HIF-1α介导人参皂甙Rb1对缺氧心肌细胞葡萄糖代谢的调节

目的:探讨人参皂甙Rb1(Gs-Rb1)是否通过缺氧诱导因子1α(HIF-1α)和(或)AMP激活的蛋白激酶α(AMPKα)调节缺氧心肌细胞的葡萄糖代谢而改善其生存能力。方法:将乳鼠心肌细胞随机分为对照组、缺氧组(1%O_2、94%N_2和5%CO_2)和缺氧干预组(即Gs-Rb1组、Ara-A组、Gs-Rb1+Ara-A组、YC-1组、Gs-Rb1+YC-1组、Ara-A+YC-1组和Gs-Rb1+YC-1+Ara-A组),Gs-Rb1、Ara-A和YC-1浓度分别为200μmol/L、500μmol/L和5μmol/L,均干预8 h。MTT法检测细胞存活率;Western blot法半定量检测AMPKα、p-AMPKα、HIF-1α和葡萄糖转运体4(GLUT-4)的蛋白水平;ELISA检测己糖激酶(HK)、磷酸果糖激酶(PFK)和乳酸脱氢酶(LDH)的活性。结果:Gs-Rb1显著改善缺氧心肌细胞的生存能力,该作用可被Ara-A和YC-1抑制,且YC-1和Ara-A具有协同效应。Gs-Rb1增加缺氧心肌细胞AMPK活性的效应可被Ara-A或YC-1抑制。Ara-A和YC-1能不同程度抑制Gs-Rb1上调缺氧心肌细胞HIF-1α表达的效应。Gs-Rb1显著上调缺氧心肌细胞膜GLUT-4的表达,但该作用可被Ara-A或YC-1抑制,Ara-A和YC-1联用时尤为显著。Gs-Rb1显著增加缺氧心肌细胞HK、PFK和LDH等的活性,但该作用可被Ara-A和YC-1抑制,且YC-1和Ara-A具有协同抑制效应。结论:人参皂甙Rb1改善缺氧心肌细胞生存能力与其促进葡萄糖摄取和增强葡萄糖糖酵解有关,这些效应可被HIF-1α和(或)AMPK调节,且HIF-1α和AMPK对此的调节具有协同作用。

Improving effects of ginsenoside Rb1 on glucose metabolism in cardiomyocytes under hypoxia by hypoxia-inducible factor 1α

AIM: To elucidate the effect of ginsenoside Rb1 (Gs-Rb1) on the glucose metabolism to improve the viability of the cardiomyocytes under hypoxia, and whether hypoxia-inducible factor 1α (HIF-1α) and/or AMPKα are involved in the process.METHODS: The neonatal rat cardiomyocytes were cultured, and randomly divided into control group, hypoxia (1% O₂, 94% N₂ and 5% CO₂) group, Gs-Rb1 (200 μmol/L) group, Ara-A (500 μmol/L) group, Gs-Rb1+Ara-A group, YC-1 (5 μmol/L) group, Gs-Rb1+YC-1 group, Ara-A+YC-1 group and Gs-Rb1+YC-1+Ara-A group. After the intervention for 8 h, the cell viability was analyzed by MTT assay. The protein levels of AMPK, HIF-1α and glucose transporter-4 (GLUT-4) were determined by Western blot. The activities of heterophosphatase (HK), phosphofructokinase (PFK) and lactic dehydrogenase (LDH) were measured by ELISA.RESULTS: Gs-Rb1 significantly improved the viability of hypoxic cardiomyocytes, which was significantly inhibited by YC-1 and Ara-A. In addition, YC-1 and Ara-A had a synergistic effect. Gs-Rb1 increased the protein levels of AMPK and HIF-1α in the hypoxic cardiomyocytes, which was significantly inhibited by Ara-A and YC-1. Gs-Rb1 significantly increased the expression of GLUT-4 on the cytomembrane of hypoxic cardiomyocytes, which was significantly inhibited by YC-1 or Ara-A, especially Ara-A+YC-1. Gs-Rb1 significantly increased the activities of HK, PFK and LDH, all those were significantly inhibited by YC-1 or Ara-A. Besides, YC-1 and Ara-A had a synergistic effect.CONCLUSION: Gs-Rb1 improves the viability of hypoxic cardiomyocytes, which may be related to the regulation of glucose uptake and enhancement of glycolysis by synergy of both HIF-1α and AMPK.