05). 12 patients received conservative treatment, 33.3% of them had a response; peritoneal-venous shunting was established in 13 cases, with ascites controlled in 92.3% of them; 11 cases underwent microsurgical intervention, with a response rate of 63.6%. Conclusion: The chylous ascitic fluid in cirrhosis remains the characteristics of ascites of portal hypertension, with the SAAG markedly elevated, and the SAAG level probably decides on TG level. Lymphoscintigraphy may help to determine the leakage of lymphatic fluid, while direct lymphangiography is more valuable in
revealing presence of lymphatic abnormalities. Key Word(s): 1. cirrhosis; 2. chylous ascites; Presenting Author: HAITAO SHI Additional Authors: LEI DONG, AMENG SHI, JUHUI ZHAO, YAPING LIU, HONG LI, GANG ZHAO Corresponding Author: HAITAO SHI, LEI DONG Affiliations: Department of Gastroenterology, CAL-101 cost the Second Affiliated Hospital of Xi’an Jiaotong
University Objective: Chlorogenic acid (CGA), a kind of polyphenol widespread in plant food and coffee drinks, has been reported to possess antioxidant and anti-inflammatory activities. Our previous study showed CGA could inhibit liver fibrosis in rats. However, the specific underlying mechanism remains unclear. The aim of this study is to investigate whether the anti-fibrosis effects of CGA are related to suppression of oxidative stress. Methods: Male Sprague-Dawley (SD) rats were administrated with CCl4 together with or without CGA for 8 weeks. Serum BI 2536 alanine aminotransferase (ALT) activity and Histopathological analyses were carried out. The levels of malondialdehyde (MDA) and glutathione (GSH) Phospholipase D1 in liver tissue were detected with chromatometry. The mRNA expression of collagen I, tissue inhibitor of metalloproteinase-1 (TIMP-1) was detected by Real-time PCR. The protein expression of α-smooth muscle actin (α-SMA) was detected by Real-time PCR. A cell line of rat hepatic stellate cells (HSCs) was stimulated with platelet-derived growth factor (PDGF). The inhibitory effect of CGA on cell proliferation was measured with MTT assay. Intracellular ROS level was detected with DCFH-DA dye assay. The protein expression of NADPH oxidase (NOX) subunits (p47phox,
gp91phox) was detected by Western blot. The mRNA expression of collagen I and TIMP-1 were detected by Real-time PCR. Results: In vivo studies showed that the liver fibrosis grade, serum ALT activity, expressions of α-SMA, collagen I, TIMP-1 were increased in CCl4-intoxicated rats, all of which were attenuated by CGA treatment. Furthermore, CGA reduced MDA level and increased GSH level in liver tissue. In vitro, PDGF increased cell proliferation, ROS level and the expression of NOX subunits, collagen I and TIMP-1 which were significantly decreased by CGA. Conclusion: Our results suggest that CGA ameliorates CCl4-induced liver fibrosis, at least in part, through suppression of oxidative stress. Key Word(s): 1. Chlorogenic acid; 2. liver fibrosis; 3.
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