Chinese Journal of Pharmacovigilance ›› 2022, Vol. 19 ›› Issue (4): 384-389.
DOI: 10.19803/j.1672-8629.2022.04.09

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Inhibitory effect of total saponins from Kangke capsules on apoptosis induced by Coxsackie virus B

ZHANG Zhibin1, YAO Rongmei2,3,*, MA Huixia2, BAO Jutai2, GUO Shanshan4, CUI Xiaolan4   

  1. 1Hospital Affiliated to North China University of Sciences and Technology, Tangshan Hebei 063000, China;
    2College of Traditional Chinese Medicine, North China University of Sciences and Technology, Tangshan Hebei 063210, China;
    3Institute of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;
    4Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing 100700, China
  • Received:2021-12-24 Online:2022-04-15 Published:2022-04-15

Abstract: Objective To observe the inhibitory effects of saponins from Kangke capsules on apoptosis caused by Coxsackievirus B (CVB), and to explore the mechanism. Methods CVB was inoculated into cardiomyocytes to establish an infection model in vitro. The cytopathic effect method (CPE) was adopted to determine the 50% inhibitory concentration (IC50) and therapeutic index (TI) of saponins from Kangke capsules on CVB3, CVB4 and CVB5. CCK-8 kit was used to detect cell viability. TdT-mediated dUTP notch end labeling technique (TUNEL) was used to determine the apoptosis rate of cardiomyocytes. Western-blot was used to study the expressions of Bcl-2 and Bax protein in primary rat cardiomyocytes. Results Saponins from Kangke capsules could significantly alleviate cytopathy induced by CVB. The IC50 for CVB3, CVB4, and CVB5 was 223.34, 315.48 and 306.53 μg·mL-1 respectively, while the therapeutic index was 4.68, 3.24 and 3.24 respectively. The doses of 390.63, 195.32, and 97.66 μg·mL-1 could increase the survival rate of cardiomyocytes after viral infection. Saponins from Kangke capsules could significantly inhibit viral replication and cell apoptosis after infection while increasing the expression of Bcl-2, decreasing the expression of Bax, and elevating the Bcl-2/Bax ratio. Conclusion Saponins from Kangke capsules can improve cytopathy caused by CVB infection, improve cell survival rate, and inhibit apoptosis. The mechanism is related to the regulation of apoptosis-related protein expressions in cardiomyocytes.

Key words: saponins from Kangke capsules, Coxsackievirus B, cardiomyocytes, apoptosis

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