Guanxinjing ameliorates coronary microvascular dysfunction in myocardial ischemia-reperfusion injury by alleviating inflammation and restoring endothelial function - Report - MDSpire

Guanxinjing Enhances Coronary Microvascular Function in Myocardial Ischemia-Reperfusion Injury by Reducing Inflammation and Improving Endothelial Activity

  • By

  • Yaoting Wang

  • Lan Li

  • Liang Jin

  • Shikai Zhan

  • Hai Ren

  • Jiao Zhao

  • Qiuru Wang

  • Yiqiong Wang

  • Shudong Lin

  • Jiaxing Xin

  • Yao Dai

  • Yifan Zhou

  • Ting Zhang

  • Qian Liu

  • Yunyun Lu

  • Yiqi Zhu

  • Jiangyue Wu

  • Jiayan Lin

  • Shujing Zhang

  • Ling Zhang

  • July 17, 2026

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Clinical Report: Guanxinjing Enhances Coronary Microvascular Function

Overview

Guanxinjing compound (GXJC) improves coronary microvascular function in myocardial ischemia-reperfusion injury (MIRI) by reducing inflammation and enhancing endothelial activity. The study reveals that GXJC treatment leads to decreased myocardial infarct size and apoptosis while modulating key inflammatory pathways.

Background

Coronary microvascular dysfunction (CMD) is a significant complication following myocardial ischemia-reperfusion injury (MIRI), characterized by inflammatory activation and endothelial impairment. Current therapeutic options for coronary heart disease (CHD) have limitations, including risks of bleeding and adverse effects, highlighting the need for novel treatments that can effectively address CMD. Guanxinjing, a traditional Chinese medicine, may offer a promising alternative by targeting the underlying mechanisms of MIRI.

Data Highlights

ParameterEffect of GXJC
Myocardial Infarct SizeReduced
Cardiomyocyte ApoptosisDecreased
Pro-inflammatory FactorsDownregulated
eNOS/NO/ET-1 Axis ModulationImproved
FGL2 and P-selectin LevelsLowered

Key Findings

  • GXJC contains 256 bioactive compounds identified through UHPLC-Q-Exactive HRMS analysis.
  • The TNF signaling pathway is predicted as a key mechanism for GXJC's effects on MIRI.
  • In vivo studies showed reduced myocardial infarct size and cardiomyocyte apoptosis with GXJC treatment.
  • GXJC inhibited pro-inflammatory factors such as IL-6, IL-1β, and CCL2.
  • Endothelial dysfunction was alleviated by modulating the eNOS/NO/ET-1 axis.
  • GXJC treatment lowered levels of FGL2 and p-selectin, indicating reduced thrombosis risk.

Clinical Implications

The findings indicate that GXJC may have effects on myocardial injury and microvascular dysfunction following ischemia-reperfusion events.

Conclusion

Guanxinjing shows promise as a therapeutic option for myocardial ischemia-reperfusion injury by targeting inflammatory and endothelial dysfunction pathways.

Related Resources & Content

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  8. Pathophysiology, prevention, and management of coronary microvascular obstruction | European Heart Journal | Oxford Academic
  9. https://academic.oup.com/ehjacc/article/14/3/173/7958776
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