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Oridonin Inhibits Hepatic Stellate Cell Proliferation and Fibrogenesis #MMPMID24742622
J Surg Res 2014[Jul]; 190 (1): 55-63 PMID24742622show ga
Introduction: Liver fibrosis is a common response to liver injury and, in severe cases, leads to cirrhosis. The hepatic stellate cells (HSC) become activated after liver injury and play a significant role in fibrogenesis. The activated HSC is characterized by increased proliferation, overexpression of ?-smooth muscle actin (?-SMA), and excessive production of extracellular matrix (ECM) proteins. Oridonin, a naturally occurring diterpenoid, has been shown to induce apoptosis in liver and gastric cancer cells. However, its effects on HSC are unknown. Methods: We tested the effects of oridonin on the activated human and rat hepatic stellate cell lines LX-2 and HSC-T6 as well as the human hepatocyte cell line C3A. Transforming growth factor ?1 (TGF-?1) was used to stimulate LX-2 cells. Results: Oridonin significantly inhibited LX-2 and HSC-T6 proliferation. In contrast, Oridonin had no anti-proliferative effect on C3A cells at our tested range. Oridonin induced apoptosis and S phase arrest in LX-2 cells. These findings were associated with an increase in p53, p21, p16, and cleaved PARP, and with a decrease in Cdk4. Oridonin markedly decreased expression of ?-SMA and ECM protein type I collagen and fibronectin, blocked TGF-?1-induced Smad2/3 phosphorylation and type I Collagen expression. Conclusions: Oridonin induces apoptosis and cell cycle arrest involving the p53/p21 pathway in HSC, and appears to be non-toxic to hepatocytes. In addition, oridonin suppressed endogenous and TGF-?-induced ECM proteins. Thus, oridonin may act as a novel agent to prevent hepatic fibrosis.