PMID- 30925118 OWN - NLM STAT- MEDLINE DCOM- 20191202 LR - 20191202 IS - 1557-8674 (Electronic) IS - 1096-2964 (Linking) VI - 20 IP - 5 DP - 2019 Jul TI - Shenfu Injection Attenuates Bile Duct Injury in Rats with Acute Obstructive Cholangitis. PG - 424-430 LID - 10.1089/sur.2018.304 [doi] AB - Background: We investigated the effect of Shenfu injection (SFI) in Wistar rats with acute obstructive cholangitis (AOC) and considered the possible molecular mechanisms of the effects. Methods: The 96 rats were divided randomly into three groups. In one group, the common bile duct was subjected to ligation (BDL), and 0.2 mL of saline was injected into the proximal bile ducts. To create AOC, again, the common bile duct was ligated, and 0.2 mL of lipopolysaccharide (LPS)) (2 mg/mL) was injected into the proximal ducts. In the Shenfu injection (SFI) group, the material (10 mg/kg) was injected into the tail vein 2 hours before induction of AOC. The hepatic histopathologic changes were observed under a light microscope. The endotoxin, tumor necrosis factor-alpha (TNF-alpha), alanine transaminase (ALT), and total bilirubin (TB) concentrations in the serum were measured at different time points (0, 4, 8, and 16 hours) after ligation. The expression of nuclear transcription factor-kappaB (NF-kappaB) and CD14 in Kupffer cells also was analyzed at different times by Western blotting. Results: The TNF-alpha, ALT, and TB concentrations in the serum and the expression of CD14 and NF-kappaB in Kupffer cells were significantly higher in the SFI group than in the BDL group, but all were significantly lower than in the AOC group. Compared with the AOC group, the edema of cholangiocytes was alleviated in the SFI group, and the infiltration of inflammatory cells around cholangiocytes was reduced. Conclusion: Shenfu injection significantly alleviated bile duct injury. The potential mechanism may be associated with inhibition of CD14 expression and prevention of NF-kappaB activation in Kupffer cells. FAU - Tan, Hao-Yang AU - Tan HY AD - Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, People's Republic of China. FAU - Li, Pei-Zhi AU - Li PZ AD - Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, People's Republic of China. FAU - Gong, Jian-Ping AU - Gong JP AD - Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, People's Republic of China. FAU - Yang, Kang AU - Yang K AD - Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, People's Republic of China. LA - eng PT - Journal Article DEP - 20190329 PL - United States TA - Surg Infect (Larchmt) JT - Surgical infections JID - 9815642 RN - 0 (Drugs, Chinese Herbal) RN - 0 (Immunologic Factors) RN - 0 (Shen-Fu) RN - EC 2.6.1.2 (Alanine Transaminase) SB - IM MH - Alanine Transaminase/blood MH - Animals MH - Cholangitis/*complications MH - Cholestasis/*drug therapy MH - Disease Models, Animal MH - Drugs, Chinese Herbal/*administration & dosage MH - Female MH - Immunologic Factors/*administration & dosage MH - Injections MH - Liver/*pathology MH - Male MH - Rats, Wistar MH - Treatment Outcome OTO - NOTNLM OT - CD14 OT - NF-kappaB OT - Shenfu OT - acute obstructive cholangitis OT - endotoxin-induced bile duct injury EDAT- 2019/03/30 06:00 MHDA- 2019/12/04 06:00 CRDT- 2019/03/30 06:00 PHST- 2019/03/30 06:00 [pubmed] PHST- 2019/12/04 06:00 [medline] PHST- 2019/03/30 06:00 [entrez] AID - 10.1089/sur.2018.304 [doi] PST - ppublish SO - Surg Infect (Larchmt). 2019 Jul;20(5):424-430. doi: 10.1089/sur.2018.304. Epub 2019 Mar 29.