Abstract

Background and aim: The aim of the present study sought to determine the protective function of Shenqi Fuzheng Injection (SFI) in cholestatic liver injury.Methods: Cholestatic liver injury was induced in a 7-day bile duct-ligated (BDL) rat model. Rats were divided into three groups that were comprised of: (1) Sham; (2) BDL model; and (3) SFI treatment. The sham and BDL groups were treated with an appropriate volume of 0.9% sodium chloride as the vehicle, and the SFI group was administered SFI at a dose of 20 ml/kg/day, via tail vein injection.Results: SFI significantly (all at P<0.01) decreased the levels of serum aspartate aminotransferase and alanine aminotransferase as compared with the BDL group, which was associated with reduced severity of inflammatory cell infiltration and hepatic damage. Moreover, SFI significantly decreased the levels of hepatic interleukin-6 (P<0.01), tumor necrosis factor-α (P=0.041), and malondialdehyde (P=0.026), and significantly increased the levels of total superoxide dismutase (P<0.01), and the GSH/GSSG ratio (P=0.041) in the liver. Western blot analysis showed that SFI increased PPAR-γ expression; however, SFI treatment decreased cyclooxygenase-2 (COX-2) expression and the phosphorylation of NF-κBp65.Conclusions: These data demonstrated that SFI attenuated both inflammation and oxidative stress, and disrupted cholestatic liver injury. The involved mechanism was dependent, at least in part, on regulating PPAR-γ, COX-2, and NF-κBp65 expression.

Highlights

  • Cholestasis liver injury is a condition that is usually caused by primary sclerosing cholangitis (PSC), primary biliary cholangitis (PBC), among other predisposing conditions [1]

  • There are currently no clinical trials that have yet demonstrated the benefit of prescribing ursodeoxycholic acid (UDCA) and obeticholic acid (OCA), either when used in combination therapy or as monotherapy, in the setting of cholestasis liver injury that is seen in PBC [2]

  • We showed that the Traditional Chinese Medicine Shenqi Fuzheng Injection (SFI) exhibited a significantly protective effect against cholestatic liver injury in a bile duct-ligated (BDL)-induced rat model

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Summary

Introduction

Cholestasis liver injury is a condition that is usually caused by primary sclerosing cholangitis (PSC), primary biliary cholangitis (PBC), among other predisposing conditions [1]. Ursodeoxycholic acid (UDCA) and obeticholic acid (OCA) are currently the only two drugs that are approved by the U.S Food and Drug Administration (FDA) to treat primary cholestasis of the liver in patients with PSC and PBC [2,3]. There are currently no clinical trials that have yet demonstrated the benefit of prescribing UDCA and OCA, either when used in combination therapy or as monotherapy, in the setting of cholestasis liver injury that is seen in PBC [2]. The aim of the present study sought to determine the protective function of Shenqi Fuzheng Injection (SFI) in cholestatic liver injury. Methods: Cholestatic liver injury was induced in a 7-day bile duct-ligated (BDL) rat model. Rats were divided into three groups that were comprised of: (1) Sham; (2) BDL model; and (3) SFI treatment. The involved mechanism was dependent, at least in part, on regulating PPAR-γ, COX-2, and NF-κBp65 expression

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