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ABSTRACT Gestational hypertension is a high-risk disease for women, and the current treatments have limited efficacies. Here, we aimed to evaluate troxerutin, which is a natural monomer of
flavone, in the treatment of gestational hypertension. Pregnant mice with or without pregnancy-induced hypertension (PIH) were treated with troxerutin (20 and 40 mg/kg) or vehicle. Blood
pressure and proteinuria were monitored during treatment. The expression of vasodilation converting enzyme (VCE), angiotensin, TNFα, IL-6, IL-1β and IL-10 was measured by enzyme-linked
immunosorbent assay (ELISA). Oxidative stress was assessed by measuring the reactive oxygen species (ROS) levels and antioxidant enzyme concentrations. Western blot analysis was used to
assess the expression of p-STAT3, STAT3, SHP-1, and RNF6. Troxerutin reduced blood pressure and the expression of VCE, angiotensin, urinary protein and pro-inflammatory cytokines in a
dose-dependent manner while increasing the expression of anti-inflammatory cytokines. The levels of ROS were decreased, and the levels of antioxidant enzymes were increased. Troxerutin
treatment significantly suppressed STAT3/RNF6 signaling. Overexpression of RNF6 attenuated the effects of troxerutin in ameliorating inflammation and oxidative stress. Our data support the
use of troxerutin for reducing gestational hypertension due to the role of troxerutin in reducing inflammation and oxidative stress. Access through your institution Buy or subscribe This is
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AND DETERMINATION OF ITS COMPONENTS IN THE BLOOD OF SPONTANEOUSLY HYPERTENSIVE RATS Article Open access 10 February 2025 REFERENCES * Theilen LH, Fraser A, Hollingshaus MS, Schliep KC,
Varner MW, Smith KR, et al. All-cause and cause-specific mortality after hypertensive disease of pregnancy. Obstet Gynecol. 2016;128:238. Article Google Scholar * Chen Z, Du J, Shao L,
Zheng L, Wu M, Ai M, et al. Prepregnancy body mass index, gestational weight gain, and pregnancy outcomes in China. Int J Gynecol Obstet. 2010;109:41–4. Article Google Scholar * Folk DM.
Hypertensive disorders of pregnancy: overview and current recommendations. J Midwifery Women’s Health. 2018;63:289–300. Article Google Scholar * Shen M, Smith GN, Rodger M, White RR,
Walker MC, Wen SW. Comparison of risk factors and outcomes of gestational hypertension and pre-eclampsia. PLoS ONE. 2017;12:e0175914. Article Google Scholar * Huang Q, Hu BH, Han XJ, Yang
JY, Di XD, Bao JJ, et al. Cyclosporin A ameliorates eclampsia seizure through reducing systemic inflammation in an eclampsia-like rat model. Hypertens Res. 2020;43:263–70. Article CAS
Google Scholar * Clark JL, Zahradka P, Taylor CG. Efficacy of flavonoids in the management of high blood pressure. Nutr Rev. 2015;73:799–822. Article Google Scholar * de Jesus
Romero-Prado MM, Curiel-Beltran JA, Miramontes-Espino MV, Cardona-Munoz EG, Rios-Arellano A, Balam-Salazar LB. Dietary flavonoids added to pharmacological antihypertensive therapy are
effective in improving blood pressure. Basic Clin Pharm Toxicol. 2015;117:57–64. Article Google Scholar * Knekt P, Kumpulainen J, Jarvinen R, Rissanen H, Heliovaara M, Reunanen A, et al.
Flavonoid intake and risk of chronic diseases. Am J Clin Nutr. 2002;76:560–8. Article CAS Google Scholar * Panat NA, Singh BG, Maurya DK, Sandur SK, Ghaskadbi SS. Troxerutin, a natural
flavonoid binds to DNA minor groove and enhances cancer cell killing in response to radiation. Chem-Biol Interact. 2016;251:34–44. Article CAS Google Scholar * Maurya DK, Salvi VP, Nair
CKK. Radioprotection of normal tissues in tumor-bearing mice by troxerutin. J Radiat Res. 2004;45:221–8. Article CAS Google Scholar * Geetha R, Radika MK, Priyadarshini E, Bhavani K,
Anuradha CV. Troxerutin reverses fibrotic changes in the myocardium of high-fat high-fructose diet-fed mice. Mol Cell Biochem. 2015;407:263–79. Article CAS Google Scholar * Raja B,
Saranya D, Prabhu R. Role of flavonoid troxerutin on blood pressure, oxidative stress and regulation of lipid metabolism. Front Biosci (Elite Ed). 2019;11:121–9. Article Google Scholar *
Paulin R, Meloche J, Bonnet S. STAT3 signaling in pulmonary arterial hypertension. Jak-Stat. 2012;1:223–33. Article Google Scholar * Bromberg J, Wang TC. Inflammation and cancer: IL-6 and
STAT3 complete the link. Cancer Cell. 2009;15:79–80. Article CAS Google Scholar * Armstrong DW, Tse MY, O’Tierney-Ginn PF, Wong PG, Ventura NM, Janzen-Pang JJ, et al. Gestational
hypertension in atrial natriuretic peptide knockout mice and the developmental origins of salt-sensitivity and cardiac hypertrophy. Regulatory Pept. 2013;186:108–15. Article CAS Google
Scholar * Vinothkumar R, Vinoth Kumar R, Sudha M, Viswanathan P, Balasubramanian T, Nalini N. Modulatory effect of troxerutin on biotransforming enzymes and preneoplasic lesions induced by
1,2-dimethylhydrazine in rat colon carcinogenesis. Exp Mol Pathol. 2014;96:15–26. Article CAS Google Scholar * Hoseindoost M, Alipour MR, Farajdokht F, Diba R, Bayandor P, Mehri K, et al.
Effects of troxerutin on inflammatory cytokines and BDNF levels in male offspring of high-fat diet fed rats. Avicenna J Phytomedicine. 2019;9:597–605. CAS Google Scholar * Zhao X, Wang X.
Candesartan targeting of angiotensin II type 1 receptor demonstrates benefits for hypertension in pregnancy via the NF‑κB signaling pathway. Mol Med Rep. 2018;18:705–14. CAS PubMed PubMed
Central Google Scholar * Sui R, Zang L, Bai Y. Administration of troxerutin and cerebroprotein hydrolysate injection alleviates cerebral ischemia/reperfusion injury by down-regulating
caspase molecules. Neuropsychiatr Dis Treat. 2019;15:2345. Article CAS Google Scholar * Jamali-Raeufy N, Kardgar S, Baluchnejadmojarad T, Roghani M, Goudarzi M. Troxerutin exerts
neuroprotection against lipopolysaccharide (LPS) induced oxidative stress and neuroinflammation through targeting SIRT1/SIRT3 signaling pathway. Metab Brain Dis. 2019;34:1505–13. Article
CAS Google Scholar * Ji JZ, Elyaman W, Yip HK, Lee VW, Yick LW, Hugon J, et al. CNTF promotes survival of retinal ganglion cells after induction of ocular hypertension in rats: the
possible involvement of STAT3 pathway. Eur J Neurosci. 2004;19:265–72. Article Google Scholar * Zhang Z, Yang X, Zhang L, Duan Z, Jia L, Wang P, et al. Decreased expression and activation
of Stat3 in severe preeclampsia. J Mol Histol. 2015;46:205–19. Article Google Scholar * Hodge DR, Hurt EM, Farrar WL. The role of IL-6 and STAT3 in inflammation and cancer. Eur J Cancer.
2005;41:2502–12. Article CAS Google Scholar * Huang ZM, Cai Y, Yang CC, Chen Z, Sun H, Xu Y, et al. Knockdown of RNF6 inhibits gastric cancer cell growth by suppressing STAT3 signaling.
Oncotargets Ther. 2018;11:6579–86. Article CAS Google Scholar * Subastri A, Harikrishna K, Sureshkumar M, Alshammari GM, Aristatile B, Thirunavukkarasu C. Effect of troxerutin on
2-aminoanthracene and DNA interaction and its anti-mutagenic property. Biomed Pharmacother. 2017;88:325–34. Article CAS Google Scholar Download references AUTHOR INFORMATION AUTHORS AND
AFFILIATIONS * Department of Obstetrics, Zibo Central Hospital, No. 54 of Gongqingtuan West Road, Zhangdian District, Zibo, 255000, Shandong Province, China Yuan Li, Xiuzhi Yang & Bide
Duan * Department of Scientific Education and Communication Cooperation, Zibo Central Hospital, No. 54 of Gongqingtuan West Road, Zhangdian District, Zibo, 255000, Shandong Province, China
Qi Sun * Department of Obstetrics and Gynecology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 Jingwu Road, Jinan, 250021, Shandong, China Yanyun
Wang Authors * Yuan Li View author publications You can also search for this author inPubMed Google Scholar * Xiuzhi Yang View author publications You can also search for this author
inPubMed Google Scholar * Qi Sun View author publications You can also search for this author inPubMed Google Scholar * Bide Duan View author publications You can also search for this author
inPubMed Google Scholar * Yanyun Wang View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Yanyun Wang. ETHICS
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CITE THIS ARTICLE Li, Y., Yang, X., Sun, Q. _et al._ The bioflavonoid troxerutin prevents gestational hypertension in mice by inhibiting STAT3 signaling. _Hypertens Res_ 44, 399–406 (2021).
https://doi.org/10.1038/s41440-020-00568-z Download citation * Received: 26 April 2020 * Revised: 13 August 2020 * Accepted: 23 September 2020 * Published: 30 October 2020 * Issue Date:
April 2021 * DOI: https://doi.org/10.1038/s41440-020-00568-z SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a
shareable link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative KEYWORDS * Troxerutin * Gestational
hypertension * Inflammation * Oxidative stress