Basic & Clinical Medicine ›› 2026, Vol. 46 ›› Issue (3): 388-395.doi: 10.16352/j.issn.1001-6325.2026.03.0388

• Original Articles • Previous Articles     Next Articles

Nicodil preconditioning improves cardiac function in rat models of diabeties complicated with coronary heart disease

BIAN Ya1*, GUO Jie1, CAO Weiguang2, LYU Xiaomian1   

  1. 1. Department of Cardiovascular Medicine, the Second Hospital of Shijiazhuang, Shijiazhuang 050051;
    2. Department of Internal Medicine, Youfu Hospital of Hebei Province, Shijiazhuang 050000, China
  • Received:2025-05-29 Revised:2025-07-14 Online:2026-03-05 Published:2026-02-25
  • Contact: *wbobcah69@163.com

Abstract: Objective To identify the impacts of nicorandil (Nic) on cardiac function of rats with diabetes mellitus and coronary heart disease (DM/CHD) and to explore the potential mechanism. Methods Rats were divided into: control group, DM/CHD group, DM/CHD+Nic group and DM/CHD+Nic+shTRPV1 group. The cardiac function parameters were detected by electrocardiogram. Blood was collected for biochemical index detection. Cardiac histo-pathological changes, collagen deposition and apoptosis were determined by HE, Masson trichrome and TUNEL staining microcopy respectively. The protein expression was analyzed by Western blot. Results In comparation to control group, the cardiomyocyte diameter and collagen accumulation were increased (P<0.05). Apoptotic cells and the expression of Bax and cleaved caspase-3 were increased (P<0.05),expression of Bcl-2, TRPV1, p-PI3K and p-Akt was decreased. Compared with DM/CHD group, myocardial cell diameter and collagen accumulation were reduced (P<0.05). Apoptotic cells and the level of Bax and cleaved caspase-3 were reduced (P<0.05).The expression of Bcl-2, TRPV1, p-PI3K and p-Akt was enhanced (P<0.05). Compared with DM/CHD+Nic group, myocardial cell diameter and collagen accumulation were increased (P<0.05). Apoptotic cells and the expression of Bax and cleaved caspase-3 were up-regulated (P<0.05).The expression of Bcl-2, TRPV1, p-PI3K and p-Akt was down-regulated. Conclusions Nic improves cardiac function in DM/CHD rats with potential mechanism of regulating TRPV1-PI3K/Akt signaling pathway.

Key words: nicorandil, TRPV1, PI3K/Akt, diabetes mellitus with coronary heart disease, cardiac function

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