Research Papers:

Protective effect of Ginkgo biloba leaves extract, EGb761, on myocardium injury in ischemia reperfusion rats via regulation of TLR-4/NF-κB signaling pathway

Yuping Tang, Guisheng Zhou, Lijun Yao, Ping Xue, Danhong Yu, Renjie Xu, Wen Shi, Xin Yao _, Zhaowei Yan and Jin-Ao Duan

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Oncotarget. 2017; 8:86671-86680. https://doi.org/10.18632/oncotarget.21372

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Yuping Tang1,2,*, Guisheng Zhou2,*, Lijun Yao3, Ping Xue4, Danhong Yu5, Renjie Xu6, Wen Shi2, Xin Yao3, Zhaowei Yan3 and Jin-Ao Duan2

1Shaanxi Collaborative Innovation Center of Chinese Medicinal Resources Industrialization, Shaanxi University of Chinese Medicine, Xianyang, 712083, China

2Jiangsu Collaborative Innovation Center of Chinese Medicinal Resources Industrialization, Nanjing University of Chinese Medicine, Nanjing, 210023, China

3Department of Pharmacy, The First Affiliated Hospital of Soochow University, Suzhou, 215006, China

4Changzhou Institute for Food and Drug Control, Changzhou, 213000, China

5The Children’s Hospital Affiliated to Soochow University, Suzhou, 215006, China

6Shaoxing Second Hospital, Shaoxing, 312000, China

*These authors have contributed equally to this work

Correspondence to:

Xin Yao, email: [email protected]

Zhaowei Yan, email: [email protected]

Keywords: EGb761, myocardial ischemia, TLR-4/NF-κB pathway

Received: June 10, 2017    Accepted: August 29, 2017    Published: September 28, 2017


Beneficial actions of EGb 761 against ischemia/reperfusion (I/R) injury in lung, brain and renal ischemia have been described. However, the relationship between EGb 761 and signal molecules in myocardial ischemia reperfusion has not been well elucidated. In this study, we investigated the effects and mechanism of EGb 761 preconditioning on anti-myocardial I/R injuries in vivo. Meanwhile, their potential anti-oxidative stress and anti-inflammation effect were assessed. Hemodynamic parameters were monitored as left ventricular systolic pressure, LV end-diastolic pressure and maximal rate of increase and decrease of left ventricular pressure (dP/dtmax). The oxidative stress indicators and inflammatory factors were also evaluated. Western blot method was used for analysis of toll-like receptor 4 (TLR4), p-TLR4, nuclear factor-κB (NF-κB), p-NF-κB p65, Bax and Bcl-2 protein expressions. EGb 761 significantly improved cardiac function, decreased levels of creatine kinase, aspartate aminotransferase and lactate dehydrogenase. EGb 761 also restrained the oxidative stress related to myocardial ischemia injury as evidenced by decreased malondialdehyde, superoxide dismutase, catalase, glutathione-peroxidase, glutathione reductase activity. Meanwhile, the inflammatory cascade was inhibited as evidenced by decreased cytokines such as tumor necrosis factor-α, interleukin-6 and interleukin-1β. Our results still showed that EGb 761 pretreatment significantly decrease the level of cleaved Bax, and increase the level of Bcl-2 in rats subjected to I/R injury. Simultaneously, the expressions of myocardial TLR4 and NF-κB were significantly decreased. It can be concluded that EGb 761 pretreatment was protected against myocardium I/R injury by decreasing oxidative stress, repressing inflammatory cascade in vivo and inhibiting TLR4/NF-κB pathway.

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