Department of Pharmacology, Faculty of Medicine, Tanta University, Tanta, Egypt.
Department of Physiology, Faculty of Medicine, Tanta University, Tanta, Egypt.
Can J Physiol Pharmacol. 2021 Mar;99(3):294-302. doi: 10.1139/cjpp-2020-0049. Epub 2020 Jul 29.
The current study aimed to investigate linagliptin for its potential role in the prevention of liver fibrosis progression. Balb-C mice were randomly allocated into five groups (10 each): () control; () mice were injected intraperitoneally with 50 μL carbon tetrachloride (CCl) in corn oil in a dose of 0.6 μL/g three times per week for four weeks; () linagliptin was administered orally in a daily dose of 10 mg/kg simultaneously with CCl; () silymarin was administered orally in a daily dose of 200 mg/kg concomitantly with CCl; and () only linagliptin was administered. Hepatic injury was manifested in the CCl group by elevation of biochemical parameters (alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP)), and hepatic fibrosis was evident histopathologically by increased METAVIR score and immunostaining expression of alpha-smooth muscle actin (α-SMA), as well as increased liver tissue oxidative stress parameters, transforming growth factor-β1 (TGF-β1), and mammalian target of rapamycin (mTOR). Linagliptin was able to stop the progression of liver fibrosis, evident histopathologically with reduced METAVIR score and α-SMA expression. The possible mechanism may be via suppression of oxidative stress, TGF-β1, and mTOR, which was associated with improvement of serum biochemical parameters ALT and AST. In conclusion, linagliptin might help to protect the liver against persistent injury-related consequences.
本研究旨在探讨利拉利汀在预防肝纤维化进展中的作用。Balb-C 小鼠随机分为五组(每组 10 只):()对照组;()腹腔注射 0.6 μL/g 浓度的 50 μL 四氯化碳(CCl),每周 3 次,共 4 周;()利拉利汀同时口服,每日剂量为 10 mg/kg;()水飞蓟宾同时口服,每日剂量为 200 mg/kg;()仅给予利拉利汀。CCl 组肝损伤表现为生化参数(丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、碱性磷酸酶(ALP))升高,肝纤维化表现为 METAVIR 评分升高和α-平滑肌肌动蛋白(α-SMA)免疫染色表达增加,以及肝组织氧化应激参数、转化生长因子-β1(TGF-β1)和雷帕霉素靶蛋白(mTOR)增加。利拉利汀能够阻止肝纤维化的进展,表现为 METAVIR 评分降低和α-SMA 表达减少。其可能的机制可能是通过抑制氧化应激、TGF-β1 和 mTOR,从而改善血清生化参数 ALT 和 AST。总之,利拉利汀可能有助于保护肝脏免受持续性损伤相关后果的影响。