CN113750258A - Novel method for treating hepatic fibrosis diseases by pirfenidone - Google Patents
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- CN113750258A CN113750258A CN202010521441.1A CN202010521441A CN113750258A CN 113750258 A CN113750258 A CN 113750258A CN 202010521441 A CN202010521441 A CN 202010521441A CN 113750258 A CN113750258 A CN 113750258A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K49/00—Preparations for testing in vivo
- A61K49/0004—Screening or testing of compounds for diagnosis of disorders, assessment of conditions, e.g. renal clearance, gastric emptying, testing for diabetes, allergy, rheuma, pancreas functions
- A61K49/0008—Screening agents using (non-human) animal models or transgenic animal models or chimeric hosts, e.g. Alzheimer disease animal model, transgenic model for heart failure
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- A01—AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
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- A01K67/00—Rearing or breeding animals, not otherwise provided for; New or modified breeds of animals
- A01K67/02—Breeding vertebrates
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- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
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- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
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Abstract
Unlike other previous studies, the present study discusses the therapeutic mechanism of Pirfenidone (PFD) on carbon tetrachloride-induced liver fibrosis in mice. A CCL4 liver fibrosis pathological model group is prepared by taking 40 healthy male SPF-grade ICR mice of 8 weeks as experimental objects, performing intraperitoneal injection on the mice by adopting a CCL4 soybean oil solution of 0.4 ml/10 percent, performing intragastric gavage on the mice by using low-dose and high-dose pirfenidone, analyzing the expression condition of alpha-SMA (short tandem repeat) related genes of liver cells of the mice, and discussing the influence mechanism of the pirfenidone on the liver fibrosis. At present, a lot of reports are made abroad, and the influence of the reports on the hepatic fibrosis is still lack of enough research. The research discusses the treatment effect of pirfenidone on hepatic fibrosis by using a hepatic fibrosis mouse model caused by CCL4, and provides a new direction for PFD treatment of early intervention of hepatic fibrosis.
Description
Technical Field
The field of the treatment of hepatic fibrosis related diseases by Pirfenidone (PFD), in particular to the verification of the feasibility of the treatment of the hepatic fibrosis diseases induced by carbon tetrachloride by pirfenidone.
Background
Research has shown that cirrhosis has become a serious endocrine-metabolic disease threatening human health. Cirrhosis is a 14 th adult lethal disease worldwide, has a very high risk of developing liver cancer, and is a major global health problem. Liver fibrosis is the common pathological basis and inevitable stage of cirrhosis and even liver failure. Prevention and early intervention on hepatic fibrosis are the best measures for stabilizing the disease condition and preventing the hepatic fibrosis from developing into cirrhosis and liver cancer. To successfully reverse liver fibrosis, excessive collagen deposition, excessive scar degradation and recovery of damaged liver tissue to normal are degraded. Pirfenidone has been shown to have some effect in anti-fibrosis.
Pirfenidone (PFD), a novel oral small molecule compound, chemically named 5-methyl-1-phenyl-2- (1 hydro) -pyridone, has anti-fibrotic, anti-inflammatory and anti-oxidative effects. In vitro and animal experiments, PFD is able to inhibit pro-fibrotic and pro-inflammatory cytokines, including transforming growth factor and tumor necrosis factor, acting to inhibit fibroblast proliferation and collagen deposition. Clinical tests show that the traditional Chinese medicine composition plays a certain role in inhibiting fibrosis of lung, heart, kidney and the like.
Pirfenidone (PFD) has the effect of remarkably reducing the hepatic fibrosis of carbon tetrachloride-induced hepatic fibrosis mice. The inhibition of the alpha-SMA related gene in liver is determined, and then the influence of hepatic fibrosis indexes HA (hyaluronic acid), LN (laminin) and IV-C (IV type collagen) is detected by an enzyme-linked reaction method, so that a theoretical basis is provided for the treatment of hepatic fibrosis.
At present, the effect and the action mechanism of pirfenidone are proved at home and abroad that pirfenidone can inhibit HSC activation through targeting, so that the expression level of alpha-SMA gene is obviously reduced, HSC expression is inhibited, ECM generation is reduced, and the effect of resisting hepatic fibrosis is achieved. Healthy male SPF-grade ICR mice are divided into a liver fibrosis model group (CCL4 group), a pirfenidone low dose group (PFD-L group), a pirfenidone high dose group (PFD-H group) and a normal control group, the stomach is irrigated with 120mg/kg and 240mg/kg Pirfenidone (PFD), and the improvement effect of pirfenidone on liver fibrosis is verified by detecting ALT (glutamic pyruvic transaminase), AST (glutamic oxalacetic transaminase), ALP (alkaline phosphatase) and liver fibrosis indexes HA (hyaluronic acid), LN (laminin) and IV-C (IV collagen) in serum. Pirfenidone remarkably reduces the content of HA, LN and IV-C in serum, reduces the expression level of genes encoding proinflammatory cytokines, protects liver cells, relieves inflammatory reaction, promotes collagen degradation to reduce the synthesis of extracellular matrix, reduces the expression of alpha-SMA genes, blocks the activation of hepatic stellate cells and inhibits the increase of collagen fibers, so that PFD treatment can provide a theoretical basis for the treatment of hepatic fibrosis.
Disclosure of Invention
In order to explore the problem of treatment of hepatic fibrosis related diseases by pirfenidone, the invention constructs a hepatic fibrosis mouse model in advance and further detects various indexes of the mouse. Histology level, comparing and observing the tissue characteristics of a common mouse control group (NC), a liver fibrosis model group (CCL4 group), a pirfenidone low dose group (PFD-L group) and a pirfenidone high dose group (PFD-H group); at the cellular level, pirfenidone improves hepatocyte sensitivity; performing biochemical detection on related indexes in serum of each group of mice at a molecular level, monitoring the content of each corresponding index in liver in an important way, and measuring the content of each group of mice; gene level, detecting the expression condition of alpha-SMA related genes in liver, and comprehensively detecting the influence of pirfenidone on hepatic fibrosis.
The invention researches an experiment on the treatment effect of pirfenidone by constructing a hepatic fibrosis mouse model. Provides a novel method for verification experiments of pirfenidone in hepatic fibrosis treatment, promotes the development of pirfenidone development and clinical treatment to a certain extent, and has good popularization and feasibility.
Detailed Description
1. Preparation and grouping processing of hepatic fibrosis mouse model and histological examination
The male SPF grade ICR mice (purchased from Shanghai laboratory animal center of Chinese academy of sciences) are 40 healthy at 8 weeks old, and the weight of the mice is 25-30 g. Adaptive feeding for one week. Mice were randomly divided into 4 groups: liver fibrosis model group (CCL4 group) (n ═ 10): intraperitoneal injection of 0.4 ml/10% carbon tetrachloride (CCL4) soybean oil solution for 1 time in 2 days for 42 days (6 weeks); pirfenidone low dose group (PFD-L group) (n ═ 10): gavage was given simultaneously with 120mg/kg PFD solution for 28 days (4 weeks) 1 time, except for intraperitoneal injection of CCL 4; pirfenidone high dose group (PFD-H group) (n ═ 10): gavage was given concurrently with 240mg/kg PFD solution for 28d (4 weeks) 1 day, except for intraperitoneal injection of CCL 4; normal control group (n ═ 10), normal feeding. Each group of mice was housed under standard laboratory conditions and had free access to food and water. Each group of mice was sacrificed 42 days after model creation, serum was retained, and liver tissues were rapidly collected and stored at-80 ℃ for real-time fluorescent quantitative PCR detection. Fixing liver tissues by 4% paraformaldehyde, performing gradient dehydration, performing transparency in xylene, soaking in wax, performing paraffin embedding treatment, preparing into 3 μm slices, staining with hematoxylin-eosin, observing with ECTIPSE50I microscopic image processing system, collecting pictures, and comparing morphological changes of liver tissues.
2. Detecting related indexes by using a full-automatic biochemical analyzer:
(1) indices of alanine Aminotransferase (ALT), aspartate Aminotransferase (AST) and alkaline phosphatase (ALP) in each group in serum.
3. Liver fibrosis related indexes HA (hyaluronic acid), LN (laminin) and IV-C (IV collagen) content determination:
the mice are taken blood and then are stood for 1h at room temperature, 3000 r.min < -1 >, centrifuged for 15min, and serum is separated. Detecting hepatic fibrosis indexes HA, LN and IV-C by using a radioimmunoassay method, and strictly operating according to the instruction of the kit.
℃15s。
4. Determination of liver tissue alpha-SMA Gene expression:
real-time fluorescent quantitative PCR method is used. The total RNA of the liver tissue of the mouse is extracted by a Trizol one-step method and is reversely transcribed to synthesize cDNA, and the operation is carried out according to the instruction of a kit. Real-time quantitative amplification is carried out on a real-time fluorescence quantitative PCR instrument, beta-actin is used as an internal reference, and an alpha-SMA primer is synthesized by a biological engineering (Shanghai) corporation. alpha-SMA upstream primer: 5'-AGC GGG CAT CCA CGA AAC-3', respectively; a downstream primer: 5'-TGA TCT TCA TGG TGC TGG GTG-3' are provided. Beta-actin upstream primer: 5'-AAC AGT CCG CCT AGA AGC AC-3', respectively; a downstream primer: 5'-CAT TGA CAT CCG TAA AGA CC-3' are provided. The Real-time PCR reaction system is 20 ul, wherein the cDNA is 1 ul, SYBR Green10 ul, the upstream primer is 0.5 ul, the downstream primer is 0.5 ul, the ddH2O8 ul, the amplification program is pre-denaturation at 95 ℃ for 5min, denaturation at 94 ℃ for 10s, annealing at 55 ℃ for 20s, extension at 72 ℃ for 30s, and the reaction is carried out for 45 cycles. Extension at 72 ℃ for 5 min. Data analysis was performed using SDS software, and results were analyzed by comparing Ct values (cycle threshold).
Description of the drawings: FIG. 1 is a circuit diagram of a hepatic fibrosis mouse model constructed in advance and used for monitoring various corresponding indexes in the liver.
Claims (4)
1. A novel mouse experiment mode is to use carbon tetrachloride to induce mouse hepatic fibrosis animal model to treat pirfenidone.
2. The novel mouse experimental method of claim 1, wherein in the experiment for confirming the effect and action mechanism of pirfenidone on liver fibrosis, a liver fibrosis mouse model is constructed in advance, and further, various indexes of the mouse are detected. Measuring the expression of the mouse hepatocyte alpha-SMA related gene; the influence of pirfenidone on hepatic fibrosis is comprehensively detected by ALT (glutamic-pyruvic transaminase), AST (glutamic-oxalacetic transaminase), ALP (alkaline phosphatase), HA (hyaluronic acid), LN (laminin) and IV-C (collagen IV) in serum, and the pirfenidone HAs obvious effects on protecting liver cells, relieving inflammatory response, promoting collagen degradation to reduce synthesis of extracellular matrix, reducing alpha-SMA gene expression, blocking hepatic stellate cell activation and inhibiting collagen fiber increase.
3. The novel mouse assay of claim 1, wherein the assay is performed on a mouse at a histological level and a molecular level.
4. The novel mouse experimental mode of claim 1 provides a novel and simple method for verification experiment of the curative effect of pirfenidone, which suggests that PFD can become a new drug for early prevention and treatment of liver fibrosis, and has good popularization and feasibility.
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Citations (1)
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CN103550242A (en) * | 2013-11-22 | 2014-02-05 | 四川国康药业有限公司 | Pharmaceutical composition for treating hepatic fibrosis and preparation method thereof |
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CN103550242A (en) * | 2013-11-22 | 2014-02-05 | 四川国康药业有限公司 | Pharmaceutical composition for treating hepatic fibrosis and preparation method thereof |
Non-Patent Citations (1)
Title |
---|
肖敏 等: "吡非尼酮对四氯化碳诱导的小鼠肝纤维化的影响", 《中国应用生理学杂志》 * |
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