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Pure total flavonoids from citrus attenuate non-alcoholic steatohepatitis via regulating the gut microbiota and bile acid metabolism in mice - 03/03/21

Doi : 10.1016/j.biopha.2020.111183 
Beihui He a, 1, Jianping Jiang a, b, 1, Zheng Shi c, 1, Liyan Wu d, Junbin Yan a, Zheng Chen a, Minmin Luo a, Dawei Cui e, Sumei Xu f, Maoxiang Yan a, Shuo Zhang g, , Zhiyun Chen a,
a The Second Central Laboratory, Key Lab of Integrative Chinese and Western Medicine for the Diagnosis and Treatment of Circulatory Diseases of Zhejiang Province, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, 310006, China 
b Preparation Center, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, 310006, China 
c Department of Pharmacy, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, 310006, China 
d Department of Gastroenterology, Tongde Hospital of Zhejiang Province, Hangzhou, 310012, China 
e Department of Blood Transfusion, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China 
f Department of General Family Medicine, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, 310006, China 
g Department of Gastroenterology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, 310006, China 

Corresponding authors at: The Second Central Laboratory, Key Lab of Integrative Chinese and Western medicine for the Diagnosis and Treatment of Circulatory Diseases of Zhejiang Province, The First Affiliated Hospital of Zhejiang Chinese Medical University, China.The Second Central LaboratoryKey Lab of Integrative Chinese and Western medicine for the Diagnosis and Treatment of Circulatory Diseases of Zhejiang ProvinceThe First Affiliated Hospital of Zhejiang Chinese Medical UniversityChina

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Highlights

Pure total flavnoids from citrus (PTFC) can effectively improve non-alcoholic steatohepatitis (NASH) in mice.
PTFC can alleviate gut microbiota dysbiosis induced by high fat diet.
PTFC can regulate bile acid metabolism, especially that of TDCA, DCA, TCA, and CA.
PTFC can improve NASH via the gut microbiota–bile acid–FXR/TGR5 axis.

Il testo completo di questo articolo è disponibile in PDF.

Abstract

Background

Our previous studies found that Pure total flavnoids from citrus (PTFC) can effectively improve non-alcoholic steatohepatitis (NASH) in mice. Here, we discuss on the mechanism of PTFC in treating NASH with focus on the regulation of the gut microbiota and bile acid metabolism.

Methods

C57BL/6 J mice were randomly divided into three groups: normal diet group (Normal), high-fat diet group (HFD) and high-fat + PTFC treatment group (PTFC). Mice in the Normal group were fed chow diet, while the other groups were fed high fat diet (HFD) for 16 weeks. In the 5th week, the mice in the PTFC group were treated with 50 mg/kg/day PTFC for an additional twelve weeks. After sacrifice, histopathology of the liver was assessed, and the gut microbial composition was analyzed by 16S rDNA gene sequencing. Bile Acid profiles in serum were determined by ultraperformance liquid chromatography (UPLC-MS/MS).

Results

PTFC intervention significantly attenuated HFD-induced NASH symptoms compared with the HFD group in mice. 16S rDNA sequencing showed that PTFC treatment increased the phylogenetic diversity of the HFD-induced microbiota dysbiosis. PTFC intervention significantly increased the relative abundances of Bacteroidaceae and Christensenellaceae. Furthermore, PTFC reduced the content of toxic bile acids, such as TDCA, DCA, TCA, CA and increased the ratio of secondary to primary bile acids. FXR and TGR5 deficiency were significantly alleviated.

Conclusion

PTFC can improve NASH via the the gut microbiota and bile acid metabolism.

Il testo completo di questo articolo è disponibile in PDF.

Abbreviations : PTFC, NAFLD, NAFL, NASH, HCC, FXR, TGR5, HFD, TG, ALT, HE, NAS, DCA, GCA, βCDCA, TCA, TCDCA, CA, TβMCA, TαMCA, isoLCA, 12_ketoLCA, GDCA, LCA, OCA, PCA, PCoA, OTU, KEGG, PICRUSt

Keywords : Pure total flavonoids from citrus, Non-alcoholic steatohepatitis, Gut microbiota, Bile acid, FXR, TGR5


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© 2020  The Author(s). Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.
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