中国药物警戒 第 19 卷第 4 期 2022 年 4 月 April, 2022, , DOI:- 中图分类号: China University of Sciences and Technology, Tangshan Hebei 063210, China; Institute of Traditional 4 Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China; Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing 100700, China) Abstract: Objective To observe the inhibitory effects of saponins from Kangke capsules on apoptosis caused by Methods Coxsackievirus B (CVB), and to explore the mechanism. CVB was inoculated into cardiomyocytes to establish an infection model in vitro. The cytopathic effect method (CPE) was adopted to determine the 50% inhibitory concentration (IC50) and therapeutic index (TI) of saponins from Kangke capsules on CVB3, CVB4 and CVB5. CCK-8 kit was used to detect cell viability. TdT-mediated dUTP notch end labeling technique (TUNEL) was used to determine the apoptosis rate of cardiomyocytes. Western-blot was used to study the expressions of Bcl-2 and Bax protein in primary Results rat cardiomyocytes. Saponins from Kangke capsules could significantly