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. 2021 Oct 19;49(5):2189–2198. doi: 10.1042/BST20210269

Table 1. Therapeutic evidence of itaconate and its derivatives in (cardio)-vascular models.

Model Treatment Outcome Ref.
Heart — Ischemia-Reperfusion Injury in mice Intravenous injection of Dimethyl itaconate (4 mg/kg/min) 10 min before or during ischemia • Myocardial infarct size was reduced • Diminution of ROS [24]
Heart — Acute MI model in rats Subcutaneously Implanted of Dimethyl itaconate loaded PCL nanofibers patches Vivo on the epicardium over the infarcted region • Myocardial protection: Tissue repair • Improvement of Left Ventricle function • Reduction in infarct area [70]
Heart – Mouse Model of Acute Myocardial Infarction Intramyocardial injection of N-isopropylacrylamide-co-itaconic acid (NIPAM-IA) with cardiac stromal cells • Promotes heart repair via angiogenesis • Apoptosis inhibition • Improved cardiac stem cell retention [71]
Vessels – Human Umbilical Vein Endothelial Cells (HUVECS) Pre-treatement for 1 h with 4-OI (25 µM), followed by high glucose (40 mM) • Inhibits high glucose-induced ROS production • Lipid peroxidation • Mitochondrial depolarisation [66]
Vessels – Abdominal Aortic aneurysm model in mice Pre-Intraperitoneal injection of 4-OI (50 mg/kg) before, during and after Angiotensine II induction • Inhibition of angiotensin II-induced abdominal aortic aneurysm (AAA) formation in ApoE−/− mice; via activation of Nrf2 [58]
Vessels – Transient middle cerebral artery occlusion mice model Dimethyl itaconate (20 mg/0.5 ml saline per mouse) via intraperitoneal route at the beginning of occlusion • Decreases neurologic deficit score and toxic conversion of microglia • Improve neurologic function • Decrease in pro-inflammatory cytokine: IL1β [64]
Vessels – Mice model of cerebral ischemia reperfusion Itaconic acid was infused for 30 min at 15 mg/kg/min prior to ligation, and for 30 min during reperfusion • Protects against GSH depletion and improves the antioxidant capacity of cells • Improved arterial blood flow • Preserved cerebral oxygen tension [65]
Cardiotoxicity – Acute Myocardial Infarction caused by cancer drug (Doxorubin) Dimethyl itaconate administration at first 4 days with 100 mg/kg per day since DOX intraperitoneal injection • Inhibition of oxidative stress by altering Nrf2/HO-1 • Diminish acute cardiotoxicity [67]
Metabolism – Hyperlipidaemia in rats Itaconate solution to drink instead of water • decreased visceral fat in rats • Decrease in free fatty acid and triglycerides • Inhibition of glycolysis [68]