Protective effects of Liuweiwuling tablets on carbon tetrachloride-induced hepatic fibrosis in rats

Huimin Liu,Xiaohe Xiao,Huangwanyin Hu,Congen Zhang,Zhaofang Bai,Ruishen Li,Jiabo Wang,Zhenfang Zhang,Ming Niu

doi:10.1186/s12906-018-2276-8

Abstract

BackgroundLiuweiwuling tablets (LWWL) are an herbal product that exerts remarkable effects on liver protection and aminotransferase levels, and they have been approved by the Chinese State Food and Drug Administration (CFDA). Clinical studies have found that LWWL can inhibit collagen production and reduce the levels of liver fibrosis markers in the serum. Thus, LWWL is expected to have beneficial effects in the treatment of liver fibrosis. The purpose of this study was to evaluate the pharmacological effects of LWWL.MethodsHepatic fibrosis was induced in rats via carbon tetrachloride (CCl4) treatment. The rats were treated twice weekly for 8 weeks with either 2 mL·kg− 1 body weight of a 50% solution of CCl4 in olive oil or olive oil alone by oral gavage. A subset of rats received daily intraperitoneal injections of either colchicine (0.2 mg/kg per day), LWWL (0.4, 1.6, or 6.4 g/kg per day), or vehicle (N = 12 for all groups) during weeks 9–12. The rats were sacrificed after 12 weeks. Pathological changes in hepatic tissue were examined using hematoxylin and eosin (H&E) and Sirius Red staining. Immunohistochemistry was performed to observe α-smooth muscle actin (α-SMA) and collagen type I (collagen I) protein expression. Western blotting was also used to detect α-SMA protein expression. Real-time quantitative reverse-transcription polymerase chain reaction (RT-qPCR) was used to detect transforming growth factor-1 (TGF-β1), platelet-derived growth factor (PDGF), tissue inhibitor of metalloproteinase-1 (TIMP1), and tissue inhibitor of metalloproteinase-2 (TIMP2) mRNA expression.ResultsLWWL significantly reversed histological fibrosis and liver injury, reduced the hydroxyproline content in liver tissue, and decreased α-SMA and collagen I expression. LWWL also suppressed hepatic stellate cell (HSC) activation by reducing the expression of the profibrogenic factors TGF-β1 and PDGF. The expression levels of TIMP1 and TIMP2, which regulate extracellular matrix (ECM) degradation, were decreased after CCl4 injury in LWWL-treated rats.ConclusionsThese data suggest that LWWL may serve as a promising therapeutic agent to reduce fibrogenesis.

Highlights

Liuweiwuling tablets (LWWL) are an herbal product that exerts remarkable effects on liver protection and aminotransferase levels, and they have been approved by the Chinese State Food and Drug Administration (CFDA)
The rats that were injured with carbon tetrachloride (CCl4) by oral gavage reliably developed liver fibrosis after 8 weeks
Liver pathological observation is the gold standard for the clinical diagnosis of liver fibrosis

Summary

Introduction

Liuweiwuling tablets (LWWL) are an herbal product that exerts remarkable effects on liver protection and aminotransferase levels, and they have been approved by the Chinese State Food and Drug Administration (CFDA). Clinical studies have found that LWWL can inhibit collagen production and reduce the levels of liver fibrosis markers in the serum. LWWL is expected to have beneficial effects in the treatment of liver fibrosis. Among the MMPs is the main ECM-degrading enzyme, while TIMPs are specific inhibitors of MMPs. TIMPs inhibit the expression of TIMP1 and weaken the inhibition of MMP1, which promotes ECM degradation and exerts an anti-liver fibrosis effect [4, 5]. These signaling pathways lead to the activation, migration, proliferation, survival, and contraction of HSCs as well as the promotion of ECM secretion and deposition, potentially causing hepatic fibrogenesis [9, 10]

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