PMID- 29142471 OWN - NLM STAT- MEDLINE DCOM- 20180706 LR - 20181113 IS - 2219-2840 (Electronic) IS - 1007-9327 (Print) IS - 1007-9327 (Linking) VI - 23 IP - 40 DP - 2017 Oct 28 TI - Dachaihu decoction ameliorates pancreatic fibrosis by inhibiting macrophage infiltration in chronic pancreatitis. PG - 7242-7252 LID - 10.3748/wjg.v23.i40.7242 [doi] AB - AIM: To explore the role of macrophages in chronic pancreatitis (CP) and the effect of Dachaihu decoction (DCHD) on pancreatic fibrosis in mice. METHODS: KunMing mice were randomly divided into a control group, CP group, and DCHD group. In the CP and DCHD groups, mice were intraperitoneally injected with 20% L-arginine (3 g/kg twice 1 d/wk for 6 wk). Mice in the DCHD group were administered DCHD intragastrically at a dose of 14 g/kg/d 1 wk after CP induction. At 2 wk, 4 wk and 6 wk post-modeling, the morphology of the pancreas was observed using hematoxylin and eosin, and Masson staining. Interleukin-6 (IL-6) serum levels were assayed using an enzyme-linked immunosorbent assay. Double immunofluorescence staining was performed to observe the co-expression of F4/80 and IL-6 in the pancreas. Inflammatory factors including monocyte chemoattractant protein-1 (MCP-1), macrophage inflammatory protein-1alpha (MIP-1alpha) and IL-6 were determined using real time-polymerase chain reaction. Western blot analysis was used to detect fibronectin levels in the pancreas. RESULTS: Compared with the control group, mice with 20% L-arginine-induced CP had obvious macrophage infiltration and a higher level of fibrosis. IL-6 serum concentrations were significantly increased. Double immunofluorescence staining showed that IL-6 and F4/80 were co-expressed in the pancreas. With the administration of DCHD, the infiltration of macrophages and degree of fibrosis in the pancreas were significantly attenuated; IL-6, MCP-1 and MIP-1alpha mRNA, and fibronectin levels were reduced. CONCLUSION: The dominant role of macrophages in the development of CP was mainly related to IL-6 production. DCHD was effective in ameliorating pancreatic fibrosis by inhibiting macrophage infiltration and inflammatory factor secretion in the pancreas. FAU - Duan, Li-Fang AU - Duan LF AD - Department of Pathophysiology, Shaanxi University of Chinese Medicine, Xianyang 712046, Shaanxi Province, China. FAU - Xu, Xiao-Fan AU - Xu XF AD - Medical Experiment Center, Shaanxi University of Chinese Medicine, Xianyang 712046, Shaanxi Province, China. FAU - Zhu, Lin-Jia AU - Zhu LJ AD - Department of Pathophysiology, Shaanxi University of Chinese Medicine, Xianyang 712046, Shaanxi Province, China. FAU - Liu, Fang AU - Liu F AD - Department of Pathophysiology, Shaanxi University of Chinese Medicine, Xianyang 712046, Shaanxi Province, China. FAU - Zhang, Xiao-Qin AU - Zhang XQ AD - Department of Pathophysiology, Shaanxi University of Chinese Medicine, Xianyang 712046, Shaanxi Province, China. FAU - Wu, Nan AU - Wu N AD - Department of Pathophysiology, Shaanxi University of Chinese Medicine, Xianyang 712046, Shaanxi Province, China. FAU - Fan, Jian-Wei AU - Fan JW AD - Department of Pathophysiology, Shaanxi University of Chinese Medicine, Xianyang 712046, Shaanxi Province, China. FAU - Xin, Jia-Qi AU - Xin JQ AD - Department of Pathophysiology, Shaanxi University of Chinese Medicine, Xianyang 712046, Shaanxi Province, China. FAU - Zhang, Hong AU - Zhang H AD - Department of Pathophysiology, Shaanxi University of Chinese Medicine, Xianyang 712046, Shaanxi Province, China. zhangh1227@163.com. LA - eng PT - Journal Article PL - United States TA - World J Gastroenterol JT - World journal of gastroenterology JID - 100883448 RN - 0 (Ccl2 protein, mouse) RN - 0 (Ccl3 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (Chemokine CCL3) RN - 0 (Drugs, Chinese Herbal) RN - 0 (Fibronectins) RN - 0 (Interleukin-6) RN - 0 (RNA, Messenger) RN - 0 (interleukin-6, mouse) RN - 94ZLA3W45F (Arginine) SB - IM MH - Animals MH - Arginine/toxicity MH - Chemokine CCL2/metabolism MH - Chemokine CCL3/metabolism MH - Disease Models, Animal MH - Drugs, Chinese Herbal/*therapeutic use MH - Enzyme-Linked Immunosorbent Assay MH - Fibronectins/metabolism MH - Fibrosis MH - Humans MH - Interleukin-6/blood/metabolism MH - Macrophages/*drug effects/immunology/metabolism MH - Medicine, Chinese Traditional/methods MH - Mice MH - Pancreas/drug effects/*pathology MH - Pancreatitis, Chronic/blood/chemically induced/*drug therapy/immunology MH - RNA, Messenger/metabolism MH - Real-Time Polymerase Chain Reaction PMC - PMC5677205 OTO - NOTNLM OT - Dachaihu decoction OT - Interleukin-6 OT - Macrophages OT - Pancreatic fibrosis COIS- Conflict-of-interest statement: The authors declare that there are no conflicts of interest related to this study. EDAT- 2017/11/17 06:00 MHDA- 2018/07/07 06:00 PMCR- 2017/10/28 CRDT- 2017/11/17 06:00 PHST- 2017/07/31 00:00 [received] PHST- 2017/09/22 00:00 [revised] PHST- 2017/09/29 00:00 [accepted] PHST- 2017/11/17 06:00 [entrez] PHST- 2017/11/17 06:00 [pubmed] PHST- 2018/07/07 06:00 [medline] PHST- 2017/10/28 00:00 [pmc-release] AID - 10.3748/wjg.v23.i40.7242 [doi] PST - ppublish SO - World J Gastroenterol. 2017 Oct 28;23(40):7242-7252. doi: 10.3748/wjg.v23.i40.7242.