PMID- 26016454 OWN - NLM STAT- MEDLINE DCOM- 20191212 LR - 20200225 IS - 1993-0402 (Electronic) IS - 1672-0415 (Linking) VI - 25 IP - 6 DP - 2019 Jun TI - Xijiao Dihuang Decoction () and Rehmannia glutinosa Libosch. protect mice against lipopolysaccharide and tumor necrosis factor alpha-induced acute liver failure. PG - 446-453 LID - 10.1007/s11655-015-2141-2 [doi] AB - OBJECTIVE: To investigate the hepatoprotective effect of Xijiao Dihuang Decoction (, XJDHD) on lipopolysaccharide (LPS)- and tumor necrosis factor alpha (TNF-alpha)-induced acute liver failure (ALF) as well as the underlying mechanism of action, and to clarify the key herbs and components of XJDHD. METHODS: LPS/D-galactosamine (D-GalN) or TNF-alpha/D-GalN were intraperitoneally injected into C57BL/6J mice to induce ALF. Simultaneously, XJDHD or its individual herbs and components were orally administered. Survival rates, transaminase levels in serum, and hepatic histology were examined to evaluate the effects of XJDHD. The terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) assay and real-time polymerase chain reaction were additionally performed to expound the mechanism underlying the anti-apoptotic activity of XJDHD. RESULTS: Oral administration of XJDHD protected mice from lethal liver failure induced by LPS and TNF-alpha, with notable amelioration of liver injury in histology and a significant decrease in transaminase levels in serum. XJDHD significantly inhibited apoptosis of hepatocytes and enhanced expression of the antiapoptosis genes, c-Flip, Iap1, Gadd45b and A20. In addition, Rehmannia glutinosa Libosch. was identified as the key herb of XJDHD and galactose as the effective component of Rehmannia glutinosa Libosch. that protects against ALF. CONCLUSIONS: XJDHD inhibits TNF-alpha-induced apoptosis of hepatocytes by promoting the expression of nuclear factor kappa B-regulated anti-apoptotic genes. Rehmannia glutinosa Libosch. is the effective herb of XJDHD and galactose is an active component in this protection. FAU - Liu, Yan-Min AU - Liu YM AD - Center of Integrative Medicine, Beijing Ditan Hospital, Capital Medical University, Beijing, 100015, China. FAU - Zhu, Liu-Luan AU - Zhu LL AD - Beijing Key Laboratory of Emerging Infectious Diseases, Institute of Infectious Diseases, Beijing Ditan Hospital, Capital Medical University, Beijing, 100015, China. FAU - Li, Rui AU - Li R AD - Beijing Key Laboratory of Emerging Infectious Diseases, Institute of Infectious Diseases, Beijing Ditan Hospital, Capital Medical University, Beijing, 100015, China. FAU - Zhang, Jin-Liang AU - Zhang JL AD - Center of Integrative Medicine, Beijing Ditan Hospital, Capital Medical University, Beijing, 100015, China. FAU - Yao, Shan-Shan AU - Yao SS AD - Center of Integrative Medicine, Beijing Ditan Hospital, Capital Medical University, Beijing, 100015, China. FAU - Zhou, Xiao-Bing AU - Zhou XB AD - Center of Integrative Medicine, Beijing Ditan Hospital, Capital Medical University, Beijing, 100015, China. FAU - Zeng, Hui AU - Zeng H AD - Beijing Key Laboratory of Emerging Infectious Diseases, Institute of Infectious Diseases, Beijing Ditan Hospital, Capital Medical University, Beijing, 100015, China. zenghui@ccmu.edu.cn. FAU - Wang, Xian-Bo AU - Wang XB AD - Center of Integrative Medicine, Beijing Ditan Hospital, Capital Medical University, Beijing, 100015, China. wangxb@ccmu.edu.cn. LA - eng PT - Journal Article DEP - 20150526 PL - China TA - Chin J Integr Med JT - Chinese journal of integrative medicine JID - 101181180 RN - 0 (Cytokines) RN - 0 (Drugs, Chinese Herbal) RN - 0 (Lipopolysaccharides) RN - 0 (Protective Agents) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (lipopolysaccharide B) RN - 7535-00-4 (Galactosamine) SB - IM MH - Animals MH - Apoptosis/drug effects MH - Cytokines/biosynthesis MH - Drugs, Chinese Herbal/*therapeutic use MH - Galactosamine MH - Hepatocytes/drug effects/pathology MH - Lipopolysaccharides MH - Liver Failure, Acute/*chemically induced/*drug therapy/pathology MH - Male MH - Mice, Inbred C57BL MH - Protective Agents/*therapeutic use MH - Rehmannia/*chemistry MH - Tumor Necrosis Factor-alpha OTO - NOTNLM OT - Chinese medicine OT - Rehmannia glutinosa Libosch. OT - Xijiao Dihuang Decoction OT - acute liver failure OT - lipopolysaccharides OT - tumor necrosis factor alpha EDAT- 2015/05/29 06:00 MHDA- 2019/12/18 06:00 CRDT- 2015/05/29 06:00 PHST- 2014/04/17 00:00 [received] PHST- 2015/05/29 06:00 [pubmed] PHST- 2019/12/18 06:00 [medline] PHST- 2015/05/29 06:00 [entrez] AID - 10.1007/s11655-015-2141-2 [pii] AID - 10.1007/s11655-015-2141-2 [doi] PST - ppublish SO - Chin J Integr Med. 2019 Jun;25(6):446-453. doi: 10.1007/s11655-015-2141-2. Epub 2015 May 26.