Frontiers in Pharmacology (Aug 2024)

Alchemilla vulgaris modulates isoproterenol-induced cardiotoxicity: interplay of oxidative stress, inflammation, autophagy, and apoptosis

  • Nuha Anajirih,
  • Ahmed Abdeen,
  • Ehab S. Taher,
  • Afaf Abdelkader,
  • Hoda A. Abd-Ellatieff,
  • Mahmoud S. Gewaily,
  • Nashwa E. Ahmed,
  • Rasha H. Al-Serwi,
  • Safwa M. Sorour,
  • Heba M. Abdelkareem,
  • Heba M. Abdelkareem,
  • Elturabi Ebrahim,
  • Mohamed El-Sherbiny,
  • Florin Imbrea,
  • Ilinca Imbrea,
  • Mahmoud M. Ramadan,
  • Mahmoud M. Ramadan,
  • Ola A. Habotta

DOI
https://doi.org/10.3389/fphar.2024.1394557
Journal volume & issue
Vol. 15

Abstract

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Introduction: Isoproterenol (ISO) is regarded as an adrenergic non-selective β agonist. It regulates myocardial contractility and may cause damage to cardiac tissues. Alchemilla vulgaris (AV) is an herbal plant that has garnered considerable attention due to its anti-inflammatory and antioxidant bioactive components. The present investigation assessed the cardioprotective potential of AV towards ISO-induced myocardial damage.Methods: Four groups of mice were utilized: control that received saline, an ISO group (85 mg/kg, S.C.), ISO + AV100, and ISO + AV200 groups (mice received 100 or 200 mg/kg AV orally along with ISO).Results and discussion: ISO induced notable cardiac damage demonstrated by clear histopathological disruption and alterations in biochemical parameters. Intriguingly, AV treatment mitigates ISO provoked oxidative stress elucidated by a substantial enhancement in superoxide dismutase (SOD) and catalase (CAT) activities and reduced glutathione (GSH) content, as well as a considerable reduction in malondialdehyde (MDA) concentrations. In addition, notable downregulation of inflammatory biomarkers (IL-1β, TNF-α, and RAGE) and the NF-κB/p65 pathway was observed in ISO-exposed animals following AV treatment. Furthermore, the pro-apoptotic marker Bax was downregulated together with autophagy markers Beclin1 and LC3 with in ISO-exposed animals when treated with AV. Pre-treatment with AV significantly alleviated ISO-induced cardiac damage in a dose related manner, possibly due to their antioxidant and anti-inflammatory properties. Interestingly, when AV was given at higher doses, a remarkable restoration of ISO-induced cardiac injury was revealed.

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