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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 31, No 1, January/February 2020

AFRICA

29

0.11), nuclear Nrf2 levels were significantly increased in the SHE

group (0.61

±

0.08) (

p

<

0.01,

n

=

6).

Compared with the control group (0.96

±

0.03), Keap1 protein

was expressed at lower levels in the other groups (

p

<

0.01,

n

=

6).

The level of Keap1 protein was significantly reduced in the SLE

(0.66

±

0.06) and SHE groups (0.52

±

0.03) compared to the ES

group (0.72

±

0.04), and it was expressed at significantly lower

levels in the SHE than in the SLE group (

p

<

0.01,

n

=

6) (Fig. 3).

In the control group, Pearson’s correlation coefficient between

the T amplitude and level of Nrf2 protein was –0.944 (

p

<

0.05),

indicating a negative correlation. In the ES group, Pearson’s

correlation coefficient for dP/dt

max

with nuclear Nrf2 was 0.836

(

p

<

0.05). Nuclear Nrf2 levels positively correlated with the R

amplitude, and Pearson’s correlation coefficient was 0.921 (

p

<

0.01). Keap1 level was positively correlated with the QT interval

(

r

=

0.934,

p

<

0.05). In the SLE group, nuclear Nrf2 levels were

positively correlated with the P amplitude, with a correlation

coefficient of

r

=

0.875 (

p

<

0.05). In the SHE group, the P

amplitude was negatively correlated with levels of Nrf2 protein

(

r

=

–0.817,

p

<

0.05) (Table 3).

Expression levels of target proteins were divided by the

expression level observed in the control group. Then we obtained

the multiples of activated Nrf2 and inhibited Keap1. The effect

of Sal on myocardial Nrf2 activation, nuclear translocation of

Nrf2 and inhibition of Keap1 were analysed using a single-factor

regression analysis (

n

=

6). Myocardial Nrf2 expression increased

with increasing Sal concentrations (

y

=

0.0429

x

+ 1.112,

p

<

0.05). Moreover, nuclear translocation of Nrf2 also increased

with increasing Sal concentrations (

y

=

0.1195

x

+ 1.557), while

the expression of Keap1 decreased (

y

=

–0.0068

x

+ 0.7592);

however, the differences were not significant (

p

>

0.05) (Fig. 4).

Discussion

In this study, Sal improved cardiac function and

electrocardiography in exhausted rats. Regarding the mechanism,

for the first time, we revealed that Sal induced Nrf2 expression

and increased nuclear translocation of Nrf2. Sal intervention did

Table 1.The effect of Sal on cardiac function parameters in exhausted rats

Parameter

Control

ES

SLE

SHE

SV (

μ

l)

122.10

±

10.77 166.70

±

16.71

**

176.14

±

22.69

**

183.74

±

19.34

**

Ves (

μ

l)

71.88

±

6.38 96.21

±

9.36

**

83.22

±

14.99 85.34

±

14.80

Ved (

μ

l)

183.60

±

29.82 249.09

±

10.46

**

257.48

±

11.45

**

262.40

±

19.12

**

Pes (mmHg) 93.05

±

11.68 71.45

±

8.93

**

92.11

±

6.04

##

99.25

±

5.57

##

Ped (mmHg) 5.05

±

3.30 7.88

±

2.04

*

6.69

±

0.86

*

6.60

±

1.2

*

HR (bpm)

375

±

31

298

±

41

**

309

±

24

**

345

±

12

Systolic indices

EF (%)

72.17

±

6.36 69.05

±

4.00 72.29

±

4.07 70.02

±

5.83

dP/dt

max

(mmHg/s)

7884

±

1538 4756

±

627

**

7121

±

1204

#

8883

±

616

##

ESPVR 1.28

±

0.82 1.21

±

0.27

1.30

±

0.32

1.32

±

0.35

Diastolic indices

–dP/dt

min

(mmHg/s)

–6336

±

1643 –3904

±

826

*

–4906

±

936

##

–7361

±

790

##

Tau (ms)

6.06

±

0.77 14.55

±

2.36

**

11.08

±

1.36

**#

10.69

±

1.35

**#

EDPVR 0.022

±

0.012 0.036

±

0.009

**

0.025

±

0.005

#

0.020

±

0.007

##

The data are presented as means

±

SD,

n

=

6 animals per group.

SV: stroke volume; Ves: end-systolic volume; Ved: end-diastolic volume; Pes:

end-systolic pressure; Ped: end-diastolic pressure; HR: heart rate; EF: ejec-

tion fraction; dP/dt

max

: peak rate of the increase in pressure; ESPVR: slope of

end-systolic pressure volume relationship; –dP/dt

min

: peak rate of the decrease

in pressure; Tau: relaxation time constant; EDPVR: slope of end-diastolic pres-

sure–volume relationship; ES: acute exhaustive swimming group; SLE: low-dose

salidroside plus exhaustive swimming group; SHE: high-dose salidroside plus

exhaustive swimming group.

*

p

<

0.05 and

**

p

<

0.01 compared with the control group;

#

p

<

0.05 and

##

p

<

0.01

compared with the ES group.

Table 2.The effect of Sal on changes in ECG parameters in exhausted rats

Parameters

Control

ES

SLE

SHE

RR interval (ms)

15.70

±

0.97 14.04

±

1.27

*

15.49

±

2.02 15.56

±

1.14

Heart rate (bpm)

392

±

21

444

±

37

**

412

±

33

405

±

30

PR interval (ms)

4.18

±

0.28 4.64

±

0.43

*

4.77

±

0.39

**

4.61

±

0.48

*

P duration (ms)

1.64

±

0.24 1.48

±

0.24 1.54

±

0.27 1.65

±

0.23

QRS interval (ms) 1.96

±

0.19 1.96

±

0.18 1.98

±

0.33 1.84

±

0.38

QT interval (ms)

5.96

±

0.55 6.96

±

0.95

*

7.02

±

0.97

*

6.83

±

0.98

QTc interval (ms)

14.62

±

1.73 19.70

±

1.87

**

18.07

±

3.14

**

18.42

±

2.44

**

P amplitude (mV) 0.069

±

0.022 0.120

±

0.036

**

0.112

±

0.028

*

0.096

±

0.017

R amplitude (mV) 0.514

±

0.073 0.722

±

0.107

**

0.578

±

0.088

##

0560

±

0.084

##

ST height (mV)

0.033

±

0.072 0.105

±

0.050

*

0.064

±

0.067 0.045

±

0.019

T amplitude (mV) 0.140

±

0.070 0.174

±

0.059 0.156

±

0.053 0.143

±

0.041

The data are presented as means

±

SD,

n

=

6 per group.

ES: acute exhaustive swimming group; SLE: low-dose salidroside plus exhaustive

swimming group; SHE: high-dose salidroside plus exhaustive swimming group.

*

p

<

0.05 and

**

p

<

0.01 compared with the control group;

##

p

<

0.01 compared

with the ES group.

0

0. 1

0. 2

0. 3

0. 4

0. 5

0. 6

0. 7

0. 8

0. 9

1

Con

ES

SLE

SHE

Rel at i ve mRNA l evel of Nr f 2

Relative RNA level of rf2

0

0. 5

1

1. 5

2

2. 5

3

Con

ES

SLE

SHE

Rel at i ve mRNA l evel of Keap1

l tive mR l v l of Keap1

Fig. 2.

The effect of Sal on expression of Nrf2 and Keap1 mRNA after exhaustive exercise. The data are presented as means

±

SD,

n

=

6 animals per group. A: Relative levels of Nrf2 mRNA in rat myocardium. B: Relative levels of Keap1 mRNA in rat

myocardial tissue. Con: control group; ES: acute exhaustive swimming group; SLE: low-dose salidroside plus exhaustive

swimming group; SHE: high-dose salidroside plus exhaustive swimming group.

A

B