Key result
Alisma orientale extract improved NASH resolution, fibrosis, liver enzymes, hyperglycemia, hyperlipidemia, and weight loss in mice fed a Western diet for 52 weeks.
Why the study?
Hepatic adiponectin and FXR pathways modulate metabolism and inflammation in NAFLD, and Alisma orientale tubers contain triterpenoids with bioactive properties, warranting preclinical evaluation in NAFLD.
Does Alisma orientale extract improve NASH resolution and related fibrosis in a Western diet-induced mouse model?
Does Alisma orientale extract improve NASH resolution and related fibrosis in a Western diet-induced mouse model?
Alisma orientale extract improves NASH resolution and fibrosis in a Western diet-induced mouse model, likely via modulation of hepatic adiponectin and FXR pathways.
Hypothesis-generating for Alisma orientale in murine NASH; human trials needed before any clinical consideration.
The hepatic adiponectin and farnesoid X receptor (FXR) signaling pathways play multiple roles in modulating lipid and glucose metabolism, reducing hepatic inflammation and fibrosis, and altering various metabolic targets for the management of non-alcoholic fatty liver disease (NAFLD). Alisma orientale (AO, Ze xie in Chinese and Taeksa in Korean) is an herbal plant whose tubers are enriched with triterpenoids, which have been reported to exhibit various bioactive properties associated with NAFLD. Here, the present study provides a preclinical evaluation of the biological functions and related signaling pathways of AO extract for the treatment of NAFLD in a Western diet (WD)-induced mouse model. The findings showed that AO extract significantly reversed serum markers (liver function, lipid profile, and glucose) and improved histological features in the liver sections of mice fed WD for 52 weeks. In addition, it also reduced hepatic expression of fibrogenic markers in liver tissue and decreased the extent of collagen-positive areas, as well as inhibited F4/80 macrophage aggregation and inflammatory cytokine secretion. The activation of adiponectin and FXR expression in hepatic tissue may be a major mechanistic signaling cascade supporting the promising role of AO in NAFLD pharmacotherapy. Collectively, our results demonstrated that AO extract improves non-alcoholic steatohepatitis (NASH) resolution, particularly with respect to NASH-related fibrosis, along with the regulation of liver enzymes, postprandial hyperglycemia, hyperlipidemia, and weight loss, probably through the modulation of the hepatic adiponectin and FXR pathways.
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Jeon et al. (2022) studied Non-alcoholic steatohepatitis (NASH) and related fibrosis. Alisma orientale extract was evaluated on NASH resolution and related fibrosis. Alisma orientale extract improved NASH resolution, fibrosis, liver enzymes, hyperglycemia, hyperlipidemia, and weight loss in mice fed a Western diet for 52 weeks.
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