首页|扶正化瘀胶囊对肝纤维化发展的影响

扶正化瘀胶囊对肝纤维化发展的影响

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目的 探讨扶正化瘀胶囊(FZHY)对肝纤维化发展的影响.方法 CCK-8法检测FZHY对LX-2细胞活性的影响.RT-qPCR和Western blot法测定LX-2转染TGF-β或/和给予FZHY后α-SMA水平.选取2022年1月至2022年12月在上海第九人民医院接受抗病毒治疗的慢性乙型肝炎患者80例作为研究对象,分为对照组和治疗组,治疗组每日口服扶正化瘀胶囊1.5 g,一日3次,瞬时弹性成像检查各组治疗前后瞬时肝弹性F值.结果 FZHY明显抑制LX-2生长,并与剂量呈正相关(P<0.05).过表达TGF-β后α-SMA mRNA明显增加(57.14±4.81),与对照组相比差异显著(P<0.001).同时予 10%或 20%FZHY 时,α-SMA mRNA 不同程度降低(37.42±3.65 及 21.79±0.496),与 TGF-β组相比,α-SMA mRNA降低差异有统计学意义(P<0.05,P<0.001).Western blot显示,FZHY能部分抵消TGF-β引起的α-SMA表达上调.治疗组瞬时肝弹性F值较干预前有所下降,但差异无统计学意义(P>0.05).结论 FZHY可通过影响LX-2细胞增殖、调节α-SMA表达来实现抗纤维化作用.
The effect of Fuzheng Huayu Capsules(FZHY)on the development of hepatic fibrosis
Objective To investigate the effect of Fuzheng Huayu Capsules(FZHY)on the progression of hepatic fibrosis.Methods The impact of FZHY on the activity of LX-2 cells was evaluated using the CCK-8 assay.The expression levels of α-SMA in TGF-β-transfected LX-2 cells were assessed using RT-qPCR and Western blot analysis after treatment with or without FZHJ.A total of 80 patients with chronic hepatitis B undergoing antiviral treatment at Shanghai Ninth People's Hospital between January 2022 and December 2022 were enrolled in the study and divided into a control group and a treatment group.The treatment group received 1.5 g of Fuzheng Huayu Capsules three times daily,and liver elasticity F-value were measured using transient elastography before and after treatment in both groups.Results The inhibitory effect of FZHY on LX-2 cells growth was significantly dose-dependen(P<0.05).Overexpression of TGF-β significantly inceasedα-SMA mRNA level(57.14±4.81)compared to the control group(P<0.001).Treatment with 10%or 20%FZHY resulted in a reduction in α-SMA mRNA levels(37.42±3.65 and 21.79±0.496)compared to the TGF-β group,with significant differences(P<0.05,P<0.001).Western blot analysis demonstrated that FZHY partially reversed the upregulated expression of α-SMA induced by TGF-β.While the liver elasticity F value decreased in the treatment group after therapy,but there was no statistically significant difference(P>0.05).Conclusion FZHY exhibits antifibrotic effects by influencing LX-2 cell proliferation and modulating α-SMA expression.

Hepatic fibrosisHepatic stellate cellsFuzheng Huayu Capsules

黄欣、孟祥军、吴莘

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200011 上海交通大学医学院附属第九人民医院消化科

200011 上海交通大学医学院附属第九人民医院急诊科

肝纤维化 肝星状细胞 扶正化瘀胶囊

上海市青年科技英才杨帆计划

19YF1426900

2024

肝脏
上海市医学会

肝脏

CSTPCD
影响因子:0.71
ISSN:1008-1704
年,卷(期):2024.29(4)
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