PMID- 30535447 OWN - NLM STAT- MEDLINE DCOM- 20190528 LR - 20211018 IS - 1791-3004 (Electronic) IS - 1791-2997 (Print) IS - 1791-2997 (Linking) VI - 19 IP - 2 DP - 2019 Feb TI - alpha‑lipoic acid protects against carbon tetrachloride‑induced liver cirrhosis through the suppression of the TGF‑beta/Smad3 pathway and autophagy. PG - 841-850 LID - 10.3892/mmr.2018.9719 [doi] AB - alpha‑lipoic acid (ALA) is a naturally occurring antioxidant with protective effects against various hepatic injuries. The aim of the present study was to investigate the mechanisms by which ALA protects the liver from carbon tetrachloride (CCl4)‑induced liver cirrhosis. The widely used liver cirrhosis rat model was established via an intraperitoneal injection of 2 mg/kg 50% CCl4, three times/week for 8 weeks. Simultaneously, 50 or 100 mg/kg ALA was orally administrated to the rats every day for 8 weeks. The activity of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) was detected in the serum. The pathological liver injuries were analyzed using hematoxylin and eosin and Masson's trichrome staining. The principal factors involved in the transforming growth factor‑beta (TGF‑beta)/mothers against decapentaplegic homolog 9 (Smad3) and protein kinase B (AKT)/mammalian target of rapamycin (mTOR) pathways and in autophagy were examined using reverse transcription‑quantitative polymerase chain reaction or western blot analysis. The results demonstrated that the administration of ALA alleviated CCl4‑induced liver injury, as demonstrated by decreased ALT and AST activity, improved pathological injuries and reduced collagen deposition. The CCl4‑induced increase in TGF‑beta and phosphorylated‑Smad3 expression levels was additionally inhibited by treatment with ALA. Furthermore, the administration of ALA reversed the CCl4‑induced upregulation of light chain 3II and Beclin‑1, and downregulation of p62. The CCl4‑induced suppression of the AKT/mTOR pathway was additionally restored following treatment with ALA. In combination, the results of the present study demonstrated that ALA was able to protect CCl4‑induced liver cirrhosis, an effect that may be associated with inactivation of the TGF‑beta/Smad3 pathway and suppression of autophagy. FAU - Liu, Guangwei AU - Liu G AD - Spleen, Stomach and Hepatobiliary Department, The First Affiliated Hospital, Henan University of Chinese Medicine, Zhengzhou, Henan 450004, P.R. China. FAU - Liu, Jiangkai AU - Liu J AD - Spleen, Stomach and Hepatobiliary Department, The First Affiliated Hospital, Henan University of Chinese Medicine, Zhengzhou, Henan 450004, P.R. China. FAU - Pian, Linping AU - Pian L AD - Spleen, Stomach and Hepatobiliary Department, The First Affiliated Hospital, Henan University of Chinese Medicine, Zhengzhou, Henan 450004, P.R. China. FAU - Gui, Songlin AU - Gui S AD - Department of Emergency Medicine, Zhengzhou Chinese Medicine Hospital, Zhengzhou, Henan 450007, P.R. China. FAU - Lu, Baoping AU - Lu B AD - Spleen, Stomach and Hepatobiliary Department, The First Affiliated Hospital, Henan University of Chinese Medicine, Zhengzhou, Henan 450004, P.R. China. LA - eng PT - Journal Article DEP - 20181204 PL - Greece TA - Mol Med Rep JT - Molecular medicine reports JID - 101475259 RN - 0 (Protective Agents) RN - 0 (Smad3 Protein) RN - 0 (Smad3 protein, rat) RN - 0 (Transforming Growth Factor beta) RN - 73Y7P0K73Y (Thioctic Acid) RN - CL2T97X0V0 (Carbon Tetrachloride) RN - EC 2.6.1.1 (Aspartate Aminotransferases) RN - EC 2.6.1.2 (Alanine Transaminase) SB - IM MH - Alanine Transaminase/blood MH - Animals MH - Aspartate Aminotransferases/blood MH - Autophagy/*drug effects MH - Carbon Tetrachloride/pharmacology MH - Down-Regulation/drug effects MH - Liver/drug effects/metabolism MH - Liver Cirrhosis/blood/chemically induced/*drug therapy/metabolism MH - Male MH - Protective Agents/*pharmacology MH - Rats MH - Rats, Sprague-Dawley MH - Signal Transduction/*drug effects MH - Smad3 Protein/*metabolism MH - Thioctic Acid/*pharmacology MH - Transforming Growth Factor beta/*metabolism MH - Up-Regulation/drug effects PMC - PMC6323260 OTO - NOTNLM OT - liver cirrhosis OT - alpha-lipoic acid transforming growth factor-beta/Smad3 OT - autophagy OT - protein kinase B/mammalian target of rapamycin EDAT- 2018/12/12 06:00 MHDA- 2019/05/29 06:00 PMCR- 2018/12/04 CRDT- 2018/12/12 06:00 PHST- 2018/04/25 00:00 [received] PHST- 2018/09/28 00:00 [accepted] PHST- 2018/12/12 06:00 [pubmed] PHST- 2019/05/29 06:00 [medline] PHST- 2018/12/12 06:00 [entrez] PHST- 2018/12/04 00:00 [pmc-release] AID - mmr-19-02-0841 [pii] AID - 10.3892/mmr.2018.9719 [doi] PST - ppublish SO - Mol Med Rep. 2019 Feb;19(2):841-850. doi: 10.3892/mmr.2018.9719. Epub 2018 Dec 4.