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2018 ; 9
(ä): 72
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The Flavonoid Quercetin Ameliorates Liver Inflammation and Fibrosis by Regulating
Hepatic Macrophages Activation and Polarization in Mice
#MMPMID29497376
Li X
; Jin Q
; Yao Q
; Xu B
; Li L
; Zhang S
; Tu C
Front Pharmacol
2018[]; 9
(ä): 72
PMID29497376
show ga
At present, there are no effective antifibrotic drugs for patients with chronic
liver disease; hence, the development of antifibrotic therapies is urgently
needed. Here, we performed an experimental and translational study to investigate
the potential and underlying mechanism of quercetin treatment in liver fibrosis,
mainly focusing on the impact of quercetin on macrophages activation and
polarization. BALB/c mice were induced liver fibrosis by carbon tetrachloride
(CCl(4)) for 8 weeks and concomitantly treated with quercetin (50 mg/kg) or
vehicle by daily gavage. Liver inflammation, fibrosis, and hepatic stellate cells
(HSCs) activation were examined. Moreover, massive macrophages accumulation, M1
macrophages and their related markers, such as tumor necrosis factor (TNF)-?,
interleukin (IL)-1?, IL-6, and monocyte chemotactic protein-1 (MCP-1) in livers
were analyzed. In vitro, we used Raw 264.7 cells to examine the effect of
quercetin on M1-polarized macrophages activation. Our results showed that
quercetin dramatically ameliorated liver inflammation, fibrosis, and inhibited
HSCs activation. These results were attributed to the reductive recruitment of
macrophages (F4/80(+) and CD68(+)) into the liver in quercetin-treated fibrotic
mice confirmed by immunostaining and expression levels of marker molecules.
Importantly, quercetin strongly inhibited M1 polarization and M1-related
inflammatory cytokines in fibrotic livers when compared with vehicle-treated
mice. In vitro, studies further revealed that quercetin efficiently inhibited
macrophages activation and M1 polarization, as well as decreased the mRNA
expression of M1 macrophage markers such as TNF-?, IL-1?, IL-6, and nitric oxide
synthase 2. Mechanistically, the inhibition of M1 macrophages by quercetin was
associated with the decreased levels of Notch1 expression on macrophages both in
vivo and in vitro. Taken together, our data indicated that quercetin attenuated
CCl(4)-induced liver inflammation and fibrosis in mice through inhibiting
macrophages infiltration and modulating M1 macrophages polarization via targeting
Notch1 pathway. Hence, quercetin holds promise as potential therapeutic agent for
human fibrotic liver disease.