Jeong Da-Hee, Lee Gi-Ppeum, Jeong Won-Il, Do Sun-Hee, Yang Hai-Jie, Yuan Dong-Wei, Park Ho-Yong, Kim Kyu-Jong, Jeong Kyu-Shik
College of Veterinary Medicine, Kyungpook National University, Daegu 702-701, Republic of Korea.
World J Gastroenterol. 2005 Feb 28;11(8):1141-8. doi: 10.3748/wjg.v11.i8.1141.
Silymarin is a potent antioxidant, antiinflammatory and anti-fibrogenic agent in the liver, which is mediated by alteration of hepatic Kupffer cell function, lipid peroxidation, and collagen production. Especially, in hepatic fibrogenesis, mast cells are expressed in chronic inflammatory conditions, and promote fibroblast growth and stimulate production of the extracellular matrix by hepatic stellate cells.
We examined the inhibitory mechanism of silymarin on CCl(4)-induced hepatic cirrhosis in rats. At 4, 8, and 12 wk, liver tissues were examined histopathologically for fibrotic changes produced by silymarin treatment.
In the silymarin with CCl(4)-treated group, increase of hepatic stellate cells and TGF-beta1 production were lower than in the CCl(4)-treated group at early stages. Additionally, at the late fibrogenic stage, expressions of TGF-beta1 were weaker and especially not expressed in hepatocytes located in peripheral areas. Moreover, the number of mast cell in portal areas gradually increased and was dependent on the fibrogenic stage, but those of CCl(1)+silymarin-treated group decreased significantly.
Anti-fibrotic and antiinflammatory effects of silymarin were associated with activation of hepatic stellate cells through the expression of TGF-beta1 and stabilization of mast cells. These results suggest that silymarin prevent hepatic fibrosis through suppression of inflammation and hypoxia in the hepatic fibrogenesis.
水飞蓟素是肝脏中一种有效的抗氧化、抗炎和抗纤维化剂,其作用通过肝脏库普弗细胞功能的改变、脂质过氧化和胶原蛋白生成来介导。特别是在肝纤维化形成过程中,肥大细胞在慢性炎症条件下表达,并促进成纤维细胞生长,刺激肝星状细胞产生细胞外基质。
我们研究了水飞蓟素对四氯化碳诱导的大鼠肝硬化的抑制机制。在第4、8和12周时,对肝组织进行组织病理学检查,以观察水飞蓟素治疗产生的纤维化变化。
在水飞蓟素与四氯化碳处理组中,早期肝星状细胞的增加和转化生长因子-β1(TGF-β1)的产生低于四氯化碳处理组。此外,在纤维化后期,TGF-β1的表达较弱,特别是在外周区域的肝细胞中不表达。而且,门管区肥大细胞数量逐渐增加,且依赖于纤维化阶段,但四氯化碳+水飞蓟素处理组的肥大细胞数量显著减少。
水飞蓟素的抗纤维化和抗炎作用与通过TGF-β1的表达激活肝星状细胞以及稳定肥大细胞有关。这些结果表明,水飞蓟素通过抑制肝纤维化形成过程中的炎症和缺氧来预防肝纤维化。