Abstract:Objective To investigate the effect of Tianma Gouteng Decoction on the autophagy-related Ca2+/ AMPK/mTOR pathway of vascular endothelial cells in spontaneous hypertensive rats (SHR). Methods In this study 30 male rats with spontaneous hypertension were randomly divided into 3 groups, i.e. an SHR group, a Nimodipine (5.4 mg/kg) group and a Tianma Gouteng Decoction (10.26 g/kg) group. Meanwhile, 10 male WKY rats were employed for a control group. Then all the rats had intragastric administeration of corresponding drugs (10 ml/kg) for consecutive 6 weeks. The systolic blood pressure (SBP) of SHR was separately detected by noninvasive blood pressure meter before drug administration, 2, 4 and 6 weeks after administration. The plasma levels of Ang II, IL-1 and CaM in all groups of rats were detected by enzyme-linked immunosorbent assay after 6 weeks of administration. The expressions of autophagy marker protein Beclin-1, LC3-II, autophagy pathway-related protein AMP and mTOR in the vascular endothelial cells of all the rats were detected by Western blot after 6 weeks of administration. The expressions of autophagy pathway-related AMPK and mTOR mRNAs in vascular endothelial cells of all groups of rats were detected by RT-PCR after 6 weeks of administration. Results Compared with the WKY group, SBP and plasma levels of Ang II, IL-1 and CaM were markedly increased in the SHR group (P < 0.05); the expressions of Beclin-1, LC3- II, AMP and mTOR proteins and mRNAs in the vascular endothelial cells were obviously up-regulated in the SHR group (P < 0.05). Compared with the SHR group, SBP, plasma levels of Ang II, IL-1 and CaM were obviously decreased in both Nimodipine and Tianma Gouteng Decoction groups (P < 0.05); so as the expressions of Beclin-1, LC3-II, AMP and mTOR proteins and mRNAs in the vascular endothelial cells in the two groups (P < 0.05). Conclusions Tianma Gouteng Decoction can significantly regulate the autophagy-related pathway Ca2+/AMPK/mTOR of vascular endothelial cells in spontaneous hypertensive rats, which is probably one of the important mechanisms of its antihypertensive effect.