From: Chinese medicines as a resource for liver fibrosis treatment
Compounds or extracts and major references | Pharmacological actions and clinical indications | Botanic source |
---|---|---|
Salvia miltiorrhiza | Reduce ALT and AST activities, inhibit protein expressions of TGF-β1, type I collagen and Smad3, anti-oxidation, down- regulate TGF-β1, TIMP-1 gene expression and MAPK activity, anti-nitric oxide, anti-apoptosis, apply to CHB patients | Root of Salviae miltiorrhiza Bge. |
Reduce ALT and AST activities, inhibit NF-κB binding activity, down-regulate smurf2 gene expression, apply to CHC patients and prevent hepatocarcinoma in patients with HCV-associated cirrhosis | Rhizome of Glycyrrhiza uralensis Fisch., Glycyrrhiza inflata Batal. or Glycyrrhiza glabra L. | |
Down-regulate c-fos and c-jun gene expression, anti-nitric oxide, up-regulate Smad7 gene expression, apply to CHB patients, down-regulate NF-κB signalling cascade and biomarker such as ICAM-1 and α-SMA | Root of Stephaniae tetrandrae S. Moore | |
Inhibit PDGF and TGF-β1 actions, inhibit HBV-DNA, improve liver function in patients with CHB or CHC patients | Root of Sophorae flavescentis Ait | |
Inhibit TGF-β1 action, collagen formation in M cell culture system, reduce oxidative stress | Calculus Bovis | |
Tetramethylpyrazine (Chuanxiongzine) [38] | Anti-oxidation, synergic anti-hepatic fibrosis effect with rehin, apply to CHB patients | Rhizome of Ligusticum chuanxiong Hort. |
Inhibit TGF-β1 expression, anti-HSC proliferation | Root and Rhizome of Rheum palmatum L., Rheum tanguticum Maxim. Ex Balf. or Rheum officinale Baill. | |
Anti-oxidative effect, activate PPARgamma to reduce cell proliferation, induce apoptosis and suppress ECM gene expression in vitro and in vivo | Rhizome of Curcumae longa L. | |
Panax Notoginseng saponin | Reduce AST and ALT, increase liver and serum SOD, reduce serum liver fibrosis markers levels, prevent liver fibrosis and hepatic microvascular dysfunction in liver fibrosis rats | Root of Panax notoginseng (Burk)F.H. Chen |
Increase CD4/CD8 T lymphocytes ratio and decrease HA and PC III, inhibit TGF-β1 and PDGF expressions, reduce AST and ALT, apply to CHB patients | The complex of the stroma of the fungus Cordceps sinensis (berk.)Sacc. and larva of caterpillar on which the fungus grows | |
Reduce ALT and AST, anti-oxidation, suppress NF-κB activation, inhibit TGF-β1 and collagen gene expression in rats | Leaves of Ginkgo bioba L. | |
Artemisinin/artesunate [51] | As inhibitors of hepatitis B virus production | Aerial part of Artemesia annua L. |
Reduce AST and ALT, anti-oxidation, suppress expression of NF-κB, α-SMA, TGF-β1, anti-liver cancer, induce apoptosis in cancer cell lines and animal models | Rhizome of Coptis chinensis French., Coptis teeta Wall., Coptis japonica Makino., other genus Berberis | |
Reduce AST and ALT, against HBV replication, suppress NF-κB activation in cell or animal models. | Ripe seed of Plantago asiatica L. | |
Ganoderma lucidum extract & Ganoderma polysaccharide [65, 66] | Reduce AST, ALT, ALP, Tbil and the collagen content in rats with cirrhosis induced by biliary obstruction in rats, inhibit HSCs cells proliferation through blocking PDGFβR phosphorylation | Ganoderma lucidum |
Gypenoside [67] | Inhibits HSCs proliferation, arrest HSC cells at G1 phase, inhibit the signal pathway of PDGF-Akt-p70 and down-regulate of cyclin D1 and D3 expression | Gynostemma pentaphyllum |
Solanum nigrum Linn extract [68] | Reduce AST, ALT, ALP, Tbil, modulate GSTs and SOD, repress the production of free radicals | Solanum nigrum Linn |