Shanghai Institute of Materia Medica, Chinese Academy of Sciences, 501 Hai Ke Road Zhangjiang, Pudong, Shanghai 201203, China; University of Chinese Academy of Sciences, Beijing 100049, China.
Shanghai Institute of Materia Medica, Chinese Academy of Sciences, 501 Hai Ke Road Zhangjiang, Pudong, Shanghai 201203, China; University of Chinese Academy of Sciences, Beijing 100049, China.
J Ethnopharmacol. 2019 May 23;236:161-172. doi: 10.1016/j.jep.2019.02.022. Epub 2019 Feb 22.
Yin-Chen-Hao Tang (YCHT) has been a very popular, hepatoprotective three-herb formula with an unclear chemical base.
To reveal the hepatoprotective chemical base of oral-dosed YCHT, we bridged the hepatic disposition of six compounds in vivo and their hepatoprotection in vitro.
In vivo, following the oral administration of YCHT in normal and CCl-induced liver injury rats, the determinations of chlorogenic acid, 4-hydroxyacetophenone, geniposide, genipin, rhein and emodin were conducted in the portal vein plasma, the liver, and the systemic plasma. In vitro, the hepatoprotective activities of these compounds were determined in the CCl-induced HepG2 cells.
Consistent with the highest content in YCHT, geniposide had the highest exposure in vivo. Inconsistent with the negligible content, rhein, 4-hydroxyacetophenone, emodin and genipin showed substantial hepatic accumulations. In contrast, chlorogenic acid, an ingredient that has a high content in YCHT, elicited no hepatic exposure. In normal rats, the hepatic disposition prevented the compounds entering into the systemic plasma from the portal vein plasma by 44.9-100%, except for rhein. CCl-induced liver injury caused a decreased hepatic exposure of 4-hydroxyacetophenone, rhein and emodin by 50%. In vitro, all six compounds exerted the hepatoprotection by increasing cell viability, decreasing hepatic marker enzymes and inhibiting lipid peroxidation at varying levels.
Geniposide, rhein, emodin, 4-hydroxyacetophenone and genipin directly resisted liver injury in oral-dosed YCHT, while chlorogenic acid likely played an indirect role. This study proved that YCHT exerted hepatoprotection through multiple components and multiple actions. However, close attention should be paid to the possible side effects and oral dosage of YCHT in clinics.
茵陈蒿汤(YCHT)是一种非常受欢迎的、具有保肝作用的三草药配方,但不清楚其化学基础。
为了揭示口服 YCHT 的保肝化学基础,我们将体内六种化合物的肝处置与其体外保肝作用联系起来。
在正常和 CCl 诱导的肝损伤大鼠口服 YCHT 后,测定了绿原酸、4-羟基苯乙酮、栀子苷、京尼平、大黄酸和大黄素在门静脉血浆、肝脏和全身血浆中的含量。在体外,测定了这些化合物在 CCl 诱导的 HepG2 细胞中的保肝活性。
与 YCHT 中含量最高一致,栀子苷在体内的暴露量最高。与可忽略不计的含量不一致,大黄酸、4-羟基苯乙酮、大黄素和京尼平显示出大量的肝蓄积。相反,绿原酸,一种在 YCHT 中含量很高的成分,没有肝暴露。在正常大鼠中,肝处置使门静脉血浆中的化合物进入全身血浆的比例降低了 44.9-100%,除了大黄酸。CCl 诱导的肝损伤使 4-羟基苯乙酮、大黄酸和大黄素的肝暴露量降低了 50%。在体外,所有六种化合物通过不同程度地增加细胞活力、降低肝标志物酶和抑制脂质过氧化来发挥保肝作用。
栀子苷、大黄酸、大黄素、4-羟基苯乙酮和京尼平直接抵抗口服 YCHT 引起的肝损伤,而绿原酸可能发挥间接作用。本研究证明 YCHT 通过多种成分和多种作用发挥保肝作用。然而,在临床中应密切关注 YCHT 的可能副作用和口服剂量。