Zhang Xia, Liu Yu-Kan, Shen Wei, Shen Ding-Ming
Department of Gastroenterology, Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing 400010, China.
Hepatobiliary Pancreat Dis Int. 2004 Feb;3(1):99-101.
Cordeceps sinensis (CS) is a herb which can inhibit the liver fibrosis. Hyperinsulinemia is common in liver cirrhosis patients. The activity of insulin degrading enzyme could reflect the metabolism of insulin. This study was to detect the dynamical effects and mechanisms of CS on the activity of hepatic insulinase in CCl4 induced liver cirrhosis in rats.
Rats were randomly allocated into three groups: normal group, model group and CS group. The rats in the normal group were sacrificed at the beginning of experiment, and the other two groups were sacrificed randomly at the end of the third, sixth and ninth weeks. Blood and tissue specimens were taken. Biochemical assays were used to determine the changes of alanine transaminase (ALT), albumin levels in serum. And radioimmunological assays were used to determine the changes of hyaluronic acid (HA), insulin levels in serum and the activity of hepatic insulinase.
No significant differences were seen in the serum levels of ALT, albumin, HA between the CS group and the model group at the third and sixth weeks (P>0.05). The serum levels of ALT, HA in the CS group were lower than those in the model group at the ninth week (P<0.05), but the serum level of albumin in the CS group was higher than that in the model group at the ninth week (P<0.05). No significant differences were observed in the serum levels of insulin and the activity of hepatic insulinase between the CS and model groups at the third week and the normal group (P>0.05). The serum levels of insulin in the CS and model groups at the sixth and ninth weeks were higher than those in the normal group (P<0.05). But the activity of hepatic insulinase was lower than that in the normal group (P<0.05 or P<0.01). No significant differences were found in the serum levels of insulin and the activity of hepatic insulinase between the CS and model groups at the third, sixth and ninth weeks (P>0.05).
CS may decrease the damage to hepatocyte by CCl4, and inhibit hepatic fibrogenesis. Six weeks after CCl4 administration, the activity of hepatic insulinase began decreasing. CS could not inhibit the decrease of the activity of hepatic insulinase.
冬虫夏草是一种可抑制肝纤维化的草药。高胰岛素血症在肝硬化患者中很常见。胰岛素降解酶的活性可反映胰岛素的代谢情况。本研究旨在检测冬虫夏草对四氯化碳诱导的大鼠肝硬化肝脏胰岛素酶活性的动态影响及其机制。
将大鼠随机分为三组:正常组、模型组和冬虫夏草组。正常组大鼠在实验开始时处死,另外两组在第三、第六和第九周结束时随机处死。采集血液和组织标本。采用生化检测法测定血清中丙氨酸转氨酶(ALT)、白蛋白水平的变化。采用放射免疫分析法测定血清中透明质酸(HA)、胰岛素水平及肝脏胰岛素酶活性的变化。
在第三和第六周时,冬虫夏草组与模型组血清中ALT、白蛋白、HA水平比较,差异无统计学意义(P>0.05)。在第九周时,冬虫夏草组血清中ALT、HA水平低于模型组(P<0.05),但冬虫夏草组血清白蛋白水平高于模型组(P<0.05)。在第三周时,冬虫夏草组与模型组血清胰岛素水平及肝脏胰岛素酶活性与正常组比较,差异无统计学意义(P>0.05)。在第六和第九周时,冬虫夏草组与模型组血清胰岛素水平高于正常组(P<0.05)。但肝脏胰岛素酶活性低于正常组(P<0.05或P<0.01)。在第三、第六和第九周时,冬虫夏草组与模型组血清胰岛素水平及肝脏胰岛素酶活性比较,差异无统计学意义(P>0.05)。
冬虫夏草可能减轻四氯化碳对肝细胞的损伤,抑制肝纤维化形成。四氯化碳给药六周后,肝脏胰岛素酶活性开始下降。冬虫夏草不能抑制肝脏胰岛素酶活性的下降。