Chen Ming-Ho, Chen Jung-Chou, Tsai Chin-Chuan, Wang Wen-Chuang, Chang De-Ching, Tu Dom-Gene, Hsieh Hsiao-Yen
Research Institute of Chinese Medicine, Chinese Medical University, Taichung, Taiwan, ROC.
J Ethnopharmacol. 2005 Feb 10;97(1):7-13. doi: 10.1016/j.jep.2004.09.040. Epub 2004 Dec 10.
Liver fibrosis is an over-accumulation of extra-cellular matrix (ECM) and the hepatic stellate cell (Ito cell) play a central role in the pathogenesis of liver fibrosis. There are a lot of growth factors and cytokines involved in the activation of hepatic stellate cell, including of transforming growth factor (TGF-alpha, TGF-beta1), platelet-derived growth factor (PDGF), interleukin (IL-1alpha,beta, IL-6) and tumor necrosis factor (TNF-alpha). Sho-saiko-to (TJ-9; Xiao-Chai-Hu-Tang in Chinese) was the most popular herbal medicine for the treatment of chronic liver disease in Chinese and Japanese. Our aim of the current study was to examine whether TJ-9 regulated the growth factors and cytokines in the fibrogenesis of bile duct ligated model. Therefore, we assessed the TJ-9's potential in regulating TGF-beta1, PDGF mRNA expression, the amount of IL-1alpha, IL-1beta, IL-6, TNF-alpha and the fibrotic marker "PIII NP" in the serum. Then, using the immunohistochemical stain to observe the TGF-beta1 expression in the tissue. Our results showed that TJ-9 at a dose of 0.5 g/(kgday) significantly reduced the serum level of PIII NP, the mRNA expression of TGF-beta1 and PDGF. For the cytokines involved in the activation of Ito cell, TJ-9 at a dose of 0.5 g/(kgday) significantly suppressed the increasing tendency of IL-1beta and enhanced the production of TNF-alpha. Finally, we concluded that: (1) TJ-9 at a dose of 0.5g/(kgday) significantly reduced the serum fibrotic marker PIII NP in the bile duct ligated model, and its mechanism was partly by means of downregulating the mRNA of TGF-beta1 and PDGF. These results also confirmed by the immunohistochemical staining of TGF-beta1. (2) TJ-9 at a dose of 0.5 g/(kgday) suppressed the increasing tendency of IL-1beta and stimulated the production of TNF-alpha to inhibit Ito cell proliferation and collagen formation.
肝纤维化是细胞外基质(ECM)过度蓄积,肝星状细胞(伊托细胞)在肝纤维化发病机制中起核心作用。有许多生长因子和细胞因子参与肝星状细胞的激活,包括转化生长因子(TGF-α、TGF-β1)、血小板衍生生长因子(PDGF)、白细胞介素(IL-1α、β、IL-6)和肿瘤坏死因子(TNF-α)。小柴胡汤(TJ-9;中文为小柴胡汤)是中国和日本治疗慢性肝病最常用的草药。本研究的目的是检验TJ-9是否调节胆管结扎模型纤维化形成中的生长因子和细胞因子。因此,我们评估了TJ-9调节血清中TGF-β1、PDGF mRNA表达、IL-1α、IL-1β、IL-6、TNF-α的量以及纤维化标志物“Ⅲ型前胶原氨基端肽(PIII NP)”的潜力。然后,用免疫组织化学染色观察组织中TGF-β1的表达。我们的结果显示,剂量为0.5 g/(kg·天)的TJ-9显著降低血清PIII NP水平、TGF-β1和PDGF的mRNA表达。对于参与伊托细胞激活的细胞因子,剂量为0.5 g/(kg·天)的TJ-9显著抑制IL-1β的上升趋势并增强TNF-α的产生。最后,我们得出结论:(1)剂量为0.5g/(kg·天)的TJ-9在胆管结扎模型中显著降低血清纤维化标志物PIII NP,其机制部分是通过下调TGF-β1和PDGF的mRNA。TGF-β1的免疫组织化学染色也证实了这些结果。(2)剂量为0.5 g/(kg·天)的TJ-9抑制IL-1β的上升趋势并刺激TNF-α的产生,以抑制伊托细胞增殖和胶原形成。