Zhang Mingxiao, Hu Xiaosong, Li Shuai, Lu Chen, Li Juan, Zong Yonghua, Qi Wenqian, Yang Huijun
Department of Morphology Lab, Chengdu Medical College, Sichuan Chengdu, China; Luoyang Vocational and Technical College, Luoyang, Henan, China.
Department of Morphology Lab, Chengdu Medical College, Sichuan Chengdu, China.
Clin Res Hepatol Gastroenterol. 2018 Feb;42(1):72-81. doi: 10.1016/j.clinre.2017.04.008. Epub 2017 Jun 7.
Liver fibrosis is a worldwide clinical issue. It has been well established that liver fibrosis is characterized of excessive extracellular matrix (ECM) deposition in chronically damaged livers. Accumulating evidences have suggested that ethyl pyruvate (EP) is a potential useful agent for preventing from hepatic injury. The aim of this study was to evaluate the protective effects of the EP against liver fibrosis induced by carbon tetrachloride (CCl4) in rats.
Rats were randomly divided into control group, CCl4 group and CCl4+EP group, which with and without EP administration. Liver fibrosis was evaluated by serum biochemical parameters levels, Masson's trichromic staining and immunohistochemistry. Q-RTPCR was used to indicate genes expression. ELISA was used to detect proteins level.
This study demonstrates that Toll-like receptors 4 (TLR4)/nuclear factor kappa B (NF-κB) signal is an important regulator of liver fibrosis while TLR4/NF-κB mRNA and protein levels reduced during HSCs activation. In addition, down-regulated high-mobility group box 1 (HMGB1) expression reduced NF-κB transcription and phosphorylation, which inhibited HSCs activation by blocking the TLR4 signal. Moreover, EP contributed to an increase in the ratio of matrix metalloproteinase (MMPs) to tissue inhibitor of matrix metalloproteinase (TIMPs), which might facilitate the degradation of the ECM. In CCl4-induced liver fibrosis rats, additional EP injection resulted in decreased ECM deposition and improved liver function.
In conclusion, the present findings indicated that EP might be an effective agent for anti-fibrotic therapy.
肝纤维化是一个全球性的临床问题。已经明确的是,肝纤维化的特征是在慢性受损肝脏中细胞外基质(ECM)过度沉积。越来越多的证据表明,丙酮酸乙酯(EP)是一种预防肝损伤的潜在有效药物。本研究的目的是评估EP对四氯化碳(CCl4)诱导的大鼠肝纤维化的保护作用。
将大鼠随机分为对照组、CCl4组和CCl4 + EP组,分别给予或不给予EP。通过血清生化参数水平、Masson三色染色和免疫组织化学评估肝纤维化。采用Q-RTPCR检测基因表达。采用ELISA检测蛋白水平。
本研究表明,Toll样受体4(TLR4)/核因子κB(NF-κB)信号是肝纤维化的重要调节因子,而在肝星状细胞(HSCs)激活过程中TLR4/NF-κB mRNA和蛋白水平降低。此外,高迁移率族蛋白B1(HMGB1)表达下调降低了NF-κB转录和磷酸化,通过阻断TLR4信号抑制HSCs激活。此外,EP导致基质金属蛋白酶(MMPs)与基质金属蛋白酶组织抑制剂(TIMPs)的比例增加,这可能促进ECM的降解。在CCl4诱导的肝纤维化大鼠中,额外注射EP导致ECM沉积减少和肝功能改善。
总之,目前的研究结果表明,EP可能是一种有效的抗纤维化治疗药物。