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Balancing Effect of Biejiajian Oral Liquid (鳖甲煎口服液) on ACE-Ang II-AT1R Axis and ACE2-Ang-(1–7)-Mas Axis in Rats with CCl4-Induced Hepatic Fibrosis

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Abstract

Objective

To explore the effect of Biejiajian Oral Liquid (鳖甲煎口服液, BOL) on CCl4-induced hepatic fibrosis in rats by detecting the changes in the levels of angiotensin II (Ang II), angiotensin-(1–7) [Ang-(1–7)], angiotensin-converting enzyme (ACE), ACE2, angiotensin II type 1 receptor (AT1R), Mas, etc.

Methods

A total of 180 Wistar rats were randomly divided into two groups by random digital table method: prevention experiment and treatment experiment. Each group was further subdivided into the following 6 subgroups: normal control group, model group, vitamin E [100 mg/(kg·d), VE] group, enalapril [10 mg/(kg·g), Ena] group, high-dosage [20 g/(kg·d)] BOL group, and low-dosage [10 g/(kg·d)] BOL group. The hepatic fibrosis rat model was established by subcutaneous injection of CCl4 for 6 weeks. Prevention experiment and treatment experiment were administered with specific drugs at different times. At the end of treatment experiment, the pathological changes of liver were observed after hematoxylin-eosin staining. The expressions of ingredients in renin-angiotensin-aldosterone system (RAAS) such as AngII, Ang-(1–7), ACE, ACE2, AT1R, Mas, renin, CYP11B2 and angen in liver were detected by enzyme linked immunosorbent assay, immunohistochemistry method or reverse transcription-polymerase chain reaction, respectively.

Results

The levels of AngII and Ang-(1–7) at the 6th week increased by 496.10% and 73.64%, respectively, compared with those at the 2nd week in the model group (P<0.01). With prevention or treatment with high-dosage BOL, there was an evident reduction of AngII level but an improvement of Ang-(1–7) level. Specifically, AngII level of high-dosage group decreased by 77.50% in prevention experiment (P=0.000) and by 76.93% in treatment experiment (P=0.002) compared with that in the model group. Ang-(1–7) level increased by 91.69% in prevention experiment (P=0.006) and by 70.77% in the treatment experiment (P=0.010) compared with that in the model group. The expression levels of mRNA of renin, ACE, CYP11B2, angen and AT1R decreased by 58.15%, 99.90%, 99.84%, 99.99% and 99.99% (all P<0.01), respectively.

Conclusions

BOL could help resist liver fibrosis in rats by enhancing the level of each ingredient in ACE2-Ang-(1–7)-Mas axis, while decreasing the level of each ingredient in ACE-AngII-AT1R axis. To some extent, BOL could enhance the regulation of RAAS in rats with CCl4-induced hepatic fibrosis.

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References

  1. Andrea B, Cluadia M, Alice C, Alession G, Virginia C, Francesco M, et al. Extracellular matrix molecular remodeling in human liver fibrosis evolution. PLoS One 2016;11:e0151736.

    Article  CAS  Google Scholar 

  2. Su TH, Kao JH, Liu CJ. Molecular mechanism and treatment of viral hepatitis-related liver fibrosis. Int J Mol Sci 2014;15:10578–10604.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  3. Ning ZW, Luo XY, Wang GZ, Li Y, Pan MX, Yang RQ, et al. MicroRNA-21 mediates angiotensin II-induced liver fibrosis by activating NLRP3 inflammasome/IL-1β axis via targeting Smad7 and Spry1. Antioxid Redox Signal 2017;27:1–20.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  4. Drapkina OM, Drapkina IuS. Heart and liver fibrosis: the components of a single equation. Kardiologiia 2014;54:57–62.

    Article  PubMed  CAS  Google Scholar 

  5. Moreira de Macêdo S, Guimarães TA, Feltenberger JD, Sousa Santos SH. The role of renin-angiotensin system modulation on treatment and prevention of liver diseases. Peptides 2014;62:189–196.

    Article  CAS  Google Scholar 

  6. Kim G, Kim J, Lim YL, Kim MY, Baik SK. Renin-angiotensin system inhibitors and fibrosis in chronic liver disease: a systematic review. Hepatol Int 2016;10:819–828.

    Article  PubMed  CAS  Google Scholar 

  7. Wen B, Sun H, He S, Cheng Y, Jia W, Fan E, et al. Effects of Biejiajian Pills on Wnt signal pathway signal molecules β-catenin/TCF4 complex activities and downstream proteins cyclin D1 and MMP-2 in hepatocellular carcinoma cells. J South Med Univ (Chin) 2014;34:1758–1762.

    CAS  Google Scholar 

  8. Cheng Y, He SQ, Zhu Y, Fan Q, Yang S, Chen R. Biejiajian Pill inhibited the proliferation, adhesion, and invasion of hepatoma carcinoma cells: an experimental research. Chin J Integr Tradit West Mde (Chin) 2013;33:664–667.

    Google Scholar 

  9. Sun H, He S, Wen B, Jia W, Fan E, Zheng Y. Effect of Biejiajian Pills on Wnt signal pathway molecules β-catenin and GSK-3β and the target genes CD44v6 and VEGF in hepatocellular carcinoma cells. J South Med Univ (Chin) 2014;34:1454–1458.

    CAS  Google Scholar 

  10. Ai ZB, Zhang RH, Yan GH, Su YP, Ai GP. Effect of Modified Turtle shell Decoction on hepatic fibrosis in rats and its mechanism. Acta Acad Med Milit Tertiae (Chin) 2011;33:249–254.

    Google Scholar 

  11. He S, Cheng Y, Zhu Y, Fan Q, Sun H, Jia W. Effect of Biejiajian Pills on Wnt/β-catenin signal pathway and DKK-1 and FrpHe gene expressions in hepatocellular carcinoma cells. J South Med Univ (Chin) 2013;33:30–33.

    Google Scholar 

  12. Tang YP, Hu CL, Liu YW. Effect of bioactive peptide of Carapax Trionycis on TGF-β1-induced intracellular events in hepatic stellate cells. J Ethnopharmacol 2013;148:69–73.

    Article  PubMed  CAS  Google Scholar 

  13. Hu Z, You P, Xiong S, Gao J, Tang Y, Ye X, et al. Carapax Trionycis extracts inhibit fibrogenesis of activated hepatic stellate cells via TGF-β1/Smad and NFkB signaling. Biomed Pharmacother 2017;95:11–17.

    Article  PubMed  CAS  Google Scholar 

  14. Wang P, Zhang Y, An Y, Xu K, Xu X, Fu C, et al. Protection of a new heptapeptide from Carapax trionycis against carbon tetrachloride-induced acute liver injury in mice. Chem Pharm Bull (Tokyo) 2013;61:1130–1135.

    Article  CAS  Google Scholar 

  15. Wen B, Sun HT, He SQ, An HY, Pang J. Inhibitory effect of Biejiajian pills on HepG2 cell xenograft growth an expression of β-catenin and Tbx3 in nude mice. J South Med Univ (Chin) 2016;36:210–214.

    CAS  Google Scholar 

  16. Yao L, Yao ZM, Yu T. Influence of BOL on hyaluronic acid, laminin and hyperplasia in hepatofibrotic rats. World J Gasteroenterol 2001;7:872–875.

    Article  CAS  Google Scholar 

  17. Yao L, Yao ZM, Weng H, Zhao GP, Zhou YJ, Yu T. Effect of rat serum containing Biejiajian Oral Liquid on proliferation of rat hepatic stellate cells. World J Gastroenterol 2004;10:1911–1913.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  18. Lee UE, Friedman SL. Mechanisms of hepatic fibrogenesis. Best Pract Res Clin Gastroenterol 2011;25:195–206.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  19. Ghosh AK, Quaqqin SE, Vauqhan DE. Molecular basis of organ fibrosis: potential therapeutic approaches. Exp Biol Med 2013;238:461–481.

    Article  CAS  Google Scholar 

  20. Grace JA, Herath CB, Mak KY, Burrell LM, Angus PW. Update on new aspects of the rennin-angiotensin system in liver disease: clinical implications and new therapeutic options. Clin Sci 2012;123:225–239.

    Article  PubMed  CAS  Google Scholar 

  21. Lu P, Liu HL, Yin H, Yang L. Expression of angiotensinogen during hepatic fibrogenesis and its effect on hepatic stellate cells. Med Sci Monit 2011;17: BR248–BR256.

    PubMed  PubMed Central  CAS  Google Scholar 

  22. Paik YH, Kim J, Aoyama T, De Mincicis S, Bataller R, Brenner DA. Role of NADPH oxidases in liver fibrosis. Antioxid Redox Signal 2014;20:2854–2872.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  23. Yao ZM, Xiong YK, Li JP. Experimental study of resisting liver fibrosis of Biejiajian Oral Liquid. J Zhejiang Univ Tradit Chin Med (Chin) 2000;24:58–61.

    Google Scholar 

  24. Yao L, Zhang YL, Li J, Peng Y. Effect of Biejiajian Oral Liquid on the expression of RAAS in hepatic fibrosis rats. J Pharm Pharmacol 2012;3:330–335.

    Google Scholar 

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Correspondence to Li Yao.

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Supported by the National Natural Science Foundation of China (No. 81173640); the Natural Science Foundation of Zhejiang Province, China (No. Y205335; LY16H280009) and the Science Foundation of Zhejiang Chinese Medical University (No. 2016ZG11)

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Li, Xy., Peng, Y., Bu, Xw. et al. Balancing Effect of Biejiajian Oral Liquid (鳖甲煎口服液) on ACE-Ang II-AT1R Axis and ACE2-Ang-(1–7)-Mas Axis in Rats with CCl4-Induced Hepatic Fibrosis. Chin. J. Integr. Med. 24, 853–859 (2018). https://doi.org/10.1007/s11655-017-2909-7

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