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Qishen Granule Improved Cardiac Remodeling via Balancing M1 and M2 Macrophages

Macrophages play a pivotal role in myocardial remodeling (MR) process which could eventually lead to heart failure. Splenic monocytes could be mobilized and recruited under inflammatory conditions and differentiated into different types of macrophages in heart tissues. Inflammatory M1 macrophages co...

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Autores principales: Lu, Wenji, Wang, Qiyan, Sun, Xiaoqian, He, Hao, Wang, Qixin, Wu, Yan, Liu, Yue, Wang, Yong, Li, Chun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886583/
https://www.ncbi.nlm.nih.gov/pubmed/31824322
http://dx.doi.org/10.3389/fphar.2019.01399
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author Lu, Wenji
Wang, Qiyan
Sun, Xiaoqian
He, Hao
Wang, Qixin
Wu, Yan
Liu, Yue
Wang, Yong
Li, Chun
author_facet Lu, Wenji
Wang, Qiyan
Sun, Xiaoqian
He, Hao
Wang, Qixin
Wu, Yan
Liu, Yue
Wang, Yong
Li, Chun
author_sort Lu, Wenji
collection PubMed
description Macrophages play a pivotal role in myocardial remodeling (MR) process which could eventually lead to heart failure. Splenic monocytes could be mobilized and recruited under inflammatory conditions and differentiated into different types of macrophages in heart tissues. Inflammatory M1 macrophages could aggravate tissue damage whereas M2 macrophages could promote angiogenesis and tissue repair process. Unbalanced ratio of M1/M2 macrophages may eventually lead to adverse remodeling. Therefore, regulating differentiation and activities of macrophages are potential strategies for the management of myocardial remodeling. Qishen Granule (QSG) is an effective Chinese medicine for treating heart failure. Our previous studies demonstrated that QSG could inhibit myocardial fibrosis through regulating secretion of cytokines and activation of macrophages. However, the detailed effects of QSG on had not been elucidated yet. In this study, we aimed to explore the effect of QSG on the release of splenic monocytes, the recruitment of monocytes into heart tissues and the differentiation of macrophages under ischemic conditions. Our results showed that QSG could suppress the release of monocytes from the spleen and recruitment of monocytes to heart tissues via inhibiting splenic angiotensin (Ang) II/AT1-cardiac monocyte chemotactic protein (MCP)-1/CC chemokine receptor 2 (CCR2) pathway. The anti-fibrotic effect of QSG was exerted by inhibiting M1 macrophage-activated transforming growth factor (TGF)-β1/Smad3 pathway. Meanwhile, QSG could promote angiogenesis by promoting differentiation of M1 macrophages into M2 macrophages. Our results suggest that compounds of Chinese medicine have synergistic effects on cardiac and splenic organs through regulating differentiation of monocytes/macrophages in inhibiting myocardial remodeling.
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spelling pubmed-68865832019-12-10 Qishen Granule Improved Cardiac Remodeling via Balancing M1 and M2 Macrophages Lu, Wenji Wang, Qiyan Sun, Xiaoqian He, Hao Wang, Qixin Wu, Yan Liu, Yue Wang, Yong Li, Chun Front Pharmacol Pharmacology Macrophages play a pivotal role in myocardial remodeling (MR) process which could eventually lead to heart failure. Splenic monocytes could be mobilized and recruited under inflammatory conditions and differentiated into different types of macrophages in heart tissues. Inflammatory M1 macrophages could aggravate tissue damage whereas M2 macrophages could promote angiogenesis and tissue repair process. Unbalanced ratio of M1/M2 macrophages may eventually lead to adverse remodeling. Therefore, regulating differentiation and activities of macrophages are potential strategies for the management of myocardial remodeling. Qishen Granule (QSG) is an effective Chinese medicine for treating heart failure. Our previous studies demonstrated that QSG could inhibit myocardial fibrosis through regulating secretion of cytokines and activation of macrophages. However, the detailed effects of QSG on had not been elucidated yet. In this study, we aimed to explore the effect of QSG on the release of splenic monocytes, the recruitment of monocytes into heart tissues and the differentiation of macrophages under ischemic conditions. Our results showed that QSG could suppress the release of monocytes from the spleen and recruitment of monocytes to heart tissues via inhibiting splenic angiotensin (Ang) II/AT1-cardiac monocyte chemotactic protein (MCP)-1/CC chemokine receptor 2 (CCR2) pathway. The anti-fibrotic effect of QSG was exerted by inhibiting M1 macrophage-activated transforming growth factor (TGF)-β1/Smad3 pathway. Meanwhile, QSG could promote angiogenesis by promoting differentiation of M1 macrophages into M2 macrophages. Our results suggest that compounds of Chinese medicine have synergistic effects on cardiac and splenic organs through regulating differentiation of monocytes/macrophages in inhibiting myocardial remodeling. Frontiers Media S.A. 2019-11-25 /pmc/articles/PMC6886583/ /pubmed/31824322 http://dx.doi.org/10.3389/fphar.2019.01399 Text en Copyright © 2019 Lu, Wang, Sun, He, Wang, Wu, Liu, Wang and Li http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pharmacology
Lu, Wenji
Wang, Qiyan
Sun, Xiaoqian
He, Hao
Wang, Qixin
Wu, Yan
Liu, Yue
Wang, Yong
Li, Chun
Qishen Granule Improved Cardiac Remodeling via Balancing M1 and M2 Macrophages
title Qishen Granule Improved Cardiac Remodeling via Balancing M1 and M2 Macrophages
title_full Qishen Granule Improved Cardiac Remodeling via Balancing M1 and M2 Macrophages
title_fullStr Qishen Granule Improved Cardiac Remodeling via Balancing M1 and M2 Macrophages
title_full_unstemmed Qishen Granule Improved Cardiac Remodeling via Balancing M1 and M2 Macrophages
title_short Qishen Granule Improved Cardiac Remodeling via Balancing M1 and M2 Macrophages
title_sort qishen granule improved cardiac remodeling via balancing m1 and m2 macrophages
topic Pharmacology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886583/
https://www.ncbi.nlm.nih.gov/pubmed/31824322
http://dx.doi.org/10.3389/fphar.2019.01399
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