Departments of Pharmacology and General and Gastroenterological Surgery, Osaka Medical College, Takatsuki, Japan.
Hepatol Res. 2010 Aug;40(8):832-40. doi: 10.1111/j.1872-034X.2010.00672.x. Epub 2010 Jul 7.
Chymase converts angiotensin I to angiotensin II, which may promote the development of liver fibrosis. In this study, whether a chymase inhibitor TY-51469 attenuated tetrachloride (CCl(4))-induced liver fibrosis was examined.
Liver fibrosis was induced by the s.c. injection of 1 mL/kg of CCl(4) twice weekly for 8 weeks, and each hamster was given TY-51469 (1 mg/kg per day) or placebo. Untreated hamsters were used as a control group.
Significant increases of serum alanine aminotransferase, total bilirubin and hyaluronic acid levels were observed in the placebo-treated group compared with the control group, but these levels were significantly attenuated in the TY-51469-treated group. Liver chymase activity was significantly higher in the placebo-treated group than in the control group, whereas the activity in the TY51469-treated group was not. Total angiotensin II-forming activity in the liver was also significantly higher in the placebo-treatedgroup than in the control group or the TY-51469-treated group. The ratio of the fibrotic area to the total area in the liver was significantly higher in the placebo-treated group than in the control group, but the ratio was significantly lower in the TY-51469-treated group than in the placebo-treated group. A significant decrease in the number of alpha-smooth muscle actin (SMA)-positive cells was seen in the TY-51469-treated group compared to the placebo-treated group.
Significant correlations between the number of chymase-positive cells and the degree of fibrosis and between the numbers of chymase-positive cells and alpha-SMA-positive cells were observed. Thus, chymase inhibition may be a useful strategy for preventing liver fibrosis.
糜酶将血管紧张素 I 转化为血管紧张素 II,后者可能促进肝纤维化的发展。本研究旨在观察糜酶抑制剂 TY-51469 是否能减轻四氯化碳(CCl(4))诱导的肝纤维化。
通过皮下注射 1ml/kg 的 CCl(4),每周两次,共 8 周,诱导肝纤维化。每只仓鼠给予 TY-51469(1mg/kg/天)或安慰剂。未治疗的仓鼠作为对照组。
与对照组相比,安慰剂治疗组的血清丙氨酸氨基转移酶、总胆红素和透明质酸水平显著升高,但 TY-51469 治疗组的这些水平显著降低。与对照组相比,安慰剂治疗组的肝糜酶活性显著升高,而 TY51469 治疗组的活性没有升高。肝内总血管紧张素 II 形成活性在安慰剂治疗组也显著高于对照组或 TY-51469 治疗组。安慰剂治疗组肝纤维化面积与总面积的比值明显高于对照组,但 TY-51469 治疗组的比值明显低于安慰剂治疗组。与安慰剂治疗组相比,TY-51469 治疗组的α-平滑肌肌动蛋白(α-SMA)阳性细胞数明显减少。
观察到阳性细胞数与纤维化程度之间以及阳性细胞数与α-SMA 阳性细胞数之间存在显著相关性。因此,抑制糜酶可能是预防肝纤维化的一种有效策略。