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Therapeutic efficacy of Traditional Chinese Medicine 319 recipe on hepatic fibrosis induced by carbon tetrachloride in rats
Authors:KF Cheung  DW Ye  ZF Yang  L Lu  CH Liu  XL Wang  RTP Poon  Y Tong  P Liu  YC Chen  George KK Lau
Institution:1. Department of Medicine, The University of Hong Kong, HKSAR, China;2. Department of Surgery, The University of Hong Kong, HKSAR, China;3. Institute of Liver Disease, Shanghai University of Traditional Chinese Medicine, China;4. School of Chinese Medicine, The University of Hong Kong, HKSAR, China
Abstract:

Background/aims

Hepatic fibrosis is a consequence of severe liver damage that occurs in many patients with chronic liver diseases. TCM 319 recipe is a Chinese Medicine formula which consists of six Chinese herbs. In this study, we investigated the anti-fibrotic efficacy and mechanisms of TCM 319 recipe.

Methods

Hepatic fibrosis in rats was induced by carbon tetrachloride (CCl4). 34 male adult SD rats were allocated into five groups (group 1—concomitant CCl4 and TCM 319 recipe for 8 weeks; group 2—CCl4 for 4 weeks and then CCl4 and TCM 319 recipe for 4 weeks; group 3—CCl4 alone for 8 weeks; group 4—TCM 319 recipe only for 8 weeks; group 5—untreated controls). After 8 weeks of treatment, serum ALT assay, liver tissue histological examination and immunostaining were carried out to examine the liver function and fibrosis degree. The expression levels of platelet derived growth factor (PDGF-B), PDGF-Rβ, and transforming growth factor-beta 1 (TGF-β1) were measured by quantitative RT-PCR and western blot.

Results

TCM 319 recipe reduced liver injury and attenuated hepatic fibrosis in group 1 compared with that in group 3. TCM 319 recipe suppressed the mRNA expression of tissue inhibitor of metalloproteinase 1 (TIMP-1). In addition, treatment with TCM 319 recipe significantly down-regulated mRNA expression of PDGF-B and PDGF-Rβ, and it also suppressed protein expression of PDGF-Rβ and TGF-β1.

Conclusions

TCM 319 recipe extracts could attenuate hepatic fibrosis induced by CCl4 in rats. The anti-fibrotic effect of TCM 319 recipe is associated with the down-regulation of mRNA expression of TIMP-1, PDGF-B and PDGF-Rβ, and with the suppression of protein expression of PDGF-Rβ and TGF-β1.
Keywords:TCM  Traditional Chinese Medicine  HSC  hepatic stellate cell  HCC  hepatocellular carcinoma  HBV  hepatitis B virus  HCV  hepatitis C virus  ECM  extracellular matrix  CCl4  carbon tetrachloride  MMP  matrix metalloproteinase  TIMP  tissue inhibitor of metalloproteinase  ALT  alanine aminotransferase  AST  aspartate aminotransferase  α-SMA  smooth muscle alpha actin  β-actin  beta-actin  TGF-β  transforming growth factor-beta  PDGF  platelet-derived growth factor  PDGF-Rβ  platelet-derived growth factor receptor beta  ERK  extracellular signal-regulated kinases
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