ArticleFrontiers in immunology2026
Guanxinjing ameliorates coronary microvascular dysfunction in myocardial ischemia-reperfusion injury by alleviating inflammation and restoring endothelial function.
Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Coronary microvascular dysfunction (CMD) secondary to myocardial ischemia-reperfusion injury (MIRI) is characterized by profound inflammatory activation and endothelial impairment. Guanxinjing compound (GXJC) is a clinical drug widely used for coronary heart disease and angina pectoris closely associated with coronary microvascular function. Its efficacy and mechanisms against MIRI-induced CMD remain elusive. Methods: The chemical profiling of GXJC was performed via UHPLC-Q-Exactive HRMS. Network pharmacology analysis (NPA) screened the core targets and key pathways of GXJC. Results: UHPLC-Q-Exactive HRMS analysis identified 256 bioactive compounds in GXJC. NPA predicted the TNF signaling pathway as a potential key mechanism through which GXJC may ameliorate MIRI. Conclusion: Our study demonstrates that GXJC acts as a potential therapeutic agent for MIRI-induced myocardial injury and associated microvascular endothelial dysfunction through the dual modulation of inflammatory cascades and microvascular endothelial protection. These mechanistic insights support its future clinical development for microvascular complications following revascularization.
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