PMID- 33210080 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220418 IS - 2572-5017 (Electronic) IS - 2572-5017 (Linking) VI - 4 IP - 5 DP - 2020 TI - Traditional Chinese Medicine Fuzheng Huayu Prevents Development of Liver Fibrosis in Mice. PG - 561-580 LID - 10.26502/acbr.50170125 [doi] AB - AIM: To investigate the therapeutic effect of FZHY on hepatic fibrosis in mice and to determine the mechanism of its action. METHODS: Wild type mice were subjected to toxic (carbon tetrachloride, CCl(4)) or cholestatic (bile duct ligation, BDL). Upon induction of liver fibrosis, mice were treated with FZHY (4.0g/kg, 2w, oral gavage) or vehicle (PBS). Livers were analyzed by Sirius Red staining, immunostaining and RT-PCR for profibrogenic and pro-inflammatory genes. The effect of FZHY on hepatocytes, inflammatory responses, activation of fibrogenic myofibroblasts, and ROS production was assessed. RESULTS: FZHY strongly inhibited the development of CCl(4)- and BDL-induced liver fibrosis in mice. Liver fibrosis was significantly improved in FZHY-treated mice, as demonstrated by reduced content of hepatic hydroxyproline and Sirius Red positive area. Moreover, the number of SMA (+)and Desmin(+) myofibroblasts was significantly reduced in the livers of FZHY-treated mice, and correlated with downregulation of the mRNA levels of alpha-SMA, collagen-alpha1(I), tissue inhibitor of matrix metalloproteinase-1 (TIMP-1), TGF-beta1 and its receptor TGF-betaRI, and platelet-derived growth factor-beta (PDGF-beta), suggesting that FZHY inhibits activation of fibrogenic myofibroblasts. Furthermore, administration of FZHY markedly decreased recruitment of F4/80(+) inflammatory macrophages to the livers of CCl(4)- and BDL-injured mice, and this effect was associated with downregulation of monocyte chemoattractant protein-1(MCP-1) and macrophage inflammatory protein-1 (MIP-1) mRNA. In addition, the lipid peroxidation products 4-hydroxynonenal (4-HNE) and malondialdehyde (MDA) were reduced, demonstrating that treatment with FZHY can effectively block ROS production in livers of CCl(4)- and BDL-injured mice. CONCLUSIONS: Traditional Chinese Medicine FZHY has a variety of anti-fibrotic effects, including strong anti-oxidant, anti-inflammatory and anti-fibrotic effects on myeloid cells and hepatocytes. Although FZHY compound does not seem to directly affect HSCs, it regulates HSC activation via inhibition of macrophage recruitment to fibrotic liver. FAU - Jiang, Chunyan AU - Jiang C AD - Beijing Friendship Hospital, Capital Medical University, Beijing, China. AD - Department of Medicine, University of California, San Diego, La Jolla, CA, USA. FAU - Iwaisako, Keiko AU - Iwaisako K AD - Department of Medical Life Systems, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan. AD - Department of Medicine, University of California, San Diego, La Jolla, CA, USA. FAU - Cong, Min AU - Cong M AD - Beijing Friendship Hospital, Capital Medical University, Beijing, China. AD - Department of Medicine, University of California, San Diego, La Jolla, CA, USA. FAU - Diggle, Karin AU - Diggle K AD - Department of Medicine, University of California, San Diego, La Jolla, CA, USA. FAU - Hassanein, Tarek AU - Hassanein T AD - Southern California Liver Center, Coronado, CA, USA. FAU - Brenner, David A AU - Brenner DA AD - Department of Medicine, University of California, San Diego, La Jolla, CA, USA. FAU - Kisseleva, Tatiana AU - Kisseleva T AD - Department of Surgery, University of California, San Diego, La Jolla, CA, USA. LA - eng GR - R37 AI043477/AI/NIAID NIH HHS/United States GR - U01 AA018663/AA/NIAAA NIH HHS/United States GR - U01 AA029019/AA/NIAAA NIH HHS/United States GR - F32 DK009920/DK/NIDDK NIH HHS/United States GR - R01 AA028550/AA/NIAAA NIH HHS/United States GR - U01 AA022614/AA/NIAAA NIH HHS/United States GR - R01 DK101737/DK/NIDDK NIH HHS/United States GR - R56 DK088837/DK/NIDDK NIH HHS/United States GR - R01 DK111866/DK/NIDDK NIH HHS/United States GR - R01 DK099205/DK/NIDDK NIH HHS/United States GR - P50 AA011999/AA/NIAAA NIH HHS/United States GR - R01 AI043477/AI/NIAID NIH HHS/United States PT - Journal Article DEP - 20201020 PL - United States TA - Arch Clin Biomed Res JT - Archives of clinical and biomedical research JID - 101768967 PMC - PMC7671588 MID - NIHMS1639383 OTO - NOTNLM OT - Fuzheng Huayu OT - Liver fibrosis OT - Reactive oxygen species OT - Toxic and cholestatic liver injury OT - Traditional Chinese medicine EDAT- 2020/11/20 06:00 MHDA- 2020/11/20 06:01 PMCR- 2020/11/17 CRDT- 2020/11/19 05:51 PHST- 2020/11/19 05:51 [entrez] PHST- 2020/11/20 06:00 [pubmed] PHST- 2020/11/20 06:01 [medline] PHST- 2020/11/17 00:00 [pmc-release] AID - 10.26502/acbr.50170125 [doi] PST - ppublish SO - Arch Clin Biomed Res. 2020;4(5):561-580. doi: 10.26502/acbr.50170125. Epub 2020 Oct 20.