Evidence construction of baicalin for treating myocardial ischemia diseases: A preclinical meta-analysis

黄芩苷 医学 黄芩 心肌梗塞 缺血 科克伦图书馆 内科学 心功能曲线 心脏病学 药理学 荟萃分析 病理 心力衰竭 中医药 高效液相色谱法 化学 替代医学 色谱法
作者
Sihan Hu,Lan Jiang,Qi Yan,Chenyang Zhou,Xiaochuan Guo,Tong Chen,Siting Ma,Yimiao Luo,Caiyu Hu,Fumin Yang,Lishan Yuan,Xiao Ma,Jinhao Zeng
出处
期刊:Phytomedicine [Elsevier]
卷期号:107: 154476-154476 被引量:9
标识
DOI:10.1016/j.phymed.2022.154476
摘要

Baicalin, a flavonoid glycoside isolated from Scutellaria baicalensis Georgi, has shown potential pharmacological effects on myocardial ischemia diseases. Nevertheless, systematic preclinical studies on baicalin in the treatment of ischemic diseases are scarce.To assess the efficacy and potential mechanisms of baicalin in myocardial ischemia (RI), myocardial ischemia-reperfusion (IR) injury and myocardial infarction (MI) animal models for future clinical research.Preclinical studies published prior to August 27th, 2022 were retrieved from PubMed, Embase, Web of Science and Cochrane Library. CAMARADES list was used to evaluate the quality of included researches. Meta-analyses of cardiac pathology and function parameters, myocardial injury markers and other indicators were performed by STATA 15.0 software. Potential mechanisms are categorized and summarized. Dose-response interval analyses were used to analyze the dose-response relationship between baicalin and myocardial ischemia disease.Fourteen studies and 222 animals were included in the analysis. The results showed that compared with the control group, baicalin could reduce myocardial infarction size associated with cardiac pathological condition and the corresponding cardiac pathological index containing CK-MB, CK and cTnT. Additionally, heart function indicators including LVSP, LVFS, LVEF, -dp/dt max, dp/dt max were increased by baicalin. As for subgroup analyses, baicalin also demonstrated certain effect on CK-MB and LVSP by administration method or stage. Furthermore, it displayed obvious effect on myocardial ischemia diseases when the dose is maintained at 100-150 mg/kg based on dosage analyses.Based on the relevant literature retrieved, this is the first meta-analysis on baicalin in treating myocardial ischemia diseases. Notably, we linked the dynamic development of the disease and discussed it pertinently, from RI, IR injury to MI. Baicalin exhibits positive effects on myocardial ischemia diseases (especially when the dose is 100-150 mg/kg), which is achieved by regulating key pathological indicators and various signaling pathways.
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