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冬虫夏草对实验性肝纤维化的抑制作用及其可能机制。

Inhibitive effect of cordyceps sinensis on experimental hepatic fibrosis and its possible mechanism.

作者信息

Liu Yu-Kan, Shen Wei

机构信息

Department of Gastroenterology, the Second affiliated hospital, Chongqing University of Medical Sciences, Chongqing 400010, China.

出版信息

World J Gastroenterol. 2003 Mar;9(3):529-33. doi: 10.3748/wjg.v9.i3.529.

Abstract

AIM

To investigate the inhibitive effect and its possible mechanism of Cordyceps Sinensis (CS) on CCl(4)-plus ethanol-induced hepatic fibrogenesis in experimental rats.

METHODS

Rats were randomly allocated into a normal control group, a model control group and a CS group. The latter two groups were administered with CCl(4) and ethanol solution at the beginning of the experiment to induce hepatic fibrosis. The CS group was also treated with CS 10 days after the beginning of CCl(4) and ethanol administration. All control groups were given corresponding placebo at the same time. At the end of the 9th week, rats in each group were humanely sacrificed. Blood and tissue specimens were taken. Biochemical, radioimmunological, immunohistochemical and molecular biological examinations were used to determine the level change of ALT, AST, HA, LN content in serum and TGFbeta(1), PDGF, collagen I and III expression in tissue at either protein or mRNA level or both of them.

RESULTS

As compared with the model control group, serum ALT, AST, HA, and LN content levels were markedly dropped in CS group (86.0+/-34.4 vs 224.3+/-178.9, 146.7+/-60.2 vs 272.6+/-130.1, 202.0+/-79.3 vs 316.5+/-94.1 and 50.4+/-3.0 vs 59.7+/-9.8, respectively, P<0.05). Tissue expression of TGFbeta(1) and its mRNA, collagen I mRNA were also markedly decreased (0.2+/-0.14 vs 1.73+/-1.40, 1.68+/-0.47 vs 3.17+/-1.17, 1.10+/-0.84 vs 2.64+/-1.40, respectively, P<0.05). More dramatical drop could be seen in PDGF expression (0.87+/-0.43 vs 1.91+/-0.74, P<0.01). Although there was no statistical significance, it was still strongly suggested that collagen III mRNA expression was also decreased in CS group as compared with model control group (0.36+/-0.27 vs 0.95+/-0.65, P=0.0615). In this experiment, no significant change could be found in PDGF mRNA expression between two groups (0.35+/-0.34 vs 0.70+/-0.46, P>0.05).

CONCLUSION

Cordyceps sinensis could inhibit hepatic fibrogenesis derived from chronic liver injury, retard the development of cirrhosis, and notably ameliorate the liver function. Its possible mechanism involves inhibiting TGFbeta(1) expression, and thereby, down regulating PDGF expression, preventing HSC activation and deposition of procollagen I and III.

摘要

目的

探讨冬虫夏草(CS)对四氯化碳加乙醇诱导的实验性大鼠肝纤维化的抑制作用及其可能机制。

方法

将大鼠随机分为正常对照组、模型对照组和CS组。后两组在实验开始时给予四氯化碳和乙醇溶液以诱导肝纤维化。CS组在给予四氯化碳和乙醇10天后也用CS进行治疗。所有对照组同时给予相应的安慰剂。在第9周结束时,对每组大鼠进行人道处死。采集血液和组织标本。采用生化、放射免疫、免疫组化和分子生物学检测方法,从蛋白质或mRNA水平或两者同时检测血清中ALT、AST、HA、LN含量以及组织中TGFβ(1)、PDGF、I型和III型胶原蛋白表达的水平变化。

结果

与模型对照组相比,CS组血清ALT、AST、HA和LN含量水平显著下降(分别为86.0±34.4对224.3±178.9、146.7±60.2对272.6±130.1、202.0±79.3对316.5±94.1和50.4±3.0对59.7±9.8,P<0.05)。TGFβ(1)及其mRNA、I型胶原蛋白mRNA的组织表达也显著降低(分别为0.2±0.14对1.73±1.40、1.68±0.47对3.17±1.17、1.10±0.84对2.64±1.40,P<0.05)。PDGF表达下降更为显著(0.87±0.43对1.91±0.74,P<0.01)。虽然无统计学意义,但仍强烈提示CS组与模型对照组相比III型胶原蛋白mRNA表达也降低(0.36±0.27对0.95±0.65,P=0.0615)。在本实验中,两组间PDGF mRNA表达无显著变化(0.35±0.34对0.70±0.46,P>0.05)。

结论

冬虫夏草可抑制慢性肝损伤所致的肝纤维化,延缓肝硬化的发展,并显著改善肝功能。其可能机制包括抑制TGFβ(1)表达,从而下调PDGF表达,阻止肝星状细胞活化及I型和III型前胶原的沉积。

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