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Study on the mechanism of Huazhuo Kangxian Baogan Decoction regulating PI3K/AKT/mTOR pathway to inhibit liver fibrosis
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DOI   10.11656/j.issn.1672-1519.2022.07.19
Key Words   liver fibrosis;Huazhuo Kangxian Baogan Decoction;fibroblasts;PI3K/AKT/mTOR
Author NameAffiliationE-mail
SUN Ruifang Department of Gastroenterology, The Second Affiliated Hospital of Xingtai Medical College, Xingtai 054000, China  
LIU Shizhu Department of Gastroenterology, The Second Affiliated Hospital of Xingtai Medical College, Xingtai 054000, China  
LI Ruidong Radiation and Chemotherapy Division, The Second Affiliated Hospital of Xingtai Medical College, Xingtai 054000, China  
XU Shuangchao Department of Gastroenterology, The Second Affiliated Hospital of Xingtai Medical College, Xingtai 054000, China xushuangchao65@163com 
Abstract
    [Objective] To explore the mechanism of Huazhuo Kangxian Baogan Decoction(HZKXD) regulating PI3K/AKT/mTOR pathway to inhibit liver fibrosis.[Methods] The 80 rats were randomly divided into 4 groups:control group,model group,low-dose HZKXD group and high-dose HZKXD group (n=20). Intraperitoneal injection of carbon tetrachloride (10%) was used to construct a fibrosis model after hepatitis. The intragastric doses of the low-dose HZKXD group and the high-dose HZKXD group were 5 mL/kg and 10 mL/kg,respectively. Peripheral blood liver function indexes,liver tissue damage,liver fibrosis,fibroblast marker protein alpha smooth muscle actin (α-SMA) levels in peripheral blood of rats in each group were compared,as well as PI3K,AKT,mTOR mRNA and protein expressions.[Results] The above indicators of the four groups of rats were significantly different (P<0.05). Model group ALT (127.26±14.03) U/L,AST (260.15±27.57) U/L,liver tissue damage,collagen volume fraction (24.27±1.96)%,α-SMA protein,PI3K,AKT,mTOR mRNA and protein of the control group were significantly higher than those of the control group (P<0.05). ALT (92.85±9.84) U/L,AST (198.67±21.91) U/L,liver tissue damage,collagen volume fraction (14.81±1.04)%,α-SMA protein,PI3K,AKT,mTOR mRNA and protein expressions in the low-dose HZKXD group were significantly lower than those in the model group (P<0.05). ALT (56.44±6.35) U/L,AST (137.23±14.06) U/L,liver tissue damage,collagen volume fraction (7.05±0.85)%,α-SMA protein,PI3K,AKT and mTOR mRNA and protein in the high-dose HZKXD group were significantly lower than those in the model group and low-dose HZKXD group (P<0.05).[Conclusion] HZKXD can alleviate the accumulation of collagen in the liver tissue of liver fibrosis model rats,and can also inhibit the PI3K/AKT/mTOR pathway to reduce fibroblasts.

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