Department of Gastroenterology, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai, China.
J Gastroenterol Hepatol. 2011 Apr;26(4):765-74. doi: 10.1111/j.1440-1746.2010.06561.x.
Non-alcoholic steatohepatitis (NASH) is one entity in the spectrum of non-alcoholic fatty liver disease (NAFLD). The aim of this study was to explore the prevention and therapeutic effect of sophocarpine on experimental rat NASH.
Sophocarpine with the dosage of 20 mg/kg/day was injected into NASH rats. At the end of 12 weeks, all rats were killed to detect the degree of fatty degeneration, inflammation and fibrosis.
Sophocarpine intervention (in the pro-treated and treated groups) resulted in a significant decrease of liver weight, liver index, serum transaminase and serum lipids. Messenger RNA expressions of leptin, interleukin (IL)-6, tumor necrosis factor (TNF)-α, transforming growth factor (TGF)-β1, procollagen-I and α-smooth muscle actin (SMA) and deposition of IL-6, TNF-α and TGF-β1 in liver decreased, whereas the messenger RNA expression of adiponectin increased significantly compared with that in the model group. Moreover, histological improvement was also observed in the sophocarpine intervention group. In addition, there was no significant difference in any detected indicator between the pro-treated and treated group.
Sophocarpine could decrease the level of serum transaminase, improve lipid metabolism, reduce synthesis of inflammatory cytokines TNF-α, TGF-β1 and IL-6, activate protective adipocytokine adiponectin, and might be selected as a promising agent for the clinical prevention and therapy of NASH.
非酒精性脂肪性肝炎(NASH)是一种非酒精性脂肪性肝病(NAFLD)谱中的实体。本研究旨在探讨苦参碱对实验性大鼠 NASH 的预防和治疗作用。
苦参碱以 20mg/kg/天的剂量注射到 NASH 大鼠中。在 12 周结束时,所有大鼠均被处死以检测脂肪变性、炎症和纤维化的程度。
苦参碱干预(预处理组和治疗组)导致肝重、肝指数、血清转氨酶和血清脂质显著降低。瘦素、白细胞介素(IL)-6、肿瘤坏死因子(TNF)-α、转化生长因子(TGF)-β1、I 型前胶原和α-平滑肌肌动蛋白(SMA)的信使 RNA 表达以及 IL-6、TNF-α 和 TGF-β1 在肝脏中的沉积减少,而脂联素的信使 RNA 表达明显增加与模型组相比。此外,苦参碱干预组的组织学也得到了改善。此外,预处理组和治疗组之间在任何检测指标上均无显著差异。
苦参碱可降低血清转氨酶水平,改善脂质代谢,减少炎症细胞因子 TNF-α、TGF-β1 和 IL-6 的合成,激活保护性脂肪细胞因子脂联素,可作为 NASH 临床预防和治疗的一种有前途的药物。