Research Article | Open Access
Joo-Yeon Kong, Seong-Chan Yeon, Hu Jang Lee, Changkeun Kang, Jin-Kyu Park, Kyu-Shik Jeong, Il-Hwa Hong, "Protective Effects of Nutria Bile against Thioacetamide-Induced Liver Injury in Mice", Evidence-Based Complementary and Alternative Medicine, vol. 2019, Article ID 6059317, 10 pages, 2019. https://doi.org/10.1155/2019/6059317
Protective Effects of Nutria Bile against Thioacetamide-Induced Liver Injury in Mice
Several eradication programs have been developed and executed to curb alien invasive species that tend to damage the ecological environments they colonize; however, only few studies have evaluated the utilization of carcasses of these species after eradication. Nutria (Myocastor coypus) is an invasive rodent species targeted by eradication programs in many countries. We noted that nutria produce large amounts of ursodeoxycholic acid (UDCA) in their bile. UDCA is a unique component responsible for the anti-inflammatory and hepatoprotective effects exerted by bear bile. Therefore, we sought to examine the medicinal utility of nutria carcasses by investigating the hepatoprotective effect of their bile in mice. C57BL/6 mice were injected with thioacetamide (TAA), which induced liver damage by increasing Kupffer cell infiltration. Administration of nutria bile reduced hepatic inflammation, improved hepatic function, and increased the levels of senescence marker protein 30 (an indicator of hepatocyte viability). Our results show that nutria bile exerts protective effects against TAA-induced liver injury in mice, suggesting that nutria carcasses may be used for the treatment of liver injuries.
Alien invasive species are nonnative organisms that damage the ecological environment they colonize. Ecosystem disturbance due to invasive species is a serious problem as it contributes to high economic costs and loss of biological diversity. Economic losses caused by ecosystem disturbances account for billions of dollars each year in countries such as Australia, Brazil, Europe, India, New Zealand, South Africa, and the United States . Global climate change and increase in international trade are expected to aggravate this problem . To prevent the establishment of invasive species, many countries conduct eradication (complete removal) or control (long term reduction including containment) programs [3–5]. As carcass processing is costly, there is growing demand for the utilization, rather than disposal, of carcasses.
Nutria (Myocastor coypus) is a semiaquatic rodent that is native to South America . In the 1980s, nutria was used for fur and meat production in Korea. Once the demand for these rodents declined, they were released into the wild and have since been labeled as pests because of their high rate of reproduction and the severe damage they cause to the farming industry [7, 8]. Currently, nutria is ranked in the top 100 alien invasive species . According to the Korean Ministry of Environment (2014), an eradication program launched against invasive nutria amounted to an estimated 9.5 million dollars over a period of ten years .
Tint et al. reported that nutria bile contains approximately 37% ursodeoxycholic acid (UDCA) . UDCA is considered a unique component of bear bile (belonging to the family Ursidae), present at a proportion of up to 39%. Interestingly, UDCA is not found in other carnivores and humans [12, 13]. In traditional Asian medicine, bear bile is used for its anti-inflammatory and hepatoprotective effects, which are attributed to the presence of UDCA [14, 15]. Since the hepatoprotective effect of synthetic UDCA has not been clearly established, the Federal Drug Administration (FDA) approved synthetic UDCA for the treatment of only one liver disease, primary biliary cirrhosis (PBC) . To date, the therapeutic efficacy of synthetic UDCA for other liver diseases is controversial. Furthermore, approximately 40% of patients with PBC have shown suboptimal response to UDCA treatment . However, only few experimental reports have been published regarding the hepatoprotective effect of total bile acid, with the exclusion of studies on the effects of synthetic UDCA; these latter investigations have been performed as bears are classified as endangered species in most countries . The method of “milking” bile has also been controversial from an ethics standpoint.
Bile acids are synthesized from cholesterol in the liver and are considered to facilitate the absorption of dietary fats and lipid-soluble vitamins from the intestine. Recent studies have shown that bile acids regulate bile acid homeostasis, cholesterol metabolism, and the activation of nuclear receptors . Bile acids contain conjugated forms of different types of cholic acids (CA) such as chenodeoxycholic acid (CDCA), deoxycholic acid (DCA), and lithocholic acid (LCA), with their composition varying among species . Bear bile is composed of not only UDCA but also CDCA, CA, bile pigments, amino acids, fat, phospholipids, and various minerals [18, 20, 21]. It is unknown whether UDCA alone is hepatoprotective, or whether the therapeutic benefits of bear bile are attributable to the interaction between its various components. Therefore, we sought to determine the utility of nutria carcasses as an alternative source of bear bile. To elucidate this crucial information, we investigated the effects of nutria bile against TAA-induced liver injury in mice.
2. Materials and Methods
2.1. Bile Preparation
Wild nutria are captured and euthanized with CO2 gas and then the carcasses are incinerated as medical waste in accordance with a policy implemented by the Korean Ministry of Environment (KME). Among these, four were obtained for this study with the approval from the KME. Bile was withdrawn from their gallbladders with syringes, then pooled and lyophilized. The lyophilized bile powder was analyzed using high-performance liquid chromatography (HPLC) and was found to contain approximately 35% UDCA, 44.2% CDCA, and 21% 7-keto-LCA (Table 1). The pooled bile powder was diluted with 0.9% normal saline before administration to mice.
Mean ± SD.
2.2. Experimental Design
Eight-week-old male C57BL/6 mice were purchased from Samtako (Osan, ROK) and fed standard chow and water ad libitum. Animals were housed at 22 ± 2°C, 50 ± 10% humidity, and under a 12-h light-dark cycle. All procedures were approved by the Animal Ethics Committee of Gyeongsang National University (Approval Number: GNU-151119-M0066) and conducted in compliance with the GNU guidelines for the care and use of laboratory animals. After a week of acclimation, mice were divided into six groups, each containing three to five mice: a control group (CON), a negative control group (NC), and four bile treatment groups (B10, B20, B50, and B100; Table S1). To induce liver injury, 50 mg/kg TAA was intraperitoneally injected every other day into mice in all groups except CON; this was performed thrice for six days. Bile solutions were administered at doses of 10 to 100 mg/kg once daily (five times in total) to mice in the four bile treatment groups. Mice were sacrificed 24 h after the last treatment by an overdose of isoflurane. Blood and liver tissues were then collected and stored at −80°C for further analysis.
2.3. Serum Chemistry
Blood samples were collected from caudal vena cava of mice under isoflurane anesthesia and centrifuged at 3,000 ×g for 15 min to obtain serum. Serum samples were analyzed for alanine transaminase (ALT), aspartate transaminase (AST), total protein (TP), albumin (ALB), alkaline phosphatase (ALP), total cholesterol (TCHO), and high-density lipoprotein cholesterol (HDLC) using an autoanalyzer (Dri-chem 4000i®, Fuji, Japan).
2.4. Histopathology and Immunohistochemistry (IHC)
Liver tissues were obtained from the left lateral and right medial lobes of each mouse. Tissues obtained were immediately fixed in 10% neutral-buffered formalin and processed routinely with a graded ethanol series for dehydration and with xylene for clearing. The tissues were then embedded in paraffin wax, and 4-μm sections of the paraffinized tissues were stained with hematoxylin and eosin (H&E). To examine the degree of inflammation, all inflammatory lesions around the central veins (CVs) were graded and scored at a microscopic magnification of 200× based on the criteria in Table S2. The scores were totaled for each mouse, and the representative score of each group was presented as the mean ± standard deviation (S.D.). Liver proliferation was estimated by the number of mitotic figures, which were counted in 20 high-power fields (HPFs; 400×); these values are presented as mean ± S.D. for each group. For IHC analysis, endogenous peroxidase activity of the tissue was inhibited using 3% hydrogen peroxide solution in methanol for 20 min. After using the blocking serum, anti-CD68, anti-PCNA, and anti-SMP30 antibodies (Santa Cruz, CA, USA) were applied. Antigen-antibody interactions were visualized with an avidin-biotin peroxidase complex solution from an ABC kit (Vector Laboratories, CA, USA) and DAB substrate (Invitrogen, MA, USA). The tissues were counterstained with hematoxylin.
2.5. Western Blot Analysis
Liver tissues were frozen immediately at −80°C until use. For protein analysis, the liver was ground in RIPA buffer containing a protease inhibitor cocktail (Thermo Scientific, MA, USA). The lysate was centrifuged to remove any solid tissue and debris, and the Bradford method employed to quantify the level of protein. The protein samples were loaded and separated by SDS-polyacrylamide gel electrophoresis. After transfer to a polyvinylidene difluoride membrane, 3% bovine serum albumin solution was used to block nonspecific reactions, and anti-CYP2E1, anti-PCNA, anti-SMP30 (Santa Cruz, CA, USA), and anti-GAPDH antibodies (Cell Signaling, MA, USA) used for protein detection. The reaction was developed with an enhanced chemiluminescence reagent (GE Healthcare, UK); thereafter, positive reaction was quantified using Image lab software (Bio-rad, CA, USA).
2.6. Statistical Analysis
Results are expressed as mean ± S.D., and data were analyzed using the Student’s t-test. Statistical significance was assumed when was either < 0.05 or < 0.01.
3.1. Effect of Nutria Bile Administration on Body Weight and Serum Chemistry of Mice with TAA-Induced Liver Injury
We measured the body weights of mice on a daily basis and found a decrease following TAA injection in all groups except the CON group. This decrease continued up to day 3 or 4, but from day 5, an increase was observed. On day 6, a body weight change of +1.1 ± 0.2 g in the CON group and -0.3 ± 0.3 g in the NC group was evident compared to baseline (day 1). In addition, on day 6, groups B10, B20, and B50 gained 0.6 ± 0.2 g, 0.3 ± 0.1 g, and 0.5 ± 0.7 g, respectively, compared to day 1. In contrast, a body weight change of -0.3 ± 0.7 g was observed in the B100 group (Figure 1).
Mean activities of ALT and AST (indicators of liver damage) were significantly elevated in NC, but lowered in the bile treatment groups. In addition, a significant decrease was observed in the concentration of AST in the B10 and B20 groups (Figures 2(a) and 2(b)). Serum TP and ALB (characteristics of liver function) were unchanged in NC compared to CON; however, in the bile treatment groups, mean TP and ALB levels increased compared to those in NC. Moreover, a significant increase in the serum TP level was found in the B20, B50, and B100 groups, while serum ALB significantly increased in the B10, B20, and B50 groups (Figures 2(c) and 2(d)). Serum ALP activity decreased in NC but recovered significantly (near the normal value) in all treatment groups (Figure 2(e)). Lipid metabolic changes were estimated by measuring the concentration of TCHO and HDLC. As the synthesis of bile acid is the major pathway underlying cholesterol catabolism in mammals, with bile acid as the end product, we expected that total TCHO would increase in the bile treatment groups since there was a decrease in cholesterol utilization to synthesize bile acid. As expected, TCHO increased in the bile treatment groups; however, HDLC was also significantly increased compared to that in NC (Figures 2(f) and 2(g)). Consequently, the TCHO/HDLC ratio, an index of cardiovascular risk, showed no significant difference between all groups (Figure 2(h)). Although there was no significant change in the TCHO/HDLC ratio, HDLC concentrations showed the tendency to increase in response to bile treatment; such increase was significant in B10, B20, and B100 relative to NC. HDLC exerts antiatherogenic effects by reversing cholesterol transport from the peripheral tissues to the liver. In addition, increased HDLC correlates with a lowered risk of cardiovascular diseases .
3.2. Effect of Nutria Bile Administration on Histopathologic Changes in TAA-Induced Liver Injury
Liver tissues were examined to evaluate histopathologic changes caused by injecting TAA and administering bile (Figure 3(a)). Centrilobular necrosis and mononuclear cell infiltration were induced by TAA. TAA injection led to various degrees of inflammation and necrotic changes in all groups, except CON. In addition, infiltration of mononuclear cells with oval-shaped basophilic nuclei was observed around the CVs. We proceeded to evaluate the inflammation score of each group, as shown in Table S2. Inflammation was most significant in NC (score= 119) and decreases to 26–44 following nutria bile administration found in the treatment groups; this decrease was significant in B10, B20, and B100 compared to NC (Figure 3(b)). To identify mononuclear cells around CVs, IHC was performed. Kupffer cell marker (CD68) was visualized in the cytoplasm of mononuclear inflammatory cells as a deep brown color in NC, but in all bile treatment groups, the number of positive cells was reduced (Figure 3(c)). To add, the mononuclear cells showed a negative reaction to the lymphocyte markers, CD3 and CD79a (data not shown).
3.3. Effect of Nutria Bile Administration on CYP2E1 Expression in TAA-Induced Liver Injury
CYP2E1 mediates TAA-induced liver injury. To determine whether there was an enzymatic change in TAA, the expression level of CYP2E1 was analyzed by western blot analysis. Its expression dramatically decreased in NC and significantly increased in all bile treatment groups (Figure 4).
3.4. Effect of Nutria Bile Administration on Hepatocyte Proliferation in TAA-Induced Liver Injury
To evaluate hepatocyte proliferation following bile administration, we evaluated the mitotic activity in hepatocytes. Mitotic figures were mainly observed in mid-zonal areas, and, compared to NC, the number of these figures decreased in the bile treatment groups (Figure 5(a)). Mean number of mitotic figures was 22.7 in NC; this decreased to less than 7 in all bile treatment groups, with a statistical significance confirmed in B20 and B100 compared to NC (Figure 5(b)).
The nuclear protein, PCNA, whose levels increase during cell proliferation, was visualized using IHC and quantified by western blot analysis. IHC revealed PCNA-positive hepatocytes around the CVs and mid-zonal areas (Figure 5(c)). Mean positive cells mainly appeared in NC (38.7/10 HPF). The number of PCNA-positive cells was lower in the bile treatment groups than in NC. Although the number of positive cells was 17 in B10, a decrease to 3.50, 9.33, and 8.17 per 10 HPF was found in B20, B50, and B100, respectively (Figure 5(d)). Western blot analysis revealed the dramatic increase in PCNA expression in NC compared to that in CON. Bile administration significantly lowered this expression in all treatment groups (Figures 5(e) and 5(f)).
3.5. Effect of Nutria Bile Administration on SMP30 Expression in TAA-Induced Liver Injury
To determine the viability of senescence marker protein 30 (SMP30), which decreases in injured hepatocytes, we performed IHC and western blot analysis. IHC showed that SMP30 localized to the cytosol and nucleus of hepatocytes around CVs. In addition, immunoreactivity was dramatically decreased in NC compared to CON, but SMP30 increased in the treatment groups compared to NC (Figure 6(a)). Quantitative analysis using western blot also confirmed a half-fold reduction in SMP30 expression in response to TAA injection in NC compared to CON. The expression was significantly increased in all bile treatment groups compared to NC (Figures 6(b) and 6(c)).
In the present study, we confirmed the hepatoprotective effect of nutria bile through several experiments. The loss in body weight caused by TAA-induced liver injury recovered more rapidly in the bile treatment groups than in NC. In addition, serum chemistry analysis of changes in ALT, AST, TP, ALB, ALP, and HDLC showed that bile ameliorated liver injury and recovered liver function against TAA-induced hepatotoxicity. We also found a decrease in TAA-induced infiltration of inflammatory cells, mainly Kupffer cells, following the administration of nutria bile.
To identify the underlying mechanism in the regulation of TAA metabolism by bile treatment, western blot analysis was conducted to quantify CYP2E1. Reports have proposed that CYP2E1 is inactivated by TAA or carbon tetrachloride (CCl4) and recovered by treatment with hepatoprotective agents [23, 24]. In the present study, CYP2E1 expression decreased in NC and recovered significantly in the bile treatment groups. To estimate hepatocyte proliferation following TAA-induced injury, we examined the number of mitotic figures and PCNA expression in hepatocytes. The number of mitotic figures, which increases in the M phase of mitosis, is a histopathological marker of cell proliferation . PCNA is an accessory protein of DNA polymerase and its level increases in the S phase of mitosis relative to DNA replication . Interestingly, hepatocyte proliferation has been shown to increase in response to TAA-induced injury as a compensatory mechanism to repair damaged liver tissue and decrease in response to treatment with hepatoprotective reagents [27, 28]. In the present study, the number of mitotic figures and PCNA expression was significantly decreased in the bile treatment groups compared to NC. To elucidate the mechanisms by which bile exerts hepatoprotective effects within the bile treatment groups (despite a decrease in hepatocyte proliferation), we examined the expression of SMP30. The expression level of SMP30 is reduced in the liver of older mice (24-month-old) when compared to young mice (3-month-old) . It is also reduced in response to treatment with hepatotoxic agents such as CCl4, reactive oxygen species, and 3, 3′, 5-triiodo-L-thyronine (T3) [30–32]. SMP30 protects hepatocytes from tumor necrosis factor-α- and fas-mediated apoptosis . In the present study, SMP30 concentrations decreased in the NC group but significantly increased in the bile treatment groups. These results demonstrate the reduction in injury caused by TAA in the bile treatment groups.
We confirmed the hepatoprotective effect of nutria bile in a TAA-induced injury model of mice. Serum ALT and AST levels were increased in the groups administered a high dose of bile (B50, B100); these levels, however, were still lower than those in NC. This finding suggests that a high concentration of nutria bile may cause liver damage. Bile acids have been reported to induce cell injury through inflammation, apoptosis, and oxidative stress at high doses or in cholestasis [34, 35]. Song et al.  showed that administering UDCA to mice did not increase serum ALT, while other types of bile acids (CA, CDCA, DCA, LCA) resulted in dose-dependent hepatotoxicity. Increases in ALT and AST in groups administered a high dose of bile cannot be explained by the presence of CDCA or 7-keto-LCA in nutria bile alone. Watanabe et al.  suggested that CA, but not CDCA, in bile increases AST and ALT activities in mouse models of liver injury. Nonetheless, CDCA has been confirmed as the main farnesoid X receptor (FXR) ligand, and FXR agonists are proposed treatments for cholestatic diseases, including PBC, nonalcoholic fatty liver disease, and portal hypertension . Furthermore, 7-keto-LCA is synthesized as a primary bile acid in nutria and is an intermediate in the hepatic transformation of CDCA to UDCA. . In humans and animals that cannot synthesize UDCA in the liver, 7-keto-LCA is a secondary bile acid found in feces and is formed from CDCA by intestinal bacterial enzymes . The ingestion of 7-keto-LCA by humans has been shown to decrease the biliary lithogenic index, indicating its effectiveness for dissolving gallstones . Bile acid synthetic pathways and their regulation are extremely complex and require further understanding. Nonetheless, administering exogenous bile acid may suppress endogenous bile acid production and biliary cholesterol secretion, and such suppression may cause side effects. A high concentration of nutria bile may therefore cause liver injury, indicating the need for further research to determine appropriate therapeutic concentrations to prevent such injury.
Although several eradication programs have been implemented worldwide to prevent the introduction and establishment of invasive species, only few studies have focused on the usability of their remains after eradication. We obtained UDCA-rich bile from nutria that was euthanized in an eradication program. This bile exhibited hepatoprotective effects against TAA-induced liver injury in mice. We conclude that although a further study is required to elucidate the molecular mechanisms underlying the therapeutic effects of nutria, bile from their carcasses can be used as a hepatoprotective agent.
All data used to support the findings of this study are included within the article and are available from the corresponding author upon request.
Conflicts of Interest
The authors declare that there are no conflicts of interest regarding the publication of this paper.
This work was supported by the National Research Foundation of Korea [grant numbers NRF-2015R1C1A1A01055527].
Table S1: experimental design of thioacetamide-induced mouse liver injury model. Table S2: grade and score of inflammation in thioacetamide-induced liver injury. (Supplementary Materials)
- D. Pimentel, Biological Invasions: Economic and Environmental Costs of Alien Plant, Animal, and Microbe Species, CRC press, Boca Raton, Fl, USA, 2nd edition, 2014.
- T. A. Crowl, T. O. Crist, R. R. Parmenter, G. Belovsky, and A. E. Lugo, “The spread of invasive species and infectious disease as drivers of ecosystem change,” Frontiers in Ecology and the Environment, vol. 6, no. 5, pp. 238–246, 2008.
- P. Pyšek and D. M. Richardson, “Invasive species, environmental change and management, and health,” Annual Review of Environment and Resources, vol. 35, no. 1, pp. 25–55, 2010.
- IUCN Invasive Species Specialist Group, IUCN Guidelines for The Prevention of Biodiversity Loss Caused by Alien Invasive Species, IUCN, Species Survival Commission, Auckland, New Zealand, 2000.
- C. R. Veitch and M. N. Clout, “Turning the tide: The eradication of invasive species,” in Proceedings of the International Conference on Eradication of Island Invasives, IUCN, 2002.
- J. Carter and B. P. Leonard, “A review of the literature on the worldwide distribution, spread of, and efforts to eradicate the coypu (Myocastor coypus),” Wildlife Society Bulletin, vol. 30, no. 1, pp. 162–175, 2002.
- D. H. Lee, J. H. Kil, and D. E. Kim, “The study on the distribution and inhabiting status of nutria (myocastor coypus) in Koreaa,” Korean Journal of Environment and Ecology, vol. 27, pp. 316–326, 2013.
- I. H. Hong, S. Y. Kang, J. H. Kim et al., “Histopathological findings in wild Nutrias (Myocastor coypus) with Capillaria hepatica infection,” The Journal of Veterinary Medical Science, vol. 78, pp. 1887–1891, 2016.
- S. Lowe, M. Browne, S. Boudjelas, and M. De Poorter, 100 of The World's Worst Invasive Alien Species: A Selection from The Global Invasive Species Database, Invasive Species Specialist Group, Auckland, New Zealand, 2000.
- Korean Minstry of Environment. 2014. p.1-30. http://webbook.me.go.kr/DLi-File/091/023/012/5618351.pdf.
- G. Tint, J. Bullock, A. K. Batta, S. Shefer, and G. Salen, “Ursodeoxycholic acid, 7-ketolithocholic acid, and chenodeoxycholic acid are primary bile acids of the nutria (myocastor copus),” Gastroenterology, vol. 90, no. 3, pp. 702–709, 1986.
- L. R. Hagey, D. L. Crombie, E. Espinosa, M. C. Carey, H. Igimi, and A. F. Hofmann, “Ursodeoxycholic acid in the Ursidae: Biliary bile acids of bears, pandas, and related carnivores,” Journal of Lipid Research, vol. 34, no. 11, pp. 1911–1917, 1993.
- A. F. Hofmann, “Pharmacology of ursodeoxycholic acid, an enterohepatic drug,” Scandinavian Journal of Gastroenterology, vol. 204, pp. 1–15, 1994.
- Y.-W. Li, X.-Y. Zhu, P. P.-H. But, and H.-W. Yeung, “Ethnopharmacology of bear gall bladder: I,” Journal of Ethnopharmacology, vol. 47, no. 1, pp. 27–31, 1995.
- K. N. Lazaridis, G. J. Gores, and K. D. Lindor, “Ursodeoxycholic acid ‘mechanisms of action and clinical use in hepatobiliary disorders’,” Journal of Hepatology, vol. 35, no. 1, pp. 134–146, 2001.
- FDA, Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations, 38th edition, 2018.
- A. Parés, “Treatment of primary biliary cirrhosis: Is there more to offer than ursodeoxycholic acid?” Clinical Liver Disease, vol. 3, no. 2, pp. 29–33, 2014.
- S. Watanabe and K. Tsuneyama, “Cattle bile but not bear bile or pig bile induces lipid profile changes and fatty liver injury in mice: mediation by cholic acid,” Journal of Toxicological Sciences, vol. 37, no. 1, pp. 105–121, 2012.
- J. Y. Chiang, “Bile acid regulation of gene expression: roles of nuclear hormone receptors,” Endocrine Reviews, pp. 23443–234463, 2002.
- S. Li, H. Y. Tan, N. Wang et al., “Substitutes for bear bile for the treatment of liver diseases: research progress and future perspective,” Evidence-Based Complementary and Alternative Medicine, vol. 2016, Article ID 4305074, 10 pages, 2016.
- J. D. Jones and P. E. Zollman, “Black bear (ursus americanus) bile composition: seasonal changes,” Comparative Biochemistry and Physiology - Part C: Toxicology & Pharmacology, vol. 118, no. 3, pp. 387–390, 1997.
- G. Assmann and A. M. Gotto, “HDL cholesterol and protective factors in atherosclerosis,” Circulation, vol. 109, no. 23_suppl_1, pp. III-8–III-14, 2004.
- I. Hong, K. Lewis, P. Iakova et al., “Age-associated change of C/EBP family proteins causes severe liver injury and acceleration of liver proliferation after CCl4 treatments,” The Journal of Biological Chemistry, vol. 289, no. 2, pp. 1106–1118, 2014.
- Y. Xie, G. Wang, H. Wang et al., “Cytochrome P450 dysregulations in thioacetamide-induced liver cirrhosis in rats and the counteracting effects of hepatoprotective agents,” Drug Metabolism and Disposition, vol. 40, no. 4, pp. 796–802, 2012.
- R. Bavle, “Enigmatic morpho insight: mitosis at a glance,” Journal of Oral and Maxillofacial Pathology, vol. 18, no. 4, p. 2, 2014.
- Z. Kelman, “PCNA: structure, functions and interactions,” Oncogene, vol. 14, no. 6, pp. 629–640, 1997.
- D. A. Bardi, M. F. Halabi, P. Hassandarvish et al., “Andrographis paniculata Leaf extract prevents thioacetamide-induced liver cirrhosis in rats,” PLoS ONE, vol. 9, no. 10, Article ID e109424, 2014.
- M.-E. Wang, Y.-C. Chen, I.-S. Chen, S.-C. Hsieh, S.-S. Chen, and C.-H. Chiu, “Curcumin protects against thioacetamide-induced hepatic fibrosis by attenuating the inflammatory response and inducing apoptosis of damaged hepatocytes,” The Journal of Nutritional Biochemistry, vol. 23, no. 10, pp. 1352–1366, 2012.
- T. Fujita, T. Shirasawa, K. Uchida, and N. Maruyama, “Gene regulation of senescence marker protein-30 (SMP30): coordinated up-regulation with tissue maturation and gradual down-regulation with aging,” Mechanisms of Ageing and Development, vol. 87, no. 3, pp. 219–229, 1996.
- M. Fountoulakis, M. de Vera, F. Crameri et al., “Modulation of gene and protein expression by carbon tetrachloride in the rat liver,” Toxicology and Applied Pharmacology, vol. 183, no. 1, pp. 71–80, 2002.
- K. J. Jung, A. Ishigami, N. Maruyama et al., “Modulation of gene expression of SMP-30 by LPS and calorie restriction during aging process,” Experimental Gerontology, vol. 39, no. 8, pp. 1169–1177, 2004.
- P. Sar, B. Rath, U. Subudhi, G. B. Chainy, and P. C. Supakar, “Alterations in expression of senescence marker protein-30 gene by 3,3′,5-triiodo-l-thyronine (T3),” Molecular and Cellular Biochemistry, vol. 303, no. 1-2, pp. 239–242, 2007.
- A. Ishigami, T. Fujita, S. Handa et al., “Senescence marker protein-30 knockout mouse liver is highly susceptible to tumor necrosis factor-α- and Fas-mediated apoptosis,” The American Journal of Pathology, vol. 161, no. 4, pp. 1273–1281, 2002.
- P. Song, Y. Zhang, and C. D. Klaassen, “Dose-response of five bile acids on serum and liver bile acid concentrations and hepatotoxicty in mice,” Toxicological Sciences, vol. 123, no. 2, pp. 359–367, 2011.
- B. L. Copple, H. Jaeschke, and C. D. Klaassen, “Oxidative stress and the pathogenesis of cholestasis,” Seminars in Liver Disease, vol. 30, no. 2, pp. 195–204, 2010.
- S. Fiorucci, S. Cipriani, A. Mencarelli, F. Baldelli, G. Bifulco, and A. Zampella, “Farnesoid x receptor agonist for the treatment of liver and metabolic disorders: Focus on 6-ethyl-CDCA,” Mini-Reviews in Medicinal Chemistry, vol. 11, no. 9, pp. 753–762, 2011.
- G. Salen, D. Verga, A. K. Batta, G. S. Tint, and S. Shefer, “Effect of 7-ketolithocholic acid on bile acid metabolism in humans,” Gastroenterology, vol. 83, no. 2, pp. 341–347, 1982.
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