Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2026, Vol. 31 ›› Issue (5): 639-648.doi: 10.12092/j.issn.1009-2501.2026.05.008
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Xiaying WANG1(
), Hugang JIANG1,2,3, Chunzhen REN1,2, Jing MA1, Jiakun LIU1, Kai LIU1,2,3, Yingdong LI1,2,3, Xinke ZHAO1,2,3,*(
)
Received:2025-06-29
Revised:2025-09-03
Online:2026-05-26
Published:2026-06-02
Contact:
Xinke ZHAO
E-mail:1686610858@qq.com;zxkd412@163.com
CLC Number:
Xiaying WANG, Hugang JIANG, Chunzhen REN, Jing MA, Jiakun LIU, Kai LIU, Yingdong LI, Xinke ZHAO. Construction strategy and application of an in vitro model of radioactive cardiac injury[J]. Chinese Journal of Clinical Pharmacology and Therapeutics, 2026, 31(5): 639-648.
| Detection target | Molecular biomarkers/functional indicators | Detection techniques | References |
| Oxidative stress | ROS levels, SOD activity, MDA content | DCFH-DA fluorescent probe | [ |
| Apoptosis/vecrosis | Caspase-3 activity, Bax/Bcl-2 ratio, LDH release | Annexin V/PI double staining, Western Blot, LDH assay kit | [ |
| Cell viability and proliferation | Cell survival rate, proliferation curve staining | CCK-8/MTT assay, EdU staining | [ |
| DNA damage | γ-H2AX foci, ATM/ATR phosphorylation | Immunofluorescence, Western Blot | [ |
| Fibrosis | TGF-β1, α-SMA, CollagenⅠ/Ⅲ | ELISA, Immunofluorescence, Sirius red staining | [ |
| Mitochondrial dysfunction | ATP content, membrane potential (ΔΨm), mtROS | JC-1 probe (Flow cytometry), Seahorse XF Analyzer (oxygen consumption rate) | [ |
| Inflammatory response | IL-6, TNF-α, IL-1β | (Luminex), RT-qPCR Multiplex liquid chip (Luminex), RT-qPCR (mRNA level) | [ |
Table 1 Core molecular biomarkers and detection techniques
| Detection target | Molecular biomarkers/functional indicators | Detection techniques | References |
| Oxidative stress | ROS levels, SOD activity, MDA content | DCFH-DA fluorescent probe | [ |
| Apoptosis/vecrosis | Caspase-3 activity, Bax/Bcl-2 ratio, LDH release | Annexin V/PI double staining, Western Blot, LDH assay kit | [ |
| Cell viability and proliferation | Cell survival rate, proliferation curve staining | CCK-8/MTT assay, EdU staining | [ |
| DNA damage | γ-H2AX foci, ATM/ATR phosphorylation | Immunofluorescence, Western Blot | [ |
| Fibrosis | TGF-β1, α-SMA, CollagenⅠ/Ⅲ | ELISA, Immunofluorescence, Sirius red staining | [ |
| Mitochondrial dysfunction | ATP content, membrane potential (ΔΨm), mtROS | JC-1 probe (Flow cytometry), Seahorse XF Analyzer (oxygen consumption rate) | [ |
| Inflammatory response | IL-6, TNF-α, IL-1β | (Luminex), RT-qPCR Multiplex liquid chip (Luminex), RT-qPCR (mRNA level) | [ |
| Drugs | Cell model | Dosage | Time | Method | Mechanisms | Therapeutic effects | References |
| Angelica-hedysarum polysaccharide | H9C2 irradiated with 2 Gy X-ray, detected at 24 h | 400 mg/L | 24 h | DEME | Rho/Rock↓ | Anti-fibrotic, inhibits myocardial remodeling | [ |
| Astragalus injection | CFs irradiated with 2 Gy X-ray, detected at 48 h | 10 μg/mL 20 μg/mL | 48 h | DEME | TGF-β1↓ Col-Ⅰ↓ | Reduces ROS, inhibits ER stress and fibrosis | [ |
| Shenmai injection | H9C2 irradiated with 20 Gy X-ray, detected at 72 h | 1 μL/mL 5 μL/mL | 72 h | DEME | ROS↓ | Inhibits myocardial fibrosis and macrophage infiltration | [ |
| Salidroside | H9C2 irradiated with 6 Gy X-ray, detected at 48 h | 0.50 mmol/L | 24 h | DEME | Bcl-2/Bax↑ | Anti-inflammatory; mitigates cardiac injury | [ |
| Angelica- hedysarum ultrafiltrate | H9C2 irradiated with 6 Gy X-ray, detected at 24 h | 3,6,9 mg/mL | 48 h | DEME | LDH↓, Bax, SOD↑ | Antioxidant; reduces myocardial cell damage | [ |
| Resveratrol | H9C2 irradiated with 4 Gy X-ray, detected at 48 h | 50 μmol/L | 24 h | DEME | TGF-β1↓ | Alleviates oxidative stress and inflammation | [ |
| Astragalus polysaccharide | H9C2 irradiated with 4 Gy X-ray, detected at 24 h | 400 μg/mL | 48 h | DEME | PI3K/Akt/ mTOR↑ | Improves radiation-induced autophagic flux; reduces apoptosis and atrophy | [ |
| Astragalosides | CFs irradiated with 1 Gy X-ray, detected at 48 h | 20 mg/mL | 48 h | DEME | TGF-β1 Col-Ⅰ↓ | Reduces ROS; alleviates radiation-induced fibrosis | [ |
Astragaloside IV | HUVECs irradiated with 4 Gy X-ray, detected at 24 h | 100 μg/mL | 12 h | DEME | SOD↑ | Anti-inflammatory; mitigates cardiac injury | [ |
Table 2 Effect of TCM and its active ingredients on RIHD progression
| Drugs | Cell model | Dosage | Time | Method | Mechanisms | Therapeutic effects | References |
| Angelica-hedysarum polysaccharide | H9C2 irradiated with 2 Gy X-ray, detected at 24 h | 400 mg/L | 24 h | DEME | Rho/Rock↓ | Anti-fibrotic, inhibits myocardial remodeling | [ |
| Astragalus injection | CFs irradiated with 2 Gy X-ray, detected at 48 h | 10 μg/mL 20 μg/mL | 48 h | DEME | TGF-β1↓ Col-Ⅰ↓ | Reduces ROS, inhibits ER stress and fibrosis | [ |
| Shenmai injection | H9C2 irradiated with 20 Gy X-ray, detected at 72 h | 1 μL/mL 5 μL/mL | 72 h | DEME | ROS↓ | Inhibits myocardial fibrosis and macrophage infiltration | [ |
| Salidroside | H9C2 irradiated with 6 Gy X-ray, detected at 48 h | 0.50 mmol/L | 24 h | DEME | Bcl-2/Bax↑ | Anti-inflammatory; mitigates cardiac injury | [ |
| Angelica- hedysarum ultrafiltrate | H9C2 irradiated with 6 Gy X-ray, detected at 24 h | 3,6,9 mg/mL | 48 h | DEME | LDH↓, Bax, SOD↑ | Antioxidant; reduces myocardial cell damage | [ |
| Resveratrol | H9C2 irradiated with 4 Gy X-ray, detected at 48 h | 50 μmol/L | 24 h | DEME | TGF-β1↓ | Alleviates oxidative stress and inflammation | [ |
| Astragalus polysaccharide | H9C2 irradiated with 4 Gy X-ray, detected at 24 h | 400 μg/mL | 48 h | DEME | PI3K/Akt/ mTOR↑ | Improves radiation-induced autophagic flux; reduces apoptosis and atrophy | [ |
| Astragalosides | CFs irradiated with 1 Gy X-ray, detected at 48 h | 20 mg/mL | 48 h | DEME | TGF-β1 Col-Ⅰ↓ | Reduces ROS; alleviates radiation-induced fibrosis | [ |
Astragaloside IV | HUVECs irradiated with 4 Gy X-ray, detected at 24 h | 100 μg/mL | 12 h | DEME | SOD↑ | Anti-inflammatory; mitigates cardiac injury | [ |
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