Introduction
Liver fibrosis is a common response to liver injury and, in severe cases, leads to cirrhosis. The hepatic stellate cells (HSC) become activated after liver injury and play a significant role in fibrogenesis. The activated HSC is characterized by increased proliferation, overexpression of α-smooth muscle actin (α-SMA), and excessive production of extracellular matrix (ECM) proteins. Oridonin, a naturally occurring diterpenoid, has been shown to induce apoptosis in liver and gastric cancer cells. However, its effects on HSC are unknown.
Methods
We tested the effects of oridonin on the activated human and rat hepatic stellate cell lines LX-2 and HSC-T6 as well as the human hepatocyte cell line C3A. Transforming growth factor β1 (TGF-β1) was used to stimulate LX-2 cells.
Results
Oridonin significantly inhibited LX-2 and HSC-T6 proliferation. In contrast, Oridonin had no anti-proliferative effect on C3A cells at our tested range. Oridonin induced apoptosis and S phase arrest in LX-2 cells. These findings were associated with an increase in p53, p21, p16, and cleaved PARP, and with a decrease in Cdk4. Oridonin markedly decreased expression of α-SMA and ECM protein type I collagen and fibronectin, blocked TGF-β1-induced Smad2/3 phosphorylation and type I Collagen expression.
Conclusions
Oridonin induces apoptosis and cell cycle arrest involving the p53/p21 pathway in HSC, and appears to be non-toxic to hepatocytes. In addition, oridonin suppressed endogenous and TGF-β-induced ECM proteins. Thus, oridonin may act as a novel agent to prevent hepatic fibrosis.