Background Infection with Schistosoma japonicum (S. japonicum) can lead to liver fibrosis. The activation of hepatic stellate cells (HSCs) is a crucial phase in the development of liver fibrosis, and inhibiting their activation can alleviate this progression. Total Flavonoids of Litchi Seed (TFL) is a naturally extracted drug, and modern pharmacological studies have shown its anti-fibrotic and liver-protective effects. However, the role of TFL in schistosomiasis liver fibrosis still unclear. This study investigates the functions of TFL on liver fibrosis caused by S. japonicum infection and explores its potential mechanisms.
Methods: S. japonicum-induced murine models were generated by abdominal infection with 20 cercariae. The mice were divided into an infection group and a treatment group. The treatment group were treated with TFL (300 and 450 mg/kg). Inflammatory-related cytokines were measured using the Enzyme-Linked Immunosorbent Assay (ELISA) method. Hematoxylin and Eosin (H&E) and Masson's trichrome staining were used to observe pathological changes in the liver. Immunohistochemistry was employed to detect the expressions of α-Smooth Muscle Actin (α-SMA), Collagen I, and Collagen III in the liver tissues. For the cell experiments, a model of HSCs activation induced by Transforming Growth Factor-β1 (TGF-β1) was established, and the effects of TFL on the activation of HSCs were examined using qPCR.
Results TFL significantly reduced the levels of Interleukin-1β (IL-1β), Tumor Necrosis Factor-α (TNF-α), and Interleukin-6 (IL-6) in the serum of S. japonicum infected mice. TFL reduced the liver and spleen index of mice and markedly improved the pathological changes in liver tissues induced by Sj, decreasing the expression of α-SMA, Collagen I protein and Collagen III protein in liver tissues. In vitro studies indicated that TFL apparently inhibited the activation of HCSs induced by TGF-β1 and reduced the levels of α-SMA.
Conclusion TFL could alleviate granulomatous lesions and improve liver fibrosis caused by S. japonicum by inhibiting the activation of HSCs.