Review Article

Molecular Mechanisms of Cardioprotective Actions of Tanshinones

Table 2

Pharmacological actions of tanshinones in vivo.

CompoundsAnimals/tissuesDosagesEffectsMechanismsReference

CryptotanshinoneRat heart 125, 250 μg/kgAmeliorating I/R injury Neutrophil infiltration ↓ 
NF-κB, TNF-α, IL-1β ↓ 
MPO ↓
[24]

TanshinoneMouse carotid artery 0.3 and 0.6 g/kgSuppressing intimal hyperplasiaIntimal thickening ↓ 
PCNA ↓
[34]
Rat heart120 mg/kgImproving acute myocardial infarctionInfarct size ↓ 
Systolic function ↑ 
Ca2+ ↓ 
Cell adhesion ↓
[57]

Tanshinone IIARat heart10 mg/kgProtection of I/R injuryBcl-2, SOD ↑ 
Caspase 3 ↓, MDA ↓
[19]
8 mg/kgReducing myocardial infarct size and I/R injuryHO-1 ↑, TNF-α ↓,  
MDA ↓, SOD ↑,  
GSH ↑, p-NF-κB ↓
[58]
8 mg/kgProtection of isoproterenol-induced myocardial infarctionHO-1 ↑, Nrf2 ↑ 
MDA ↓, SOD ↑, GSH ↑ 
p-ERK1/2/ERK ↑
[59]
5, 10, 20 mg/kgReducing myocardial infarct size and I/R injuryp-AKT ↑, p-eNOS ↑, 
p-NF-κB ↓
[20]
5 mg/kgProtection of STZ-induced diabetic cardiomyopathyp-AKT ↑, GSK-3β ↑, 
MPTP ↓, TNF-α ↓,  
IL-6 ↓, MPO ↓
[60]
10, 20, 40 mg/kgReducing myocardial infarct size and biochemical markersSOD ↑, GSH-Px ↑, 
MDA ↓, TNF-α ↓, IL-6 ↓, iNOS ↓, HMGB1 ↓
[61]
60 mg/kgTNF-α, CD68 ↓ 
MCP-1, TGF-β1 ↓
[18]
20 mg/kgLVSP ↑, LVEDP ↓ 
p-p38MAPK ↓ 
SRF, MEF2 ↓, Cx43 ↑
[46]
20 mg/kgReducing infarct size and apoptotic cellsCaspase 3 ↓, p-Akt ↓, FOXO3A ↓, Bim ↓[62]
10, 20 mg/kgAntihypertrophic actionCa2+, AT1R ↓[63]
10, 20 mg/kgPKC ↓, eNOS ↑[64]
5, 10, 20 mg/kgHeart muscle index ↓ 
p-Akt, p-Gsk3β
[65]
10, 20 mg/kgLVML, MFD ↓ 
Smad 3, TGF-β1 ↓ 
Smad7 ↑
[66]
35, 70 mg/kgLV fibrosis ↓ 
Diastolic dysfunction ↓ 
MMP-9, TIMP-1, TIMP-2 ↓
[67]
35, 70 mg/kgCVF, PVCA ↓ 
NAD(P)H oxidase,
[68]
5, 10, 15 mg/kgMDA ↓ SOD ↑ 
Bcl-2/Bax ratio ↑ 
Caspase 3 ↓ 
LV fibrosis ↓ 
Smad 3 ↓, TGF-β1 ↓
[69]
Rat aorta35, 70 mg/kgAttenuation of atherosclerotic calcificationoxLDL production ↓ 
↓, Cu/Zn SOD ↑ 
MDA ↓
[70]
Mouse aorta10, 30, 90 mg/kgAntiatherosclerotic actionCholesterol level ↓ 
CD36, SRA, PPARγ
[22]
Mouse heart20 mg/kgAmelioration of I/R injuryeNOS/NO ↑ 
AMPK/PI3K/Akt ↑
[40]
Rabbit aorta6.25, 15.00, 37.50 mg/kgAntiatherosclerotic actionCD40, MMP-2 ↓ 
SOD ↑
[71]

AT1R, angiotensin II type I receptor; Ca2+, intracellular calcium; CD36, cluster of differentiation 36; CD68, cluster of differentiation 68; CVF, collagen volume fraction; Cx43, connexin 43; Dox, doxorubicin; IL-1β, interleukin-1 beta; IL-6, interleukin-6; I/R, ischemia reperfusion; LV: left ventricular; LVMI, left ventricular mass index; LVSP, left ventricular systolic pressure; LVEDP, left ventricular end diastolic pressure; MDA, malondialdehyde; MEF2, myocyte enhancer factor 2; MFD, myocardial fiber diameter; MI, myocardial infarction; MMP-2, matrix metalloproteinases-2; MPO, myeloperoxidase; NF-κB, nuclear factor-kappa B; PPARγ, peroxisome proliferator activated gamma; PCNA, proliferating cell nuclear antigen; PVCA, perivascular collagen area; ROS, reactive oxygen species; SOD, superoxide dismutase; SRA, scavenger receptor A; SRF, serum reaction factor; TGF-β1, transforming growth factor-beta 1.