• 제목/요약/키워드: liver fibrosis(cirrhosis)

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Hippocampus abdominalis 유래 단백질 가수분해물의 간 보호 효과 (Hepatoprotective effect of Hippocampus abdominalis hydrolysate)

  • 손모아;문준영;박상규;조문제
    • Journal of Applied Biological Chemistry
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    • 제59권3호
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    • pp.265-271
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    • 2016
  • 해마는 아시아 등지에서 이미 약재로 사용이 되어지고 있지만 그와 관련된 연구는 부족한 실정이다. 이에 본 연구는 해양생물인 해마의 간 보호 효능을 확인하고자 하였다. 해마를 단백질 가수분해효소인 alcalase를 이용하여 가수분해 후 얻은 가수분해물(ALC)을 얻은 후 실험을 수행하였다. Chang 세포에 ALC를 1시간 전처리 후 에탄올 800 mM을 가하여 24시간 후 세포생존율을 확인했을 때, 세포가 알코올 독성으로부터 보호되는 것을 확인할 수 있었다. 그리고 Chang 세포에 ALC를 2시간 전처리 후 TGF-${\beta}$ 10 ng/mL을 처리하였을 때도, TGF-${\beta}$에 의해 증가된 vimentin, ${\alpha}$-SMA, slug의 발현이 억제되는 것을 확인하였다. 또한 에탄올을 이용한 급성과 만성 In vivo 조건에서도 ALC에 의한 간 보호 효과를 확인할 수 있었다. 알코올 투여에 의한 간 무게 감소와 혈청 GOT 및 GPT 활성 증가가 해마 가수분해물 처리에 의해 억제되었으며, 만성 알코올 독성 실험의 경우에는 실험동물의 무게와 식이섭취량도 해마 가수분해물 처리에 의해 정상군과 유사한 수준으로 회복되는 것을 확인할 수 있었다. 따라서 추가적인 연구를 통해 해마가 간 보호 효능의 기능성 식품소재로 활용 가능할 수 있을 것이라 사료된다.

목향조기산(木香調氣散)과 해울조위탕(解鬱調胃湯)의 실험적(實驗的) 간경변(肝硬變)에 대(對)한 효과(效果) (Effects of Mockhyangjokisan and Haewooljoweetang on the Production of Collagen and the Regeneration of Liver Cells Damaged by Bile Duct Ligation and Dimethylnitrosamine)

  • 박용권;김강산;강병기;전병훈
    • 대한한의학회지
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    • 제18권1호
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    • pp.480-498
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    • 1997
  • 간경변(肝硬變)은 간장손상(肝腸損傷)을 주로 나타내는 만성(慢性) 전신성(全身性) 질환(疾患)이다. 이것은 각종 병인(病因)이 지속적(持續的) 또는 반복적(反復的)으로 간조직(肝組織)에 작용하여 간세포(肝細胞)의 변성(變成) 괴사(壞死) 섬유성(纖維性) 조직(組織) 증식(增殖) 등의 병리변화(病理變化)를 일으켜 결국 간조직(肝組織)의 정상구조(正常構造)가 변하여 간(肝)의 형태이상(形態異常)과 경화(硬化)를 유발하는 것이다. 한의학(韓醫學)에서는 간경변(肝硬變)의 단계에 따라 표현이 다른데 협통(脇痛), 복창(腹脹), 황달(黃疸), 적취(積聚), 창(脹), 단복창(單腹脹), 수(水), 석수(石水), 간수(肝水)의 범주(範疇)에 해당된다. 울증(鬱症)은 정지부서(情志不舒), 기기울결(氣機鬱結)로 울체(鬱滯)하고 발월(發越)하지 못하여 발생하는 병증(病症)으로, 기울(氣鬱)은 기체혈어성(氣滯血瘀性) 병변(病變)인 적취(積聚)의 전단계(前段階)로 설명되고, 간경변(肝硬變)의 초기상태(初期狀態)에서 나타나는 증상(症狀)들과 유사하다고 볼 수 있으므로, 본(本) 연구(硏究)에 사용된 목향조기산(木香調氣散)과 해울조위탕(解鬱調胃湯)은 기울(氣鬱)에 적용되는 처방(處方)으로서 초기(初期) 간경변(肝硬變)의 섬유화(纖維化) 진행억제(進行抑制)에도 유효할 것으로 사료(思料)된다. 이에 본 연구에서는 담도결찰술(膽道結紮術) 및 Dimethylnitrosamine으로 만성간염(慢性肝炎) 및 간경변증(肝硬變症)을 유발한 후 목향조기산(木香調氣散)과 해울조위탕(解鬱調胃湯)을 투여한 결과 다음과 같은 결론을 얻었다. 1. 담도결찰(膽道結紮)로 인한 혈청(血淸) total bilirubin과 direct bilirubin의 상승은 목향조기산(木香調氣散)과 해울조위탕(解鬱調胃湯)의 투여로 모두 억제되는 효과를 보였으며 두 처방(處方)간의 차이는 보이지 않았다. 2. 담도결찰(膽道結紮)로 인한 혈청(血淸) AST의 상승은 목향조기산(木香調氣散)과 해울조위탕(解鬱調胃湯)을 투여한 두 실험군(實驗群) 모두에서 억제되는 양상을 보였으며, 목향조기산(木香調氣散)을 투여한 실험군(實驗群)에서 억제되는 보다 나았으나 그 차이는 크지 않았다. 3. 담도결찰(膽道結紮)로 인한 血淸 ALT의 상승은 목향조기산(木香調氣散)과 해울조위탕(解鬱調胃湯)을 투여한 두 실험군(實驗群) 모두에서 억제되는 양상을 보였으며, 목향조기산(木香調氣散)의 억제효과가 해울조위탕(解鬱調胃湯)보다는 유의성이 인정되었다.

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Polymorphism in Macrophage Migration Inhibitory Factor -173GC in Pediatric Patients with Autoimmune Hepatitis

  • Alsayed, Mona Abdel Latif;Elbeah, Shymaa Mohsen;El-Desoky, Manal M.;Elziny, Shereen Magdy;Megahed, Ahmed
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제23권1호
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    • pp.63-71
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    • 2020
  • Purpose: Autoimmune hepatitis (AIH) is a chronic disease that may lead to cirrhosis. The immunopathogenesis of AIH is not fully understood and it mainly involves T-cell mediated mechanism. Macrophage migration inhibitory factor (MIF) is a pro-inflammatory cytokine that promotes T cell response and its polymorphism may serve as a severity marker of AIH. No previous study has considered investigating MIF polymorphism in children with AIH. Methods: Forty-two children with definite diagnosis of AIH were enrolled along with 100 age and sex matched controls. All participants were tested for polymorphism at -173GC (rs755622) of MIF gene. All patients received the standard protocol of steroid plus azathioprine to achieve remission. Liver biopsy was performed at time of diagnosis for all patients and only 18 of them underwent a second biopsy after treatment. Results: No statistically significant differences in the frequency of the genotypes GG and GC or in allele distribution were found in both patient and control groups (p=0.590, 0.640 respectively). Initial alanine aminotransferase (ALT) levels at the time of presentation was significantly higher in the GC group than GG group (p=0.020). GC genotype significantly correlated with disease relapse (r=0.41, p=0.007). Regression of necroinflammation and the fibrosis score in the second liver biopsy was statistically significant in the GG group (p<0.0001, p=0.010 respectively). Conclusion: MIF -173GC polymorphism is associated with clinically significant markers of pediatric AIH, including increased initial serum ALT levels, may help predict necroinflammatory/fibrosis regression effectively, following immunosuppressive treatment.

Impact of Chronic Hepatitis B and Hepatitis C on Adverse Hepatic Fibrosis in Hepatocellular Carcinoma Related to Betel Quid Chewing

  • Jeng, Jen-Eing;Tsai, Meng-Feng;Tsai, Hey-Ru;Chuang, Lea-Yea;Lin, Zu-Yau;Hsieh, Min-Yuh;Chen, Shinn-Chern;Chuang, Wan-Lung;Wang, Liang-Yen;Yu, Ming-Lung;Dai, Chia-Yen;Tsai, Jung-Fa
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권2호
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    • pp.637-642
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    • 2014
  • The pathogenesis of hepatocellular carcinoma (HCC) related to habitual betel quid (BQ) chewing is unclear. Risk of HCCis increased with adverse hepatic fibrosis. This study aimed to assess the impact of chronic viral hepatitis on adverse hepatic fibrosis in HCC related to BQ chewing. This hospital-based case-control study enrolled 200 pairs of age- and gender-matched patients with HCC and unrelated healthy controls. Serologic hepatitis B surface antigen (HBsAg), antibodies to hepatitis C virus (anti-HCV), ${\alpha}$-fetoprotein (AFP), and surrogate markers for significant hepatic fibrosis were measured. Information on substance-use habits was obtained with a questionnaire. By analysis of surrogate markers for hepatic fibrosis, the prevalence of significant hepatic fibrosis in patients chewing BQ was between 45.8% and 91.7%, whereas that for patients without BQ chewing was between 18.4% and 57.9%. The difference was significant (P <0.05 for each surrogate marker). Multivariate analysis indicated that cirrhosis with Child-Pugh C (odds ratio (OR) = 3.28; 95% confidence interval (CI), 1.29-8.37), thrombocytopenia (OR = 3.92, 95% CI, 1.77-8.68), AFP >400 mg/L (OR = 2.21, 95% CI, 1.05-4.66) and male gender (OR = 4.06, 95% CI, 1.29-12.77) were independent factors associated with habitual BQ chewing. In conclusion, adverse hepatic fibrosis and severe liver damage play important roles in the pathogenesis of BQ-related HCC, which could be aggravated by chronic hepatitis B and hepatitis C. BQ-cessation programs and prevention of chronic HBV/HCV infection are needed to prevent HCC related to BQ chewing.

인진이 간성상세포의 섬유화 억제에 미치는 영향에 대한 연구 (Inhibitory Effect of Artemisiae Capillaris Herba on Fibrogenesis in Primary Cultured Rat Hepatic Stellate Cells)

  • 김영철;이장훈;우홍정
    • 대한한방내과학회지
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    • 제26권4호
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    • pp.853-863
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    • 2005
  • Object : This study was performed to investigate the anti-fibrogenic effect of Artemisiae Capillaris Herba(ACH) on cultured rat hepatic stellate cells. Methods : Hepatic Stellate Cells were obtained from a 350gm Sprague-Dawley rat by tissue perfusion system, and the cells for the study were selected after 3 passages of culture on non-coated plastic culture dishes which enable the cells to activate, thus producing collagens in the cell media. Cells were treated with various concentrations of Artemisia Capillaris Herba(ACH) extract powder for 24 or 48 hours. After the treatment, Soluble collagen, procollagen levels and the mRNA of the procollagen type I C were measured by using assay kit and RT-PCR method. Results : Procollagen production by the hepatic stellate cells decreased after the treatment in a time-dependent dose-dependent manner. The mRNA expression decreased consistently with the volume of the secreted procollagen which indicates the herb hat inhibitory effect on fibrogenesis of the liver by regulating one of the fibrosis associated genes in transcription. Conclusion : These results suggest that ACH is beneficial in the treatment of cirrhotic patients as well as for the patients with chronic hepatitis.

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Molecular Links between Alcohol and Tobacco Induced DNA Damage, Gene Polymorphisms and Patho-physiological Consequences: A Systematic Review of Hepatic Carcinogenesis

  • Mansoori, Abdul Anvesh;Jain, Subodh Kumar
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권12호
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    • pp.4803-4812
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    • 2015
  • Chronic alcohol and tobacco abuse plays a crucial role in the development of different liver associated disorders. Intake promotes the generation of reactive oxygen species within hepatic cells exposing their DNA to continuous oxidative stress which finally leads to DNA damage. However in response to such damage an entangled protective repair machinery comprising different repair proteins like ATM, ATR, H2AX, MRN complex becomes activated. Under abnormal conditions the excessive reactive oxygen species generation results in genetic predisposition of various genes (as ADH, ALDH, CYP2E1, GSTT1, GSTP1 and GSTM1) involved in xenobiotic metabolic pathways, associated with susceptibility to different liver related diseases such as fibrosis, cirrhosis and hepatocellular carcinoma. There is increasing evidence that the inflammatory process is inherently associated with many different cancer types, including hepatocellular carcinomas. The generated reactive oxygen species can also activate or repress epigenetic elements such as chromatin remodeling, non-coding RNAs (micro-RNAs), DNA (de) methylation and histone modification that affect gene expression, hence leading to various disorders. The present review provides comprehensive knowledge of different molecular mechanisms involved in gene polymorphism and their possible association with alcohol and tobacco consumption. The article also showcases the necessity of identifying novel diagnostic biomarkers for early cancer risk assessment among alcohol and tobacco users.

청간해주탕(淸肝解酒湯)이 $TGF-{\beta}1$ 유도성 간섬유화에 미치는 영향 (The Effect of Chungganhaeju-tang on $TGF-{\beta}1-induced$ Hepatic Fibrosis)

  • 이지현;김영철;우홍정;이장훈
    • 대한한방내과학회지
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    • 제26권1호
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    • pp.93-106
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    • 2005
  • Objectives : The aim of this study is to characterize the effect of Chungganhaeju-tang on $TGF-{\beta}l$-induced hepatic fibrosis. Materials and Methods : mRNA and protein expression levels of $TGF-{\beta}l$ in Chungganhaeju-tang treated HepG2 cells were compared to untreated cells using quantitative RT-PCR and ELISA assay, respectively. mRNA expression levels of the $TGF-{\beta}l$ signaling pathway genes $(T{\beta}R-I,\;T{\beta}R-II,\;Smad2,\;Smad3,\;Smad4,\;and\;PAI-1)$ and fibrosis-associated genes (CTGF, fibronectin, and collagen type $l{\alpha}$) were evaluated by quantitative RT-PCR. The effect of Chungganhaeju-tang on cell proliferation of T3891 human fibroblast was evaluated using $[^3H]Thymidine$ Incorporation Assay. Results : Inhibition of $TGF-{\beta}l$ mRNA expression and protein production was observed with treatment of Chungganhaeju-tang and seen to be dose and time dependent. Whereas $TGF-{\beta}l$-mediated induction of PAI-1 was suppressed with treatment of Chungganhaeju-tang, expression of the $TGF-{\beta}l$ signaling pathway genes such as $T{\beta}R-I$, $T{\beta}R-II$, Smad2, Smad3, and Smad4 was not affected. With treatment of Chungganhaeju-tang, inhibition of $TGF-{\beta}l$-induced cell proliferation of T3891 human fibroblast was observed, as well as abrogation of $TGF-{\beta}l$-mediated transcriptional up-regulation of CTGF, fibronectin, and collagen type $I{\alpha}$. Conclusion : This study strongly suggests that the liver cirrhosis-suppressive activity of Chungganhaeju-tang may be derived at least in part from its inhibitory effect on $TGF-{\beta}l$ functions, such as blockade of $TGF-{\beta}l$ stimulation of fibroblast cell proliferation and fibrosis-related gene expression as well as expression of $TGF-{\beta}l$ itself.

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인진청간탕(茵蔯淸肝湯)이 간성상세포의 섬유화 억제에 미치는 영향 (Inhibitory Effect of Injinchunggan-tang(Yinchenqinggan-tang) on Fibrogenesis of Rat Hepatic Stellate Cells)

  • 이홍일;김영철;우홍정;이장훈
    • 대한한방내과학회지
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    • 제30권1호
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    • pp.74-84
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    • 2009
  • Objectives : This study was performed to investigate the anti-fibrogenic effect of Injinchunggan-tang on cultured rat hepatic stellate cells. Materials and Methods : Hepatic stellate cells(HSC-T6) were treated with various concentrations of Injinchunggan-tang extract for 24, 48, and 72 hours. The extraction was done with distilled water. After the treatment, cell viability, proliferation, procollagen levels and the mRNA of the TIMP-1, TIMP-2, and ASMA were measured by using MTT assay. BrdU assay, procollagen type I C-peptide EIA kit and RT-PCR. Results : The proliferation, mRNA expression and synthesis of collagen of the hepatic stellate cells were inhibited by Injinchunggan-tang treatment in a dose-dependent manner. This indicates the prescription has inhibitory effect on fibrogenesis of the liver by regulating the fibrogenesis associated genes in transcription. Cell viability was inhibited in time- and dose-dependent manners. It seemed that the drug should be used with sufficient dose to acquire treatment effect. Conclusion : These results suggest that Injinchunggan-tang is beneficial in the treatment of cirrhotic patients as well as for the patients with chronic hepatitis.

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가자(Terminalia chebula Retz.) 추출물의 간섬유화 억제활성 (Suppressive Activity of Extract of Termialia chebula Retz. on Hepatic Fibrosis)

  • 이현순;구윤창;이광원
    • 한국식품과학회지
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    • 제41권5호
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    • pp.597-601
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    • 2009
  • 간성상세포(HSC)는 간섬유화와 간경변에 중요한 역할을 한다고 알려져 있다. 간손상에 의해 둥근 모양의 간성상세포는 활성화되어 세포외기질(ECM)을 생산하는 myofibroblast와 같은 모양으로 활성화 된다. 활성화된 간성상세포의 특징은 빠른 증식 속도와 collagen과 같은 세포외 기질의 생산이다. 활성화된 간성상 세포의 제거방법은 apoptosis를 유도하는 것이다. 가자 추출물은 정상 간세포(rat primary hepatocyte), 간세포주(HepG2) 및 활성화된 간성상세포주인 T-HSC/Cl-6에 $1,000{\mu}g/mL$의 농도까지 처리하여 세포독성을 확인하였다. 그 결과 hepatocyte나 HepG2에서는 최고 농도에서도 독성이 없었으나 T-HSC/Cl-6는 U-shape 모양으로 사멸하는 것을 확인 하였다. T-HSC/Cl-6의 사멸이 apoptosis에 의한 것인지를 Annexin-V/PI double staining을 통하여 확인한 결과 apoptosis에 의해 T-HSC/Cl-6의 사멸이 일어나는 것을 확인하였다.

Poricoic acid의 비알코올성 지방간염 억제 효능 (Preventive Effect of Poricoic Acid against Nonalcoholic Steatohepatitis)

  • 김혜란;정대영;김세이;정명호
    • 생명과학회지
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    • 제32권12호
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    • pp.962-970
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    • 2022
  • 비알코올성 지방간염(nonalcoholic steatohepatitis, NASH)은 비알코올성 지방간 질환(nonalcoholic fatty liver disease, NAFLD)의 진행질환으로, 중성지방 침착, 염증 및 간 섬유화가 동반되어 간경변증과 간암의 원인이 되는 질환이나, 아직까지 비알코올성 지방간염을 치료하는 뚜렷한 치료제가 없는 실정이다. Poricoic acid (PoA)는 복령의 약효성분으로 여러 약리작용이 보고되었으나 비알코올성 지방간염의 치료 효능은 보고되지 않았다. 따라서 본 연구에서는 PoA가 비알코올성 지방간염의 병인에 작용하여 비알코올성 지방간염을 억제하는지를 in vivo 및 in vitro 연구를 통해 확인하였다. 비알코올성 지방간염을 유도하는 식이(high fat and methionine-choline deficient diet, HFMCD)로 비알코올성 지방간염을 유발한 쥐에서 PoA는 HFMCD에 의해 증가된 간 무게를 감소시켰으며, 간 독성을 나타내는 alanine aminotransferase, aspartate aminotransferase도 감소시켰다. Oil Red O 염색 및 hematoxylin & eosin 염색의 결과에 의하면, PoA는 HFMCD에 증가하는 간 조직 내 중성지방의 생성을 감소시켰으며, qPCR 결과에 의해서도 PoA는 중성 지방 합성과 관련된 유전자들의 발현도 감소시켰다. 또한 간 조직에서 CD68 면역 염색 결과에 의하면, PoA는 HFMCD에 의해 증가는 CD68 면역 염색을 감소시켰으며, 염증과 관련된 유전자 발현도 감소시켰다. 더욱이 Sirius red 염색과 α-smooth muscle actin (α-SMA) 면역 염색으로 간 섬유화 정도를 측정한 결과, PoA는 HFMCD에 증가되는 sirius red 염색과 α-SMA 면역 염색을 유의적으로 감소시켰으며 섬유화 관련 유전자들의 발현도 감소시켰다. 또한, PoA는 palmitate (Pa)로 처리한 간세포 AML12에서 Pa에 의해 증가하는 중성 지방산 합성, 염증 및 섬유화 관련 유전자들의 발현을 감소시켰다. 이상의 결과를 종합하면 PoA는 비알코올성 지방간염의 중요 병인인 중성지방 생성, 염증 및 섬유화를 억제하여 비알코올성 지방간염을 억제함을 확인하였다.