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木香内酯减轻了胆汁淤积性肝病小鼠模型中DDC诱导的小胆管反应和炎症反应。

Costunolide alleviated DDC induced ductular reaction and inflammatory response in murine model of cholestatic liver disease.

作者信息

Hao Juan, Shen Xiaoyu, Lu Kan, Xu Yi, Chen Yiyue, Liu Jibo, Shao Xiaohong, Zhu Chunling, Ding Yaqin, Xie Xin, Wu Jian, Yang Quanjun

机构信息

Department of Endocrinology, Shanghai TCM-Integrated Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Baoding 230, Hongkou, Shanghai, China.

Department of Pharmacy, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Yishan 600, Xuhui, Shanghai, 200233, China.

出版信息

J Tradit Complement Med. 2023 Feb 27;13(4):345-357. doi: 10.1016/j.jtcme.2023.02.008. eCollection 2023 Jul.

Abstract

PURPOSE

Cholestatic liver diseases are groups of hepatobiliary diseases without curative drug-based therapy options. Regulation of bile acid (BA) metabolism, hepatoperiductal fibrosis, and inflammatory response indicated present novel methods for the treatment of cholestatic liver disease. Costunolide (COS) from herb exerts a pharmacological effect of regulation of BA metabolism, liver fbrosis and inflammatory response. The present study aimed to clarify the pharmacodynamic effects of COS against the murine model of cholestatic liver disease.

METHODS

We established a murine model of cholestatic liver disease through chronic feeding of 3,5-diethoxycarbonyl-1,4-dihydrocollidine (DDC) diet for 28 days. Two independent in vivo experiments were designed to reveal the pharmacological effect of COS against cholestatic liver disease. In the first experiment, two dosages of COS (10 and 30 mg/kg) were intraperitoneally injected into model mice daily for 14 days. In the second experiment, high dosage of COS (30 mg/kg) was intraperitoneally injected into control and model mice daily for 28 days.

RESULTS

In the evaluation of the hepatoprotective effect of COS, COS showed dosage-dependent improvement of cholestatic liver disease, including ductular reaction, hepatoperiductal fibrosis, and inflammatory response. The mechanism of COS-mediated hepatoprotective effects mainly relies on the regulation of BA metabolism, and the inflammatory response. DDC diet feed induced hepatic BA metabolism, transport and circulation dysfunction. COS treatment not only regulated the BA metabolism and transport gene, but also reprogrammed hepatic primary and secondary BA concentrations. DDC induced hepatic infiltrated monocytes derived macrophages and lymphocytes were inhibited, while Kupffer cells were preserved by COS treatment. The liver elevating inflammatory cytokines of DDC diet feed were alleviated by COS. Moreover, high dosage of 30 mg/kg COS treatment for 28 days resulted in no significant serological changes and no obvious hepatic histopathological changes when compared with control mice.

CONCLUSION

COS protected against DDC diet feeding-induced cholestatic liver disease since COS regulated BA metabolism, ductular reaction, hepatoperiductal fibrosis and inflammatory response. COS is suggested as a potential natural product for the treatment of cholestatic liver disease.

摘要

目的

胆汁淤积性肝病是一组缺乏基于药物的治愈性治疗方案的肝胆疾病。胆汁酸(BA)代谢的调节、肝周纤维化和炎症反应提示了治疗胆汁淤积性肝病的新方法。来自草药的木香烃内酯(COS)具有调节BA代谢、肝纤维化和炎症反应的药理作用。本研究旨在阐明COS对胆汁淤积性肝病小鼠模型的药效学作用。

方法

我们通过连续28天喂食3,5-二乙氧基羰基-1,4-二氢可力丁(DDC)饮食建立了胆汁淤积性肝病小鼠模型。设计了两个独立的体内实验来揭示COS对胆汁淤积性肝病的药理作用。在第一个实验中,每天给模型小鼠腹腔注射两种剂量的COS(10和30mg/kg),持续14天。在第二个实验中,每天给对照小鼠和模型小鼠腹腔注射高剂量的COS(30mg/kg),持续28天。

结果

在评估COS的肝保护作用时,COS显示出对胆汁淤积性肝病的剂量依赖性改善,包括胆小管反应、肝周纤维化和炎症反应。COS介导的肝保护作用机制主要依赖于BA代谢和炎症反应的调节。DDC饮食喂养诱导肝BA代谢、转运和循环功能障碍。COS治疗不仅调节了BA代谢和转运基因,还重新编程了肝脏初级和次级BA浓度。DDC诱导的肝内浸润单核细胞衍生的巨噬细胞和淋巴细胞受到抑制,而库普弗细胞通过COS治疗得以保留。COS减轻了DDC饮食喂养引起的肝脏炎症细胞因子升高。此外,与对照小鼠相比,30mg/kg高剂量的COS治疗28天没有导致明显的血清学变化和明显的肝脏组织病理学变化。

结论

COS可预防DDC饮食喂养诱导的胆汁淤积性肝病,因为COS调节了BA代谢、胆小管反应、肝周纤维化和炎症反应。COS被认为是治疗胆汁淤积性肝病的一种潜在天然产物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/523c/10310871/1b94addbe0b5/ga1.jpg

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