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2014 ; 15
(5
): 8037-48
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gab.com Text
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SHSST cyclodextrin complex prevents the fibrosis effect on CCl?-induced cirrhotic
cardiomyopathy in rats through TGF-? pathway inhibition effects
#MMPMID24815066
Yang CH
; Ting WJ
; Day CH
; Ju DT
; Yeh YL
; Chung LC
; Tsai FJ
; Tsai CH
; Tsai Y
; Huang CY
Int J Mol Sci
2014[May]; 15
(5
): 8037-48
PMID24815066
show ga
Patients with liver cirrhosis also have subtle cardiac structure or function
abnormalities. This cardiac dysfunction commonly occurs in 56% of waiting
orthotopic liver transplantation (OLT) patients and is defined as cirrhotic
cardiomyopathy (CCM). Up to now, there is no standard treatment because CCM does
not have a solidly established diagnosis and is based on high clinical suspicion.
The liver function of CCM is particularly limited, making patients vulnerable to
more drug treatments. Here, we use silymarin (100 mg/kg/day), baicalein (30
mg/kg/day), San Huang Shel Shin Tang (SHSST, 30 mg/kg/day) and ?-cyclodextrin
modified SHSST (SHSSTc, 30 and 300 mg/kg/day) treatments for a CCl4-induced CCM
rat model. The results show that silymarin, baicalein and SHSST treatments can
only slightly reduce the collagen accumulation in CCM rat hearts. However, SHSSTc
treatment protects the heart in CCM and significantly inhibits collagen
acumination and the fibrosis regulating transforming growth factor-? (TGF-?)
pathway expression. SHSSTc treatments further reduced the heart weight and the
ratio between left ventricular weight (LVW) and tibia length (TL). This
experimental data show that water solubility improved ?-cyclodextrin modified
Chinese herbal medicine formula (SHSSTc) can provide an excellent heart
protection effect through TGF-? pathway inhibition.