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      Flavanones from Sedum sarmentosum Bunge Alleviate CCl 4-Induced Liver Fibrosis in Rats by Targeting TGF- β1/T βR/Smad Pathway In Turn Inhibiting Epithelial Mesenchymal Transition

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          Abstract

          Objective

          The aim of the study is to evaluate the therapeutic effects of flavanones from Sedum sarmentosum Bunge (FSSB) on CCl 4-induced liver fibrosis in rats and the underlying mechanisms of action.

          Methods

          An experimental model of liver fibrosis was established by subcutaneous injection of rats with CCl 4 (40% v/v, 3 ml/kg) twice per week for six weeks. FSSB (100, 200, and 400 mg/kg) was intragastrically administered once per day consecutively for five weeks.

          Results

          Our results showed that FSSB significantly attenuated CCl 4-induced liver fibrosis as evidenced by reducing the elevated levels of serum biochemical indexes and improving the histological changes, including decreasing the elevation in serum alanine transaminase (ALT), aspartate transaminase (AST), hyaluronic acid (HA), and laminin (LN) level, reducing infiltration of inflammatory cells and collagen fibers in liver tissue. In addition, compared to the model group, FSSB markedly downregulated the protein and mRNA expression of TGF- β1, TGF- β1 receptors I and II (T βRI and T βRII), Smad2, Smad3, and Vimentin in liver tissue, at the mean time upregulating the expression of Smad7 and E-cadherin.

          Conclusions

          The results suggest that FSSB alleviated CCl 4-induced liver fibrosis probably through inhibition of TGF- β/T βR/Smad pathway in turn inhibiting epithelial mesenchymal transition.

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          Most cited references29

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          Epithelial-mesenchymal transitions in development and disease.

          The epithelial to mesenchymal transition (EMT) plays crucial roles in the formation of the body plan and in the differentiation of multiple tissues and organs. EMT also contributes to tissue repair, but it can adversely cause organ fibrosis and promote carcinoma progression through a variety of mechanisms. EMT endows cells with migratory and invasive properties, induces stem cell properties, prevents apoptosis and senescence, and contributes to immunosuppression. Thus, the mesenchymal state is associated with the capacity of cells to migrate to distant organs and maintain stemness, allowing their subsequent differentiation into multiple cell types during development and the initiation of metastasis.
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            Common and unique mechanisms regulate fibrosis in various fibroproliferative diseases.

            Fibroproliferative diseases, including the pulmonary fibroses, systemic sclerosis, liver cirrhosis, cardiovascular disease, progressive kidney disease, and macular degeneration, are a leading cause of morbidity and mortality and can affect all tissues and organ systems. Fibrotic tissue remodeling can also influence cancer metastasis and accelerate chronic graft rejection in transplant recipients. Nevertheless, despite its enormous impact on human health, there are currently no approved treatments that directly target the mechanism(s) of fibrosis. The primary goals of this Review series on fibrotic diseases are to discuss some of the major fibroproliferative diseases and to identify the common and unique mechanisms of fibrogenesis that might be exploited in the development of effective antifibrotic therapies.
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              Inflammation and EMT: an alliance towards organ fibrosis and cancer progression

              Recent advances in our understanding of the molecular pathways that govern the association of inflammation with organ fibrosis and cancer point to the epithelial to mesenchymal transition (EMT) as the common link in the progression of these devastating diseases. The EMT is a crucial process in the development of different tissues in the embryo and its reactivation in the adult may be regarded as a physiological attempt to control inflammatory responses and to ‘heal’ damaged tissue. However, in pathological contexts such as in tumours or during the development of organ fibrosis, this healing response adopts a sinister nature, steering these diseases towards metastasis and organ failure. Importantly, the chronic inflammatory microenvironment common to fibrotic and cancer cells emerges as a decisive factor in the induction of the pathological EMT.
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                Author and article information

                Contributors
                Journal
                Evid Based Complement Alternat Med
                Evid Based Complement Alternat Med
                ECAM
                Evidence-based Complementary and Alternative Medicine : eCAM
                Hindawi
                1741-427X
                1741-4288
                2018
                15 February 2018
                : 2018
                : 3080837
                Affiliations
                1The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310006, China
                2Hangzhou Sanatorium of People's Liberation Army, Hangzhou 310007, China
                3Zhejiang Chinese Medical University, Hangzhou 310053, China
                Author notes

                Academic Editor: Ji H. Kim

                Author information
                http://orcid.org/0000-0002-3870-4711
                http://orcid.org/0000-0002-5797-6325
                http://orcid.org/0000-0002-8023-3538
                http://orcid.org/0000-0002-1972-2316
                http://orcid.org/0000-0003-4514-3008
                http://orcid.org/0000-0003-0491-6078
                http://orcid.org/0000-0002-9958-5111
                Article
                10.1155/2018/3080837
                5832160
                4fb071d9-ac79-4d35-9461-7d2321a5b486
                Copyright © 2018 Yuancan Lin et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 12 September 2017
                : 13 December 2017
                : 21 December 2017
                Funding
                Funded by: National Natural Science Foundation of China
                Award ID: 81703833
                Funded by: Natural Science Foundation of Zhejiang Province
                Award ID: LQ15H290001
                Funded by: Zhejiang Chinese Medical University
                Award ID: 2016ZG02
                Categories
                Research Article

                Complementary & Alternative medicine
                Complementary & Alternative medicine

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