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Effects of modified Shenfu Decoction on the TLR4/MyD88/NF-κB signaling pathway in inhibiting cellular inflammation and oxidative stress in LPS-induced L-02 hepatocyte injury
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DOI   10.11656/j.issn.1673-9043.2026.02.10
Key Words   Modified Shenfu Decoction;sepsis;liver injury;oxidative stress
Author NameAffiliationE-mail
LI Xue Cangzhou Third Hospital, Cangzhou 061017, China  
PAN Baochao Department of Hepatology, Hebei Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Cangzhou 061001, China  
SUN Ying Department of Hepatology, Hebei Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Cangzhou 061001, China  
WANG Jian Department of Hepatology, Hebei Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Cangzhou 061001, China  
LI Yimeng Cangzhou Third Hospital, Cangzhou 061017, China  
WAHG Jieying Cangzhou Third Hospital, Cangzhou 061017, China  
YANG Guiying Cangzhou Third Hospital, Cangzhou 061017, China  
LIU Zhilong Department of Hepatology, Hebei Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Cangzhou 061001, China 1280395467@163.com 
Abstract
    [Objective] To investigate the protective effect of Modified Shenfu Decoction on lipopolysaccharide (LPS)-induced hepatocellular injury. [Methods] Twenty-seven SPF-grade SD rats were selected for acclimatization feeding,and after one week,gavage was performed to prepare drug-containing serums for the control group,Shenfu Decoction low-dose group(1 g/kg),medium-dose group(2 g/kg),and high-dose group(4 g/kg),respectively. Human normal hepatocyte L-02 cells were randomly divided into the Control Group(normal culture),LPS group(40 μg/mL LPS),and Modified Shenfu Decoction low-,medium-,and high-dose+LPS groups. After 24 hours of treatment,the expression levels of key proteins such as Toll-like receptor 4(TLR4),myeloid differentiation primary response protein 88(MyD88),nuclear factor kappa-B(NF-κB),interleukin-1β(IL-1β),and interleukin-6(IL-6)in cells were detected by Western blot. The mRNA expression levels of the corresponding genes were measured using quantitative real-time polymerase chain reaction(qPCR)。 Cell proliferation was assessed by the CCK- 8 assay, apoptosis was detected by flow cytometry,and reactive oxygen species(ROS) levels were measured using a fluorescent probe. [Results] Compared with the Control Group,LPS-induced L-02 cells showed a significant decrease in proliferative ability(P<0.01),a significant increase in protein and mRNA expression levels of inflammatory factors TLR4,MyD88,NF-κB,IL-1β and IL-6(P<0.01),a significant increase in apoptosis(P<0.01), and significant oxidative stress with increased ROS(P<0.01). Compared with the LPS group,the Modified Shenfu Decoction low-,medium-,and high-dose groups increased the proliferative ability of L-02 cells(P<0.01), significantly decreased the protein and mRNA expression levels of the aforementioned inflammatory factors(P< 0.01),reduced apoptosis(P<0.01),and decreased oxidative stress and ROS levels(P<0.01). All differences were statistically significant. [Conclusion] Modified Shenfu Decoction can ameliorate LPS-induced hepatocellular injury. Its mechanism of action may be related to the regulation of the TLR4/MyD88/NF-κB signaling pathway and the attenuation of inflammatory response and oxidative stress in L-02 cells. The in vitro results of this study provide a preliminary experimental basis for exploring the potential application of Modified Shenfu Decoction in septic liver injury.

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