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丹参素、黄芩苷、黄芪及三七总皂苷对肝纤维化的抑制作用及其可能机制

[Inhibiting effects of denshensu, baicalin, astragalus and Panax notoginseng saponins on hepatic fibrosis and their possible mechanisms].

作者信息

Li Xin, Peng Xiao-dong, Zhang Wen-li, Dai Li-li

机构信息

Department of Gastroenterology, Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.

出版信息

Zhonghua Gan Zang Bing Za Zhi. 2008 Mar;16(3):193-7.

Abstract

OBJECTIVE

To study the anti-fibrotic effects of danshensu, baicalin, astragalus and Panax notoginseng saponins (PNS) and their possible mechanisms.

METHODS

The four Chinese herb products mentioned above were given intraperitoneally to experimental rats with hepatic fibrosis. Colchicine was administered to a control group. Comparisons were made in four aspects: (1) Degrees of liver fibrosis; (2) Serum levels of hyaluronic acid (HA) and type IV collagen (CIV), using radioimmunoassay; (3) Densities of malondialdehyde (MDA), superoxide dismutase (SOD) and hydroxyproline (Hyp), using chromatometry, to detect the expression of tissue inhibitors of matrix metalloproteinase-1 (TIMP-1), matrix metalloproteinase-1(MMP-1) and transforming growth factor beta 1 (TGF beta 1) in liver tissues, using immunohistochemical techniques; and (4) For hepatic stellate cells (HSCs): proliferation using MMT calorimetric assay, the cell cycles using flow cytometry, apoptosis using AO/EB fluorescence staining and type I and type III collagens using immunocytochemical stainings.

RESULTS

(1) Compared with the model group, the serum levels of HA and CIV decreased significantly in all four drug-treated groups, especially in the danshensu-treated group. Astragalus and baicalin had better effects over PNS (P<0.05 or 0.01). (2) In contrast to the model group, all four drugs dramatically reduced the amount of Hyp and MDA, increased SOD activity and reduced the degrees of liver fibrosis and the expressions of TIMP-1 and TGFbeta1 in liver tissues (P<0.05 or 0.01). Danshensu had the best effect, astragalus and baicalin had similar effects which were stronger than PNS. (3) All four drugs inhibited HSCs proliferation, induced HSCs apoptosis and decreased type I, III collagen synthesis of HSC.

CONCLUSIONS

The four drugs could minimize the hepatic fibrosis of rats in different degrees. Danshensu had the best effect, astragalus and baicalin had similar effects. The possible mechanisms of these effects might be related to inhibiting actions on activation and proliferation, promoting apoptosis and lowering the expression of type I and type III collagen of HSCs by down-regulating the expression of TGFbeta1; the decrease in the amount of MDA and the increase of SOD activity; and the reduction of extracellular matrix by down-regulation of TIMP-1/MMP-1.

摘要

目的

研究丹参素、黄芩苷、黄芪和三七总皂苷(PNS)的抗纤维化作用及其可能机制。

方法

将上述四种中药制剂腹腔注射给予肝纤维化实验大鼠。秋水仙碱给予对照组。从四个方面进行比较:(1)肝纤维化程度;(2)采用放射免疫分析法检测血清透明质酸(HA)和IV型胶原(CIV)水平;(3)采用比色法检测丙二醛(MDA)、超氧化物歧化酶(SOD)和羟脯氨酸(Hyp)的含量,采用免疫组化技术检测肝组织中基质金属蛋白酶组织抑制因子-1(TIMP-1)、基质金属蛋白酶-1(MMP-1)和转化生长因子β1(TGFβ1)的表达;(4)对于肝星状细胞(HSCs):采用MTT比色法检测增殖情况,采用流式细胞术检测细胞周期,采用AO/EB荧光染色检测凋亡情况,采用免疫细胞化学染色检测I型和III型胶原。

结果

(1)与模型组相比,四个药物治疗组的血清HA和CIV水平均显著降低,尤其是丹参素治疗组。黄芪和黄芩苷的效果优于PNS(P<0.05或0.01)。(2)与模型组相比,四种药物均显著降低Hyp和MDA含量,增加SOD活性,减轻肝纤维化程度及肝组织中TIMP-1和TGFβ1的表达(P<0.05或0.01)。丹参素效果最佳,黄芪和黄芩苷效果相似且强于PNS。(3)四种药物均抑制HSCs增殖,诱导HSCs凋亡并降低HSC的I、III型胶原合成。

结论

四种药物均可不同程度减轻大鼠肝纤维化。丹参素效果最佳,黄芪和黄芩苷效果相似。这些作用的可能机制可能与抑制激活和增殖、促进凋亡以及通过下调TGFβ1的表达降低HSCs的I型和III型胶原表达有关;与降低MDA含量和增加SOD活性有关;以及通过下调TIMP-1/MMP-1减少细胞外基质有关。

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