Cardiac pathological hypertrophy is associated with undesirable epigenetic changes and causes maladaptive cardiac remodeling and heart failure, leading to high mortality rates. Specific drugs for the treatment of cardiac hypertrophy are still in urgent need. In the present study, a hydrogen-sulfide-releasing hybrid 13-E was designed and synthesized by appending p-hydroxythiobenzamide (TBZ), an H2S-releasing donor, to an analog of our previously discovered cardioprotective natural product XJP, 7,8-dihydroxy-3-methyl-isochromanone-4. This hybrid 13-E exhibited excellent H2S-generating ability and low cellular toxicity. The 13-E protected against cardiomyocyte hypertrophy In Vitro and reduced the induction of Anp and Bnp. More importantly, 13-E could reduce TAC-induced cardiac hypertrophy In Vivo, alleviate cardiac interstitial fibrosis and restore cardiac function. Unbiased transcriptomic analysis showed that 13-E regulated the AMPK signaling pathway and influenced fatty acid metabolic processes, which may be attributed to its cardioprotective activities.
心肌病理性肥厚与不良的表观遗传学变化有关,会引起不良的心脏重塑和心力衰竭,导致高死亡率。治疗心肌肥厚的特效药物仍亟待开发。在本研究中,通过将对羟基硫代苯甲酰胺(TBZ)(一种 H2S 释放供体)添加到我们之前发现的具有心脏保护作用的天然产物 XJP 的类似物 7,8-二羟基-3-甲基异色满酮-4 中,设计并合成了一种硫化氢释放杂交 13-E。这种杂交 13-E 具有出色的 H2S 生成能力和较低的细胞毒性。13-E 对体外心肌细胞肥大有保护作用,并能减少 Anp 和 Bnp 的诱导。更重要的是,13-E 能减轻 TAC 诱导的体内心脏肥大,减轻心脏间质纤维化并恢复心脏功能。无偏见的转录组分析表明,13-E 可调节 AMPK 信号通路并影响脂肪酸代谢过程,这可能是其具有心脏保护活性的原因。