Glycyrrhizin Represses Total Parenteral Nutrition-Associated Acute Liver Injury in Rats by Suppressing Endoplasmic Reticulum Stress

Total parenteral nutrition (TPN) is an artificial way to support daily nutritional requirements by bypassing the digestive system, but long-term TPN administration may cause severe liver dysfunction. Glycyrrhizin is an active component of licorice root that has been widely used to treat chronic hepa...

Full description

Bibliographic Details
Main Authors: Jai-Jen Tsai, Hsing-Chun Kuo, Kam-Fai Lee, Tung-Hu Tsai
Format: Article
Language:English
Published: MDPI AG 2013-06-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:http://www.mdpi.com/1422-0067/14/6/12563
_version_ 1811224760511627264
author Jai-Jen Tsai
Hsing-Chun Kuo
Kam-Fai Lee
Tung-Hu Tsai
author_facet Jai-Jen Tsai
Hsing-Chun Kuo
Kam-Fai Lee
Tung-Hu Tsai
author_sort Jai-Jen Tsai
collection DOAJ
description Total parenteral nutrition (TPN) is an artificial way to support daily nutritional requirements by bypassing the digestive system, but long-term TPN administration may cause severe liver dysfunction. Glycyrrhizin is an active component of licorice root that has been widely used to treat chronic hepatitis. The aim of this study is to investigate the hepatoprotective effect of glycyrrhizin on TPN-associated acute liver injury in vivo. Liver dysfunction was induced by intravenous infusion of TPN at a flow rate of 20 mL/kg/h for three h in Sprague Dawley rats. The rats were pretreated with Glycyrrhizin (1, 3 and 10 mg/kg intravenously). After receiving TPN or saline (control group) for three h, the rats were sacrificed, blood samples were collected for biochemical analyses and liver tissue was removed for histopathological and immunohistochemical examination. We found that aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin (TB) and triglyceride (TG) levels were significantly increased in the TPN group without glycyrrhizin pretreatment and decreased in the glycyrrhizin-pretreated TPN group in a dose-dependent manner. The stained liver sections showed that glycyrrhizin relieved acute liver injury. The upregulation of serum protein biomarkers of reactive nitrogen species, including nitrotyrosine and inducible NO synthase (iNOS), were attenuated by glycyrrhizin pretreatment. Levels of endoplasmic reticulum (ER) stress factors, such as phosphorylation of JNK1/2, p38 MAPK and CHOP, were decreased by glycyrrhizin pretreatment. In summary, our results suggest that glycyrrhizin decreases TPN-associated acute liver injury factors by suppressing endoplasmic reticulum stress and reactive nitrogen stress.
first_indexed 2024-04-12T08:54:30Z
format Article
id doaj.art-f209a503bbae43618fd87db46f63a840
institution Directory Open Access Journal
issn 1422-0067
language English
last_indexed 2024-04-12T08:54:30Z
publishDate 2013-06-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-f209a503bbae43618fd87db46f63a8402022-12-22T03:39:26ZengMDPI AGInternational Journal of Molecular Sciences1422-00672013-06-01146125631258010.3390/ijms140612563Glycyrrhizin Represses Total Parenteral Nutrition-Associated Acute Liver Injury in Rats by Suppressing Endoplasmic Reticulum StressJai-Jen TsaiHsing-Chun KuoKam-Fai LeeTung-Hu TsaiTotal parenteral nutrition (TPN) is an artificial way to support daily nutritional requirements by bypassing the digestive system, but long-term TPN administration may cause severe liver dysfunction. Glycyrrhizin is an active component of licorice root that has been widely used to treat chronic hepatitis. The aim of this study is to investigate the hepatoprotective effect of glycyrrhizin on TPN-associated acute liver injury in vivo. Liver dysfunction was induced by intravenous infusion of TPN at a flow rate of 20 mL/kg/h for three h in Sprague Dawley rats. The rats were pretreated with Glycyrrhizin (1, 3 and 10 mg/kg intravenously). After receiving TPN or saline (control group) for three h, the rats were sacrificed, blood samples were collected for biochemical analyses and liver tissue was removed for histopathological and immunohistochemical examination. We found that aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin (TB) and triglyceride (TG) levels were significantly increased in the TPN group without glycyrrhizin pretreatment and decreased in the glycyrrhizin-pretreated TPN group in a dose-dependent manner. The stained liver sections showed that glycyrrhizin relieved acute liver injury. The upregulation of serum protein biomarkers of reactive nitrogen species, including nitrotyrosine and inducible NO synthase (iNOS), were attenuated by glycyrrhizin pretreatment. Levels of endoplasmic reticulum (ER) stress factors, such as phosphorylation of JNK1/2, p38 MAPK and CHOP, were decreased by glycyrrhizin pretreatment. In summary, our results suggest that glycyrrhizin decreases TPN-associated acute liver injury factors by suppressing endoplasmic reticulum stress and reactive nitrogen stress.http://www.mdpi.com/1422-0067/14/6/12563total parenteral nutrition (TPN)endoplasmic reticulum (ER)glycyrrhizin
spellingShingle Jai-Jen Tsai
Hsing-Chun Kuo
Kam-Fai Lee
Tung-Hu Tsai
Glycyrrhizin Represses Total Parenteral Nutrition-Associated Acute Liver Injury in Rats by Suppressing Endoplasmic Reticulum Stress
International Journal of Molecular Sciences
total parenteral nutrition (TPN)
endoplasmic reticulum (ER)
glycyrrhizin
title Glycyrrhizin Represses Total Parenteral Nutrition-Associated Acute Liver Injury in Rats by Suppressing Endoplasmic Reticulum Stress
title_full Glycyrrhizin Represses Total Parenteral Nutrition-Associated Acute Liver Injury in Rats by Suppressing Endoplasmic Reticulum Stress
title_fullStr Glycyrrhizin Represses Total Parenteral Nutrition-Associated Acute Liver Injury in Rats by Suppressing Endoplasmic Reticulum Stress
title_full_unstemmed Glycyrrhizin Represses Total Parenteral Nutrition-Associated Acute Liver Injury in Rats by Suppressing Endoplasmic Reticulum Stress
title_short Glycyrrhizin Represses Total Parenteral Nutrition-Associated Acute Liver Injury in Rats by Suppressing Endoplasmic Reticulum Stress
title_sort glycyrrhizin represses total parenteral nutrition associated acute liver injury in rats by suppressing endoplasmic reticulum stress
topic total parenteral nutrition (TPN)
endoplasmic reticulum (ER)
glycyrrhizin
url http://www.mdpi.com/1422-0067/14/6/12563
work_keys_str_mv AT jaijentsai glycyrrhizinrepressestotalparenteralnutritionassociatedacuteliverinjuryinratsbysuppressingendoplasmicreticulumstress
AT hsingchunkuo glycyrrhizinrepressestotalparenteralnutritionassociatedacuteliverinjuryinratsbysuppressingendoplasmicreticulumstress
AT kamfailee glycyrrhizinrepressestotalparenteralnutritionassociatedacuteliverinjuryinratsbysuppressingendoplasmicreticulumstress
AT tunghutsai glycyrrhizinrepressestotalparenteralnutritionassociatedacuteliverinjuryinratsbysuppressingendoplasmicreticulumstress