Abstract

Radix salviae miltiorrhizae (Danshen in Chinese), a classic traditional Chinese medicine (TCM) herb, has been used for centuries to treat liver diseases. In this study, the preventive and curative potential of Danshen aqueous extract on acute/chronic alcoholic liver disease (ALD) and non-alcoholic fatty liver disease (NAFLD) was studied. The in vivo results indicated that Danshen could alleviate hepatic inflammation, fatty degeneration, and haptic fibrogenesis in ALD and NAFLD models. In the aspect of mechanism of action, the significant reduction in MDA levels in both ALD and NAFLD models implies the decreased levels of oxidative stress by Danshen. However, Danshen treatment could not activate the internal enzymatic antioxidant system in ALD and NAFLD models. To further explore the hepatoprotective mechanism of Danshen, an in silico-based network pharmacology approach was employed in the present study. The pharmacological network analysis result revealed that six potential active ingredients such as tanshinone iia, salvianolic acid b, and Danshensu may contribute to the hepatoprotective effects of Danshen on ALD and NAFLD. The action mechanism may relate with regulating the intracellular molecular targets such as PPARα, CYP1A2, and MMP2 for regulation of lipid metabolism, antioxidant and anti-fibrogenesis by these potential active ingredients. Our studies suggest that the combination of network pharmacology strategy with in vivo experimental study may provide a forceful tool for exploring the mechanism of action of traditional Chinese medicine (TCM) herb and developing novel bioactive ingredients.

Highlights

  • Liver disease is one of the most serious health problems worldwide, affecting more than 10% of the world population [1,2]

  • Alcoholic liver disease (ALD) is caused by excessive alcohol consumption whereas nonalcoholic fatty liver disease (NAFLD) is related with obesity and metabolic disorders, nonalcoholic steatohepatitis (NASH) has been reported in lean individuals [3]

  • We investigated the biological effects of Danshen on acute/chronic ALD and NAFLD mice models

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Summary

Introduction

Liver disease is one of the most serious health problems worldwide, affecting more than 10% of the world population [1,2]. ALD is caused by excessive alcohol consumption whereas NAFLD is related with obesity and metabolic disorders, nonalcoholic steatohepatitis (NASH) has been reported in lean individuals [3]. Both ALD and NAFLD may progress into fibrosis, cirrhosis, and eventually hepatocellular carcinoma as a result of severe and prolonged liver damage [4]. Thereby, the development of novel agents that can improve the efficacy of ALD and NAFLD prevention and treatment is urgently needed. Numerous medicinal herbs and phytochemicals have been investigated as complementary and alternative treatments for liver diseases including ALD and NAFLD [2]. Scientific validation of these herbal medicines’ efficacy is needed

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