IGFBP5 mediates the therapeutic effect of isoliquiritigenin in myocardial ischemia-reperfusion injury via AKT/GLUT4 regulated insulin resistance

BackgroundMyocardial ischemia/reperfusion injury (MIRI) is a critical problem in cardiovascular medicine, often occurring after coronary revascularization procedures or cardiopulmonary bypass. The characters of MIRI are both energy metabolism disturbances and severe myocardium insulin resistance (IR...

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Main Authors: Jue Bai, Si-Yuan Yang, Shao-Mei Yu, Ying Cao, Chang-Han Ma, Xuan-Yi Hu, Xiong Chen, Ying-Nan Song, Hong-Jin Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1544869/full
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author Jue Bai
Jue Bai
Si-Yuan Yang
Shao-Mei Yu
Ying Cao
Chang-Han Ma
Chang-Han Ma
Xuan-Yi Hu
Xiong Chen
Ying-Nan Song
Ying-Nan Song
Hong-Jin Chen
Hong-Jin Chen
Hong-Jin Chen
author_facet Jue Bai
Jue Bai
Si-Yuan Yang
Shao-Mei Yu
Ying Cao
Chang-Han Ma
Chang-Han Ma
Xuan-Yi Hu
Xiong Chen
Ying-Nan Song
Ying-Nan Song
Hong-Jin Chen
Hong-Jin Chen
Hong-Jin Chen
author_sort Jue Bai
collection DOAJ
description BackgroundMyocardial ischemia/reperfusion injury (MIRI) is a critical problem in cardiovascular medicine, often occurring after coronary revascularization procedures or cardiopulmonary bypass. The characters of MIRI are both energy metabolism disturbances and severe myocardium insulin resistance (IR), which exacerbated myocardial damage and cell death. Isoliquiritigenin (ISL), a flavonoid derived from licorice roots (Glycyrrhiza spp.), has demonstrated protective effects on MIRI. However, the potential cardio-protective effects and mechanism of ISL in MIRI remain unclear.ProposeIn this study, we aimed to investigate ISL’s therapeutic effects on MIRI. Moreover, we elucidate the underlying mechanisms of ISL regulated myocardium insulin resistance in vivo and in vitro.MethodsIn vivo, SD rats underwent left anterior descending coronary artery ligation/reperfusion to induce MIRI. Chest echocardiography was performed to monitor cardiac function post-reperfusion, followed by measurement of myocardial injury and IR markers. In vitro, H9C2 cardiomyocytes subjected to oxygen-glucose deprivation/reperfusion (OGD/R). Markers associated with myocardial injury and IR were assessed. Then, we identified potential therapeutic targets IGFBP5 for MIRI by network pharmacology and molecular docking analysis. Finally, lentivirus were used to silence or over-express IGFBP5 to elucidate the role of IGFBP5 in regulating the therapeutic effects of ISL on IR in MIRI.ResultsIn the present study, In vivo experiments demonstrated that ISL attenuated myocardial infarct size, decreased serum markers of myocardial injury, improved left ventricular systolic function, and enhanced insulin sensitivity. In vitro data revealed that ISL ameliorated glucose uptake and cell survival rate. Furthermore, ISL increased AKT phosphorylation and upregulated membrane-bound GLUT4 (M-GLUT4) protein expression levels. These effects of ISL are mediated by the induction of IGFBP5, as demonstrated using gene-specific shRNA or overexpression for IGFBP5.ConclusionOur results reveal that ISL protects against myocardial damage caused by MIRI through the regulation of IR via the IGFBP5/AKT/GLUT4 pathway.
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spelling doaj-art-9ee7e8a14b9b4a00a4e26e5653178ec32025-08-20T02:19:37ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-04-011610.3389/fphar.2025.15448691544869IGFBP5 mediates the therapeutic effect of isoliquiritigenin in myocardial ischemia-reperfusion injury via AKT/GLUT4 regulated insulin resistanceJue Bai0Jue Bai1Si-Yuan Yang2Shao-Mei Yu3Ying Cao4Chang-Han Ma5Chang-Han Ma6Xuan-Yi Hu7Xiong Chen8Ying-Nan Song9Ying-Nan Song10Hong-Jin Chen11Hong-Jin Chen12Hong-Jin Chen13Translational Medicine Research Center, Guizhou Medical University, Guiyang, Guizhou, ChinaDivision of cardiac surgery, Guizhou Institute of Precision Medicine, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, ChinaDivision of cardiac surgery, Guizhou Institute of Precision Medicine, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, ChinaDepartment of Ultrasound Medicine, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, ChinaDepartment of Anesthesiology, The Affliated JinYang Hospital of Guizhou Medical University, The Second People’s Hospital of Guiyang, Guiyang, Guizhou, ChinaTranslational Medicine Research Center, Guizhou Medical University, Guiyang, Guizhou, ChinaDivision of cardiac surgery, Guizhou Institute of Precision Medicine, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, ChinaDivision of cardiac surgery, Guizhou Institute of Precision Medicine, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, ChinaDepartment of Endocrinology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaTranslational Medicine Research Center, Guizhou Medical University, Guiyang, Guizhou, ChinaDivision of cardiac surgery, Guizhou Institute of Precision Medicine, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, ChinaTranslational Medicine Research Center, Guizhou Medical University, Guiyang, Guizhou, ChinaDivision of cardiac surgery, Guizhou Institute of Precision Medicine, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, ChinaDepartment of Pharmacology, School of Basic Medical Sciences, Guizhou Medical University, Guiyang, Guizhou, ChinaBackgroundMyocardial ischemia/reperfusion injury (MIRI) is a critical problem in cardiovascular medicine, often occurring after coronary revascularization procedures or cardiopulmonary bypass. The characters of MIRI are both energy metabolism disturbances and severe myocardium insulin resistance (IR), which exacerbated myocardial damage and cell death. Isoliquiritigenin (ISL), a flavonoid derived from licorice roots (Glycyrrhiza spp.), has demonstrated protective effects on MIRI. However, the potential cardio-protective effects and mechanism of ISL in MIRI remain unclear.ProposeIn this study, we aimed to investigate ISL’s therapeutic effects on MIRI. Moreover, we elucidate the underlying mechanisms of ISL regulated myocardium insulin resistance in vivo and in vitro.MethodsIn vivo, SD rats underwent left anterior descending coronary artery ligation/reperfusion to induce MIRI. Chest echocardiography was performed to monitor cardiac function post-reperfusion, followed by measurement of myocardial injury and IR markers. In vitro, H9C2 cardiomyocytes subjected to oxygen-glucose deprivation/reperfusion (OGD/R). Markers associated with myocardial injury and IR were assessed. Then, we identified potential therapeutic targets IGFBP5 for MIRI by network pharmacology and molecular docking analysis. Finally, lentivirus were used to silence or over-express IGFBP5 to elucidate the role of IGFBP5 in regulating the therapeutic effects of ISL on IR in MIRI.ResultsIn the present study, In vivo experiments demonstrated that ISL attenuated myocardial infarct size, decreased serum markers of myocardial injury, improved left ventricular systolic function, and enhanced insulin sensitivity. In vitro data revealed that ISL ameliorated glucose uptake and cell survival rate. Furthermore, ISL increased AKT phosphorylation and upregulated membrane-bound GLUT4 (M-GLUT4) protein expression levels. These effects of ISL are mediated by the induction of IGFBP5, as demonstrated using gene-specific shRNA or overexpression for IGFBP5.ConclusionOur results reveal that ISL protects against myocardial damage caused by MIRI through the regulation of IR via the IGFBP5/AKT/GLUT4 pathway.https://www.frontiersin.org/articles/10.3389/fphar.2025.1544869/fullIGFBP5isoliquiritigeninmyocardial ischemia/reperfusion injuryinsulin resistanceGLUT4
spellingShingle Jue Bai
Jue Bai
Si-Yuan Yang
Shao-Mei Yu
Ying Cao
Chang-Han Ma
Chang-Han Ma
Xuan-Yi Hu
Xiong Chen
Ying-Nan Song
Ying-Nan Song
Hong-Jin Chen
Hong-Jin Chen
Hong-Jin Chen
IGFBP5 mediates the therapeutic effect of isoliquiritigenin in myocardial ischemia-reperfusion injury via AKT/GLUT4 regulated insulin resistance
Frontiers in Pharmacology
IGFBP5
isoliquiritigenin
myocardial ischemia/reperfusion injury
insulin resistance
GLUT4
title IGFBP5 mediates the therapeutic effect of isoliquiritigenin in myocardial ischemia-reperfusion injury via AKT/GLUT4 regulated insulin resistance
title_full IGFBP5 mediates the therapeutic effect of isoliquiritigenin in myocardial ischemia-reperfusion injury via AKT/GLUT4 regulated insulin resistance
title_fullStr IGFBP5 mediates the therapeutic effect of isoliquiritigenin in myocardial ischemia-reperfusion injury via AKT/GLUT4 regulated insulin resistance
title_full_unstemmed IGFBP5 mediates the therapeutic effect of isoliquiritigenin in myocardial ischemia-reperfusion injury via AKT/GLUT4 regulated insulin resistance
title_short IGFBP5 mediates the therapeutic effect of isoliquiritigenin in myocardial ischemia-reperfusion injury via AKT/GLUT4 regulated insulin resistance
title_sort igfbp5 mediates the therapeutic effect of isoliquiritigenin in myocardial ischemia reperfusion injury via akt glut4 regulated insulin resistance
topic IGFBP5
isoliquiritigenin
myocardial ischemia/reperfusion injury
insulin resistance
GLUT4
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1544869/full
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