Abstract:Abstract: Objective To study the effect of exogenous hydrogen sulfide (H2S) on the expressions of p38 mitogen-activated protein kinase (p38MAPK) and transforming growth factor-beta1 (TGF-β1) and on the protection of diabetic myocardial fibrosis. Methods Eighteen male adult C57BL/6J mice were randomly divided into normal control group (NC group), diabetes mellitus group (ALX group), and diabetes mellitus treated with H2S group (ALX+H2S group) with six mice in each group. The diabetic mouse model was established by intra-peritoneal injection (i.p.) of 200 mg/kg ALX. The mice in the normal control and ALX groups drank tap water freely everyday. The mice of the ALX+H2S group freely drank NaHS (H2S donor) solution at a concentration of 90 μmol/L. After 8 weeks, fasting blood glucose and serum lipid were tested. The pathological changes of myocardial fibers were observed by HE staining. The expressions of p-p38MAPK, TGF-β1 and collagen Ⅰ were detected using Western blot. The expressions of p38MAPK mRNA and TGF-β1 mRNA were tested by qRT-PCR. Results Compared with the NC group, the fasting blood glucose and serum lipid increased (P < 0.05), the expression of collagen in myocardium increased and there was apparent myocardial interstitial fibrosis; the expressions of p-p38MAPK and TGF-β1 proteins and collagen Ⅰ increased (P < 0.05), the mRNA expressions of p38MAPK and TGF-β1 increased (P < 0.05) in the ALX group. After the intervention of H2S, the fasting blood glucose and serum lipid were improved (P < 0.05), the collagen fibers in the myocardial interstitium apparently decreased, the protein expressions of p-p38MAPK, TGF-β1 and collagen Ⅰwere decreased (P < 0.05), the mRNA expressions of p38MAPK and TGF-β1 were decreased (P < 0.05). Conclusions H2S can ameliorate fasting blood glucose, serum lipid and myocardial fibrosis in diabetic mice, which might be related to the regulation of p38MAPK and TGF-β1 expressions.