目前肝纖維化還未有有效的治療方式,而先前研究指出,橄欖油與枸杞多醣體皆具有保護肝臟的作用,本次實驗欲探討飲食中不同油脂合併枸杞多醣萃取物(Lycium barbarum polysaccharide extract, LBE)補充,對於四氯化碳(carbon tetrachloride, CCl4)誘發肝纖維化大鼠之發炎反應、細胞凋亡及纖維化的影響。雄性Sprague-Dawley 大鼠隨機分成七組:正常飲食組(4%大豆油飲食)、大豆油飲食組(4%大豆油飲食+ CCl4)、橄欖油飲食組(4%橄欖油飲食+ CCl4)、大豆油/橄欖油飲食組(2%大豆油/2%橄欖油飲食+ CCl4)、大豆油飲食+ LBE組(4%大豆油+ LBE + CCl4)、橄欖油飲食+LBE組(4%橄欖油+ LBE + CCl4)、大豆油/橄欖油飲食+ LBE組(2%大豆油/2%橄欖油飲食+ LBE + CCl4)。LBE給予量為每天50 mg/kg bw,預先給予油脂或/和LBE一週後,每週腹腔注射1-2 mL/kg bw誘發肝纖維化,共注射八週。結果顯示注射四氯化碳之六組有較嚴重的肝臟脂質堆積、細胞死亡、發炎反應及纖維增生,含有橄欖油的飲食可降低肝臟TGF-β1與TIMP-1濃度;給予LBE可降低肝臟caspase-9與caspase-3活性,降低肝臟TNF-α濃度,增加IL-10/TNF-α比值,降低肝臟TGF-β1與TIMP-1濃度;當橄欖油與LBE合併給予,可降低肝臟caspase-9與caspase-3活性、降低肝臟TNF-α濃度,增加肝臟IL-10濃度與IL-10/TNF-α比值,降低肝臟TGF-β1與hydroxyproline濃度。對於注射四氯化碳8週之大鼠,枸杞多醣萃取物可改善細胞凋亡、發炎反應及纖維化指標,而橄欖油合併枸杞多醣萃取物的改善效果更佳。
The effective therapy for liver fibrosis is still elusive. Olive oil and Lycium barbarum polysaccharides were considered to act as hepatoprotective activity. This study investigated anti-inflammatory, anti-apoptosis and anti-fibrotic effects of different dietary oils and Lycium barbarum polysaccharide extract (LBE) on CCl4-induced liver fibrosis in rats. Male Sprague-Dawley rats were divided into 7 groups: normal diet (4% soybean oil diet), soybean oil diet (4% soybean oil diet + CCl4), olive oil diet (4% olive oil diet + CCl4), soybean oil/olive oil diet (2% soybean oil / 2% olive oil diet + CCl4), soybean oil diet + LBE (4% soybean oil diet + LBE + CCl4), olive oil diet + LBE (4% olive oil diet + LBE + CCl4), and soybean oil/olive oil diet + LBE (2% soybean oil / 2% olive oil diet + LBE + CCl4). The LBE-treated groups were given 50 mg/kg/day LBE. Rats were injected with 1-2 ml/kg bw/wk CCl4 intraperitoneally for 8 weeks. The results showed that CCl4 caused more severe liver fatty change, cell death, inflammation, and collagen generation. The groups treated with olive oil reduced hepatic TGF-β1 and TIMP-1 concentrations. LBE reduced hepatic caspaspe-3 and caspase-9 activities, decreased the hepatic TNF-α level, increased IL-10/TNF-α ratio, and reduced hepatic TGF-β1 and TIMP-1 concentrations. The groups treated with olive oil combined with LBE reduced hepatic caspaspe-3 and caspase-9 activities, decreased hepatic TNF-α level, increased hepatic IL-10 level and IL-10/TNF-α ratio, as well as reduced hepatic TGF-β1 and hydroxyproline concentrations. Therefore, after CCl4 injection for 8 weeks in rats, LBE improves apoptotic, inflammatory and fibrotic markers, while olive oil combined with LBE has better effects on anti-apoptosis, anti-inflammation and anti-fibrosis.