Angiotensin II type 1 receptor blocker inhibits fibrosis in rat nonalcoholic steatohepatitis

Nonalcoholic steatohepatitis (NASH) is now the most frequent cause of chronic liver impairment in developed countries and is a suggested causative factor in the development of cryptogenic cirrhosis and hepatocellular carcinoma. At present there is no effective and accepted therapy for NASH. The reni...

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Veröffentlicht in:Hepatology (Baltimore, Md.) Md.), 2007-06, Vol.45 (6), p.1375-1381
Hauptverfasser: Hirose, Akira, Ono, Masafumi, Saibara, Toshiji, Nozaki, Yasuko, Masuda, Kosei, Yoshioka, Akemi, Takahashi, Masaya, Akisawa, Naoaki, Iwasaki, Shinji, Oben, Jude A., Onishi, Saburo
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container_end_page 1381
container_issue 6
container_start_page 1375
container_title Hepatology (Baltimore, Md.)
container_volume 45
creator Hirose, Akira
Ono, Masafumi
Saibara, Toshiji
Nozaki, Yasuko
Masuda, Kosei
Yoshioka, Akemi
Takahashi, Masaya
Akisawa, Naoaki
Iwasaki, Shinji
Oben, Jude A.
Onishi, Saburo
description Nonalcoholic steatohepatitis (NASH) is now the most frequent cause of chronic liver impairment in developed countries and is a suggested causative factor in the development of cryptogenic cirrhosis and hepatocellular carcinoma. At present there is no effective and accepted therapy for NASH. The renin‐angiotensin system is involved in hepatic fibrosis through activation of hepatic stellate cells, major fibrogenic cells in the liver. Hepatic stellate cells are activated by liver injury to express excessive matrix proteins and profibrogenic cytokines such as transforming growth factor–beta 1. Medicines that inhibit this pathway may be of therapeutic potential in NASH. Using a methionine‐choline–deficient rat model of NASH, we studied the potential utility of an angiotensin II type 1 receptor blocker (ARB), olmesartan, on biochemical, histologic, and antioxidant measures of disease activity. ARB significantly attenuated increases in aspartate aminotransferase, activation of hepatic stellate cells, oxidative stress, expression of transforming growth factor–beta 1, expression of collagen genes, and liver fibrosis. Conclusion: Our observations strongly suggest a potential preventive role for ARB in the progression of nonalcoholic steatohepatitis. (HEPATOLOGY 2007.)
doi_str_mv 10.1002/hep.21638
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subjects Angiotensin II Type 1 Receptor Blockers - pharmacology
Animal Feed
Animals
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antiseptics
Biological and medical sciences
Choline - pharmacology
Connective Tissue Growth Factor
Fatty Liver - drug therapy
Fatty Liver - pathology
Gastroenterology. Liver. Pancreas. Abdomen
Imidazoles - pharmacology
Immediate-Early Proteins - metabolism
Intercellular Signaling Peptides and Proteins - metabolism
Liver Cirrhosis - drug therapy
Liver Cirrhosis - pathology
Liver Cirrhosis - prevention & control
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Methionine - pharmacology
Other diseases. Semiology
Oxidative Stress - drug effects
Pharmacology. Drug treatments
Rats
Rats, Wistar
Receptor, Angiotensin, Type 1 - metabolism
Tetrazoles - pharmacology
Transforming Growth Factor beta1 - metabolism
Tumor Necrosis Factor-alpha - metabolism
Tumors
title Angiotensin II type 1 receptor blocker inhibits fibrosis in rat nonalcoholic steatohepatitis
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