Many studies have shown that crosstalk exists between apoptosis and autophagy, despite differences in mechanisms between these processes.
Paeonol, a major phenolic compound isolated from
Moutan Cortex Radicis, the root bark of Paeonia × suffruticosa Andrews (Paeoniaceae), is widely used in
traditional Chinese medicine as an
antipyretic,
analgesic and
anti-inflammatory agent. In this study, we investigated the detailed molecular mechanisms of the crosstalk between apoptosis and autophagy underlying the cardioprotective effects of
paeonol in rats subjected to
myocardial ischemia/reperfusion (I/R) injury. Myocardial I/R injury was induced by occlusion of the left anterior descending coronary artery (LAD) for 1 h followed by 3 h of reperfusion.
Paeonol was intravenously administered 15 min before LAD
ligation. We found that
paeonol significantly improved cardiac function after myocardial I/R injury and significantly decreased myocardial I/R-induced
arrhythmia and mortality.
Paeonol also significantly decreased
myocardial infarction and plasma LDH activity and
Troponin-I levels in carotid blood after I/R. Compared with vehicle treatment,
paeonol significantly upregulated Bcl-2
protein expression and significantly downregulated the cleaved forms of
caspase-8,
caspase-9,
caspase-3 and PARP
protein expression in the I/R injured myocardium. Myocardial I/R-induced autophagy, including the increase of
Beclin-1, p62, LC3-I, and LC3-II
protein expression in the myocardium was significantly reversed by
paeonol treatment.
Paeonol also significantly increased the Bcl-2/Bax and Bcl-2/
Beclin-1 ratios in the myocardium after I/R injury. The cardioprotective role of
paeonol during I/R injury may be due to its mediation of crosstalk between apoptotic and autophagic signaling pathways, which inhibits apoptosis and autophagic cell death.