Forsythiae Fructuse water extract attenuates liver fibrosis via TLR4/MyD88/NF-kappa B and TGF-beta/smads signaling pathways
JOURNAL OF ETHNOPHARMACOLOGY
Authors: Hu, Naihua; Guo, Chaocheng; Dai, Xuyang; Wang, Cheng; Gong, Lihong; Yu, Lingyuan; Peng, Cheng; Li, Yunxia
Abstract
Ethnopharmacological relevance: Forsythiae Fructuse water extract (FSE) is a water-soluble component extracted from the traditional Chinese medicine Forsythiae Fructuse (The fruit of Forsythia suspensa (Thunb.) Vahl) usually used to treat inflammatory diseases. However, little is known about the therapeutic effect of FSE on liver fibrosis. Aim of the study: The purpose of our study was to investigate the therapeutic effect of FSE on liver fibrosis and reveal the underlying mechanism. Materials and methods: Liver fibrosis model was established by subcutaneous injection of olive oil containing 40% CCl4. Rat liver tissue morphologic pathology was investigated by using HE staining, Masson staining and Sirius red staining. Several biochemical markers including liver (ALT, AST, AKP, gamma-GT), fibrosis (HA, LN, PC III, Col IV) and inflammation (IL-6, IL-1 beta, TNF-alpha) were determined by using Elisa kits. Immunohistochemistry was used to observe the distribution of alpha-SMA and COL1 in liver tissue. Effects of FSE on inflammatory pathway (TLR4/MyD88/NF-kappa B) and fibrotic pathway (TGF-beta/smads) were detected by western blot and qPCR. Results: The results showed that hepatic histopathological injury, abnormal liver function, fibrosis and inflammation induced by CCl4 were improved by FSE (2.5, 5 g/kg). Immunohistochemistry and western blot results indicated that the expression of alpha-SMA and COL1 in liver tissue was inhibited by FSE (2.5, 5 g/kg). Western blot and qPCR results further proved that FSE (2.5, 5 g/kg) inhibited the transduction of TLR4/MyD88/NF-kappa B and TGF-beta/smads signaling pathways. Conclusion: FSE can inhibit the expression of inflammatory factors and fibrotic cytokines, reduce liver injury, and inhibit the development of liver fibrosis through TLR4/MyD88/NF-kappa B and TGF-beta/smads signaling pathways.
Buffered 2% articaine versus non-buffered 4% articaine in maxillary infiltration: randomized clinical trial
CLINICAL ORAL INVESTIGATIONS
Authors: Amorim, Klinger Souza; Silva Fontes, Vanessa Tavares; Gercina, Anne Caroline; Groppo, Francisco Carlos; Almeida Souza, Liane Maciel
Abstract
Objectives This randomized, triple-blind, crossover clinical trial aimed to evaluate the efficacy, onset, length of pulp and soft tissue anesthesia, and pain during injection of 2% buffered articaine and 4% non-buffered articaine solutions. Methods Each volunteer received two maxillary supraperiosteal anesthesia infiltrations in canine area. The infiltrations were performed at two different sessions using a different local anesthetic solution for each session, and the anesthetic injection speed was always 1 mL/min. The assessment of the onset and length of pulpal and soft tissue anesthesia was performed with the pulp electrical test "pulp tester" and the esthesiometer kit, respectively. Volunteers marked pain during injection on a visual analog scale (VAS). The anesthetics solutions pH was evaluated through the pH meter equipment. Results There was no difference between the two anesthetic solutions (onset of soft tissue anesthesia, p = 0.5386; length of soft tissue anesthesia, p = 0.718; onset of pulpal anesthesia, p = 0.747; length of pulpal anesthesia, p = 0.375), except for pain during the injection which was lower when buffered 2% articaine was used (p = 0.001) and the pH. The pH analysis revealed that the solutions differed from one another (p < 0.01). Conclusion The 2% buffered articaine solution provided the same anesthetic properties then 4% unbuffered articaine with a great reduction in pain during injection.