrogenase (LDH) and aspartate transaminase (AST) in serum were determined; and the myocardial infarct size was measured. The metabolites in plasma were analyzed by UHPLC-MS/MS-based untargeted metabolomics. Then, multivariate statistical analysis was performed to screen potential biomarkers associated with the GXSTC treatment in the LAD-induced rat CHD model. Finally, the MetaboAnalyst 4.0 platform was used for metabolic pathway enrichment analysis.Results: GXSTC was able to regulate the contents of CK, LDH and AST; restore impaired cardiac function; and significantly reduce the myocardial infarction area in model rats. Twenty-two biomarkers and nine metabolic pathways of GXSTC in the treatment of CHD were identified through UHPLC-MS/MS-based untargeted metabolomics analysis.Conclusion: GXSTC regulates metabolic disorders of endogenous components in LAD-induced CHD rats. The anti-CHD mechanism of GXSTC is mainly related to the regulation of amino acid, lipid and hormonal metabolism. This study provides an overall view of the mechanism underlying the action of GXSTC against CHD.
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spelling doaj.art-95c5189c9aa14130adae8d07d35011212022-12-21T21:33:03ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122021-03-011210.3389/fphar.2021.650438650438Study of the Mechanism of Action of Guanxin Shutong Capsules in the Treatment of Coronary Heart Disease Based on MetabolomicsDan Wang0Chang Shi1Zhen-Hua Ge2Zhen-Hua Ge3Yu-Xi Wei4Yu-Xi Wei5Tian-Tian Liu6Yue Wang7Xin-Feng Zhou8Zi-Jun Yang9Wei-Ting Wang10Yan-Wen Zhang11Xue-Hui Zhu12Jun Zhang13Ying Li14Min Gong15Xiao-Hui Wu16Hong-Quan Duan17College of Pharmacy, Tianjin Medical University, Tianjin, ChinaDepartment of Pharmacy, Tianjin Huanhu Hospital, Tianjin, ChinaCollege of Pharmacy, Tianjin Medical University, Tianjin, ChinaDepartment of Pharmacy, Tianjin Hospital, Tianjin, ChinaCollege of Pharmacy, Tianjin Medical University, Tianjin, ChinaDepartment of Anesthesiology, Pharmacology and Therapeutics, the University of British Columbia, Vancouver, BC, CanadaCollege of Pharmacy, Tianjin Medical University, Tianjin, ChinaSchool of Medical Humanities, Tianjin Medical University, Tianjin, ChinaCollege of Pharmacy, Tianjin Medical University, Tianjin, ChinaCollege of Pharmacy, Tianjin Medical University, Tianjin, ChinaTianjin Institute of Pharmaceutical Research, Tianjin, ChinaCollege of Pharmacy, Tianjin Medical University, Tianjin, ChinaCollege of Pharmacy, Tianjin Medical University, Tianjin, ChinaCollege of Pharmacy, Tianjin Medical University, Tianjin, ChinaTianjin Neurological Institute, Tianjin Medical University, Tianjin, ChinaCollege of Pharmacy, Tianjin Medical University, Tianjin, ChinaCollege of Pharmacy, Tianjin Medical University, Tianjin, ChinaCollege of Pharmacy, Tianjin Medical University, Tianjin, ChinaBackground: Guan-Xin-Shu-Tong capsule (GXSTC) is a traditional Chinese medicine (TCM) that has been used to treat coronary heart disease (CHD) for many years in China. However, the holistic mechanism of GXSTC against CHD is still unclear. Therefore, the purpose of this paper was to systematically explore the mechanism of action GXSTC in the treatment of CHD rats using a metabolomics strategy.Methods: A CHD model was induced by ligation of the left anterior descending coronary artery (LAD). In each group, echocardiography was performed; the contents of creatine kinase (CK), lactate dehydrogenase (LDH) and aspartate transaminase (AST) in serum were determined; and the myocardial infarct size was measured. The metabolites in plasma were analyzed by UHPLC-MS/MS-based untargeted metabolomics. Then, multivariate statistical analysis was performed to screen potential biomarkers associated with the GXSTC treatment in the LAD-induced rat CHD model. Finally, the MetaboAnalyst 4.0 platform was used for metabolic pathway enrichment analysis.Results: GXSTC was able to regulate the contents of CK, LDH and AST; restore impaired cardiac function; and significantly reduce the myocardial infarction area in model rats. Twenty-two biomarkers and nine metabolic pathways of GXSTC in the treatment of CHD were identified through UHPLC-MS/MS-based untargeted metabolomics analysis.Conclusion: GXSTC regulates metabolic disorders of endogenous components in LAD-induced CHD rats. The anti-CHD mechanism of GXSTC is mainly related to the regulation of amino acid, lipid and hormonal metabolism. This study provides an overall view of the mechanism underlying the action of GXSTC against CHD.https://www.frontiersin.org/articles/10.3389/fphar.2021.650438/fullmetabolomicsCoronary heart diseasetraditional Chinese medicineGuan-Xin-Shu-Tong capsuleactive ingredients
spellingShingle Dan Wang
Chang Shi
Zhen-Hua Ge
Zhen-Hua Ge
Yu-Xi Wei
Yu-Xi Wei
Tian-Tian Liu
Yue Wang
Xin-Feng Zhou
Zi-Jun Yang
Wei-Ting Wang
Yan-Wen Zhang
Xue-Hui Zhu
Jun Zhang
Ying Li
Min Gong
Xiao-Hui Wu
Hong-Quan Duan
Study of the Mechanism of Action of Guanxin Shutong Capsules in the Treatment of Coronary Heart Disease Based on Metabolomics
Frontiers in Pharmacology
metabolomics
Coronary heart disease
traditional Chinese medicine
Guan-Xin-Shu-Tong capsule
active ingredients
title Study of the Mechanism of Action of Guanxin Shutong Capsules in the Treatment of Coronary Heart Disease Based on Metabolomics
title_full Study of the Mechanism of Action of Guanxin Shutong Capsules in the Treatment of Coronary Heart Disease Based on Metabolomics
title_fullStr Study of the Mechanism of Action of Guanxin Shutong Capsules in the Treatment of Coronary Heart Disease Based on Metabolomics
title_full_unstemmed Study of the Mechanism of Action of Guanxin Shutong Capsules in the Treatment of Coronary Heart Disease Based on Metabolomics
title_short Study of the Mechanism of Action of Guanxin Shutong Capsules in the Treatment of Coronary Heart Disease Based on Metabolomics
title_sort study of the mechanism of action of guanxin shutong capsules in the treatment of coronary heart disease based on metabolomics
topic metabolomics
Coronary heart disease
traditional Chinese medicine
Guan-Xin-Shu-Tong capsule
active ingredients
url https://www.frontiersin.org/articles/10.3389/fphar.2021.650438/full
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