Wu Wei, Piao Haiyu, Wu Fushun, Han Yong, An Dongzhu, Wu Yanling, Lin Zhenhua, Piao Yingshi, Jin Jingchun
Key Laboratory of Science and Technology Department (Jilin Province), Cancer Research Center, Yanbian University Medical College Yanji 133002, Jilin Province, China.
Department of Internal Medicine of Yanbian University Hospital Yanji 133000, Jilin Province, China.
Am J Transl Res. 2019 Sep 15;11(9):5998-6006. eCollection 2019.
Traditional Chinese medicine theory indicates that Yu Jin Pulvis (YJP) could prevent liver fibrosis progression and this has been verified in liver fibrosis patients. However, the mechanism underlying the protective effects of YJP against liver fibrosis remains unclear. While different signaling pathways are involved in liver fibrosis progression, mitogen-activated protein kinase (MAPK) and phosphoinositide-3-kinase-protein kinase B/Akt (PI3K/Akt) are the most crucial. To determine whether YJP regulates these signaling pathways to prevent liver fibrosis, we used a mouse model of liver fibrosis induced by intraperitoneal injection of carbon tetrachloride (CCl). Mice were randomly divided into normal, CCl, YJP (300 mg/kg), CCl+YJP (100, 200, and 300 mg/kg), and two positive control silybin (100 mg/kg) and Fuzheng Huayu (FZHY) capsule (2 g/kg) groups. The mice were gavaged daily for 6 weeks. Then liver fibrosis markers; tissue morphology; serum alanine aminotransferase (ALT), aspartate aminotransferase (AST), and proinflammatory cytokine levels; and expression of α-smooth muscle actin (α-SMA) and collagen type I (Col1) were examined to determine liver fibrosis progression. Liver injury and collagen deposition were significantly reduced in the YJP treatment group compared with the CCl group. Furthermore, the expression of phosphorylated-extracellular-signal-regulated kinase (p-ERK), p-jun N-terminal kinase (p-JNK), p-P38MAPK, p-PI3K and p-Akt was decreased by YJP treatment compared with CCl treatment. Collectively, these results demonstrate the antifibrosis effect of YJP on CCl-induced liver fibrosis in mice, mediated through blockade of the MAPK and PI3K/Akt signaling pathways. Therefore, YJP has therapeutic potential against liver fibrosis.
中医理论表明,郁金散(YJP)可阻止肝纤维化进展,这已在肝纤维化患者中得到证实。然而,YJP对肝纤维化保护作用的潜在机制仍不清楚。虽然不同的信号通路参与肝纤维化进展,但丝裂原活化蛋白激酶(MAPK)和磷脂酰肌醇-3-激酶-蛋白激酶B/Akt(PI3K/Akt)是最关键的。为了确定YJP是否通过调节这些信号通路来预防肝纤维化,我们使用腹腔注射四氯化碳(CCl)诱导的肝纤维化小鼠模型。将小鼠随机分为正常组、CCl组、YJP(300mg/kg)组、CCl+YJP(100、200和300mg/kg)组以及两个阳性对照组水飞蓟宾(100mg/kg)组和扶正化瘀(FZHY)胶囊(2g/kg)组。小鼠每天灌胃6周。然后检测肝纤维化标志物、组织形态、血清丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)和促炎细胞因子水平,以及α-平滑肌肌动蛋白(α-SMA)和I型胶原(Col1)的表达,以确定肝纤维化进展情况。与CCl组相比,YJP治疗组的肝损伤和胶原沉积明显减少。此外,与CCl治疗相比,YJP治疗可降低磷酸化细胞外信号调节激酶(p-ERK)、磷酸化c-Jun氨基末端激酶(p-JNK)、磷酸化P38MAPK、磷酸化PI3K和磷酸化Akt的表达。总体而言,这些结果证明YJP对CCl诱导的小鼠肝纤维化具有抗纤维化作用,其作用机制是通过阻断MAPK和PI3K/Akt信号通路实现的。因此,YJP具有治疗肝纤维化的潜力。