Abstract

Purpose: To investigate the effect of Yugan Sanjie decoction on the expressions of regulatory T cells (Tregs), serum P21 protein and vascular endothelial growth factor (VEGF) in mice with hepatocellular carcinoma.
 Methods: A total of forty specific-pathogen-free (SPF) Kunming mice were randomly assigned to four groups of 10 mice each. Except for normal control group, the other three groups were transfected with hepatoma-22 (H22) cells to establish a mouse model of liver cancer. Mice in the cyclophosphamide group was given cyclophosphamide at a dose of 20 mg/kg daily intragastrically, while those in decoction group were treated with Yugan Sanjie decoction (0.4 ml/kg/day) intraperitoneally. After 30 days of treatment, serum levels of CD4+ Th17, CD4+CD25+ Treg, Th17/Treg, TNF-α, and VEGF were determined.
 Results: There was lower serum level of CD4+ Th17 in the decoction group than in negative control and cyclophosphamide groups (p < 0.05). However, higher serum levels of CD4+CD25+ Treg and Th17/Treg were seen in the decoction group, relative to the negative control and cyclophosphamide groups (p < 0.05). Serum TNF-α was also markedly elevated in decoction group, when compared with negative control and cyclophosphamide groups (p < 0.05). Serum VEGF was markedly lower in decoction group than in negative control and cyclophosphamide groups, and was appreciably lower in cyclophosphamide group than in negative control group (p < 0.05).
 Conclusion: Yugan Sanjie decoction effectively alleviates clinical symptoms of LC, and improves immune function of mice by regulating serum levels of T lymphocytes. These findings provide scientific support for a new treatment strategy.

Highlights

  • Liver cancer (LC) is a malignant tumor characterized by slow onset and rapid progression

  • The aim of the present study was to investigate the effect of Yugan Sanjie decoction on the expressions of Tregs, serum P21 protein and vascular endothelial growth factor (VEGF) in mice with hepatocellular carcinoma

  • Tumor inhibition, survival and mean body weight were markedly higher in the decoction group than in negative control and cyclophosphamide groups (p < 0.05; Table 1)

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Summary

Introduction

Liver cancer (LC) is a malignant tumor characterized by slow onset and rapid progression. It is ranked second in the hierarchy of malignant tumors. In Traditional Chinese Medicine (TCM), LC is described as "liver accumulation, jaundice, abdominal mass, and liver fixity". It is believed that the onset of the disease is related to lack of vitality and dysfunction in the body, and the treatment involves the use of drugs that strengthen the spleen, promote blood circulation, remove phlegm, resolve phlegm and stasis, and soothe the liver [3]. Studies have shown that treatment strategies adopted in TCM for treating LC improve patients' quality of life, prolong survival, and control disease progression

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