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Peer-reviewedCC BYScientific Reports

Breviscapine attenuates myocardial ischemia-reperfusion injury by inhibiting ferroptosis via activation of NRF2/SLC7A11/GPX4 pathway

  1. 1Division of Cardiac Care Unit, Department of Cardiology, Wuhan Asia Heart Hospital
  2. 2Department of Cardiology, Hubei Provincial Hospital of Traditional Chinese Medicine
  3. 3Hubei University of Chinese Medicine

Abstract

To explore the protective effect of Breviscapine against myocardial ischemia-reperfusion (I/R) injury and its mechanism. The in vivo and in vitro models of myocardial I/R injury were first established and treated with different concentrations of Bre. The myocardial infarct size was measured, while histopathological changes of myocardial tissue were evaluated by hematoxylin-eosin (HE) staining, and cardiac function-related parameters were assessed via echocardiography. Prussian blue staining was performed to visualize ferroptosis; enzyme-linked immunosorbent assay (ELISA) was used to detect the expression levels of creatine kinase-MB (CK-MB) and lactate dehydrogenase (LDH); flow cytometry was employed to determine the apoptosis rate of cardiomyocytes. Western blot (WB) and qRT-PCR were conducted to examine the levels of ferroptosis-related molecules (NOX1, NRF2, GPX4 and SLC7A11), respectively. Meanwhile, oxidative stress-related indices associated with ferroptosis, such as malondialdehyde (MDA), superoxide dismutase (SOD) and reactive oxygen species (ROS), were determined. Finally, a specific NRF2 inhibitor was administered for intervention, and changes in the above indicators were observed. Bre dose-dependently alleviated myocardial histological damage, reduced infarct size, improved cardiac function (elevated EF/FS, decreased LVEDV/LVESV), and inhibited cardiomyocyte apoptosis. Bre also suppressed ferroptosis, as shown by reduced Fe²⁺accumulation, MDA, GSSG, ROS, and NOX1 expression, and enhanced SOD activity, GSH content, and NRF2/SLC7A11/GPX4 expression. NRF2 inhibitor ML385 reversed these effects. Bre alleviates myocardial I/R injury by inhibiting ferroptosis via activating the NRF2/SLC7A11/GPX4 pathway.

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BibTeX
@article{tan2026breviscapine,
  title = {{Breviscapine attenuates myocardial ischemia-reperfusion injury by inhibiting ferroptosis via activation of NRF2/SLC7A11/GPX4 pathway}},
  author = {An’an Tan and Yingzhe Xiong and Jiawei Wu and Qiangqiang Tian and Chen Chen},
  journal = {Scientific Reports},
  year = {2026},
  month = sep,
  doi = {10.1038/s41598-026-72823-1},
  url = {https://doi.org/10.1038/s41598-026-72823-1},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Breviscapine attenuates myocardial ischemia-reperfusion injury by inhibiting ferroptosis via activation of NRF2/SLC7A11/GPX4 pathway
AU  - An’an Tan
AU  - Yingzhe Xiong
AU  - Jiawei Wu
AU  - Qiangqiang Tian
AU  - Chen Chen
PY  - 2026
DA  - 2026/09/01
JO  - Scientific Reports
DO  - 10.1038/s41598-026-72823-1
UR  - https://doi.org/10.1038/s41598-026-72823-1
AB  - To explore the protective effect of Breviscapine against myocardial ischemia-reperfusion (I/R) injury and its mechanism. The in vivo and in vitro models of myocardial I/R injury were first established and treated with different concentrations of Bre. The myocardial infarct size was measured, while histopathological changes of myocardial tissue were evaluated by hematoxylin-eosin (HE) staining, and cardiac function-related parameters were assessed via echocardiography. Prussian blue staining was performed to visualize ferroptosis; enzyme-linked immunosorbent assay (ELISA) was used to detect the expression levels of creatine kinase-MB (CK-MB) and lactate dehydrogenase (LDH); flow cytometry was employed to determine the apoptosis rate of cardiomyocytes. Western blot (WB) and qRT-PCR were conducted to examine the levels of ferroptosis-related molecules (NOX1, NRF2, GPX4 and SLC7A11), respectively. Meanwhile, oxidative stress-related indices associated with ferroptosis, such as malondialdehyde (MDA), superoxide dismutase (SOD) and reactive oxygen species (ROS), were determined. Finally, a specific NRF2 inhibitor was administered for intervention, and changes in the above indicators were observed. Bre dose-dependently alleviated myocardial histological damage, reduced infarct size, improved cardiac function (elevated EF/FS, decreased LVEDV/LVESV), and inhibited cardiomyocyte apoptosis. Bre also suppressed ferroptosis, as shown by reduced Fe²⁺accumulation, MDA, GSSG, ROS, and NOX1 expression, and enhanced SOD activity, GSH content, and NRF2/SLC7A11/GPX4 expression. NRF2 inhibitor ML385 reversed these effects. Bre alleviates myocardial I/R injury by inhibiting ferroptosis via activating the NRF2/SLC7A11/GPX4 pathway.
SN  - 2045-2322
ER  -