Shuguang Hospital affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Liver Diseases, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Shuguang Hospital affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Liver Diseases, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
J Ethnopharmacol. 2015 Jul 1;169:200-9. doi: 10.1016/j.jep.2015.04.015. Epub 2015 Apr 24.
Huangqi decoction was first described in Prescriptions of the Bureau of Taiping People׳s Welfare Pharmacy in the Song Dynasty (AD1078). It consists of Radix Astragali (Astragalus membranceus (Fisch.) Bge. Root, Huangqi) and Radix Glycyrrhizae (Glycyrrhiza uralensis Fisch., root and rhizome, Gancao), and it is an effective recipe that is usually used to treat consumptive disease and chronic liver diseases. Astragaloside (AS) is a main component of Radix Astragali had an effect similar to the Huangqi decoction on hepatic fibrosis.
Cholestasis is associated with a number of chronic liver diseases and Notch signaling has been demonstrated to be involved in ductular reaction. Previous studies have shown that AS can prevent the progression of cholestatic liver fibrosis, however, whether AS affects the Notch signaling pathway is unclear.
Cholestatic liver fibrosis was established by common bile duct ligation (BDL) in rats. At first weekend, the rats were randomly divided into a model group (BDL), an AS group, and a Sorafenib positive control group (SORA) and treated for 3 weeks. Bile duct proliferation and liver fibrosis were determined by tissue staining. Activation of the Notch signaling pathway was evaluated by analyzing expressions of Notch-1, -2, -3, -4, Jagged 1 (JAG1), Delta-like (DLL)-1, -3, -4, Hes1, Numb and RBP-Jκ. Activation of the Wnt signaling pathway was evaluated by analyzing expressions of Wnt-4, -5a, -5b, Frizzled (Fzd)-2, -3, -6 and β-catenin.
(1) Compared with the BDL group, AS significantly reduced the deposition of collagen and the Hyp content of liver tissue and inhibited the activation of HSCs. In addition, AS significantly decreased the protein and mRNA expressions of TGF-β1 and α-SMA. In contrast, AS significantly enhanced expression of the Smad 7 protein. AS also reduced biliary epithelial cell proliferation, and reduced the mRNA and protein expressions of CK7, CK8, CK18, CK19, OV6, Sox9 and EpCAM. (2) The mRNA and protein expressions of Notch-2, -3, -4 and JAG1 were significantly reduced in the AS compared to the BDL group. In contrast, the mRNA and protein level of Numb was clearly enhanced after AS treatment.
AS may prevent biliary liver fibrosis via inhibition of the Notch signaling pathway, thereby inhibiting the abnormal proliferation of biliary epithelial cells. Results indicate that AS may be a potential therapeutic drug for cholestatic liver disease.
黄芪汤最早记载于宋代(公元 1078 年)的《太平惠民和剂局方》。它由黄芪(膜荚黄芪)和甘草(甘草)组成,是一种常用于治疗虚劳病和慢性肝病的有效方剂。黄芪甲苷(AS)是黄芪的主要成分,对肝纤维化有类似于黄芪汤的作用。
胆汁淤积与多种慢性肝病有关,而 Notch 信号已被证明参与胆管反应。先前的研究表明,AS 可以阻止胆汁淤积性肝纤维化的进展,然而,AS 是否影响 Notch 信号通路尚不清楚。
通过胆总管结扎(BDL)在大鼠中建立胆汁淤积性肝纤维化模型。在第一个周末,大鼠随机分为模型组(BDL)、AS 组和索拉非尼阳性对照组(SORA),并治疗 3 周。通过组织染色测定胆管增殖和肝纤维化。通过分析 Notch-1、-2、-3、-4、Jagged1(JAG1)、Delta-like(DLL)-1、-3、-4、Hes1、Numb 和 RBP-Jκ 的表达来评估 Notch 信号通路的激活。通过分析 Wnt-4、-5a、-5b、Frizzled(Fzd)-2、-3、-6 和 β-catenin 的表达来评估 Wnt 信号通路的激活。
(1)与 BDL 组相比,AS 显著减少了肝组织胶原沉积和 Hyp 含量,抑制了 HSCs 的激活。此外,AS 显著降低了 TGF-β1 和 α-SMA 的蛋白和 mRNA 表达。相反,AS 显著增强了 Smad7 蛋白的表达。AS 还降低了胆管上皮细胞的增殖,并降低了 CK7、CK8、CK18、CK19、OV6、Sox9 和 EpCAM 的 mRNA 和蛋白表达。(2)与 BDL 组相比,AS 组 Notch-2、-3、-4 和 JAG1 的 mRNA 和蛋白表达均显著降低。相反,AS 处理后 Numb 的 mRNA 和蛋白水平明显增强。
AS 可能通过抑制 Notch 信号通路来预防胆性肝纤维化,从而抑制胆管上皮细胞的异常增殖。结果表明,AS 可能是一种治疗胆汁淤积性肝病的潜在药物。