Abstract

Background: Zornia diphylla (L.) Pers. (ZDP) is a traditional Chinese herbal medicine that has been used for several decades to treat patients with liver diseases. Whether ZDP is best administered as a single agent or adjunctive therapy has yet to be determined as does the mechanism whereby it exerts its effects on antagonizing acute liver injury (ALI). Aim of the study: To investigate the protective effects of ZDP on ALI induced by carbon tetrachloride (CCl4) and the potential underlying mechanisms. Materials and Methods: Sixty adult mice were randomized into six study groups (n = 10/group). Three groups were treated with different concentrations of ZDP (2.5, 1.25, 0.625 g/kg), one with bifendate (0.0075 g/kg) alone (positive control) and one with physiologic saline (normal, negative control). All groups were treated for 14 days. Two hours after the last administration, the normal group received an intraperitoneal injection of peanut oil, and the other five groups received an intraperitoneal injection of an equal dose of CCl4 peanut oil solution. At 24 h, the liver index, histology and serum or tissue levels and/or protein expression of aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin (TBIL), alkaline phosphatase (ALP), superoxide dismutase (SOD), malondialdehyde (MDA), catalase (CAT), glutathione (GSH), Akt, phosphorylated Akt (p-Akt), nuclear factor kappa B p65 (NF-κB p65), inhibitor of NF-κB α (IκB-α), interleukin-1 β (IL-1β), interleukin-6 (IL-6), tumor necrosis factor α (TNF-α), E-cadherin and vimentin were determined. Results: Compared to the model controls, the degree of inflammatory cell infiltration and hepatocyte injury of liver tissue was relieved in the bifendate and three ZDP groups; liver index in the ZDP (2.5, 1.25 g/kg) groups and serum liver function indices in the ZDP (2.5, 1.25 and 0.625 g/kg) groups were decreased; antioxidants SOD, CAT and GSH in liver tissue were increased but the lipid peroxidation index MDA was decreased; protein expression of inflammatory cytokines Akt, p-Akt, NF-κB p65, IκB-α, IL-1β, IL-6 and TNF-α in the liver was ameliorated, and E-cadherin expression was increased. The results of liver histopathology also showed that ZDP had a significant effect on ALI. Conclusion: ZDP has obvious protective effects on CCl4-induced ALI as a single therapy and appears to act by inhibiting oxidation, reducing the release of inflammatory factors and promoting hepatocyte repair.

Highlights

  • In recent years, due to the emergence of drug abuse, and the widespread use of various types of therapeutic drugs with many side effects, clinical drug-induced liver damage is more common, and to date, there is no effective prevention and treatment measures in clinical practice

  • The increase in alanine aminotransferase (ALT) reflected the damage to hepatocyte membranes

  • aspartate aminotransferase (AST), ALT, total bilirubin (TBIL) and alkaline phosphatase (ALP) are the most direct and important indicators of liver damage and show whether therapeutic agents have a protective effect against liver injury (Crismale and Friedman, 2020; Owojuyigbe et al, FIGURE 1 | high performance liquid chromatography (HPLC)-HR ESI MS analysis of a water extract from the herb of Zornia diphylla (L.) Pers. (A) Chemical structures of the major identified components of ZDP: cosmosiin (1), luteolin 4′-O-glucopyranoside (2), quercimeritrin (3), luteolin (4) and apigenin (5). (B) HPLC-MS spectra fingerprint of ZDP

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Summary

Introduction

Due to the emergence of drug abuse, and the widespread use of various types of therapeutic drugs with many side effects, clinical drug-induced liver damage is more common, and to date, there is no effective prevention and treatment measures in clinical practice. In the prevention and treatment of liver diseases, many types of traditional Chinese medicine (TCM) and extracts of TCM have proved to be effective in liver protection (Ye et al, 2009; Ren et al, 2019; Mo et al, 2020), and have been widely used in clinical practice. Many traditional Chinese medicines have the advantages of a good curative effect, safety and practical benefits; they have received considerable attention in the field of disease treatment, prevention and health care. (ZDP) is a traditional Chinese herbal medicine that has been used for several decades to treat patients with liver diseases. Whether ZDP is best administered as a single agent or adjunctive therapy has yet to be determined as does the mechanism whereby it exerts its effects on antagonizing acute liver injury (ALI)

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