The intervention of curcumin on rodent models of hepatic fibrosis: A systematic review and meta-analysis.

<h4>Objective</h4>This study aimed to evaluate the intervention effect of curcumin on hepatic fibrosis in rodent models through systematic review and meta-analysis, in order to provide meaningful guidance for clinical practice.<h4>Methods</h4>A systematic retrieval of relevan...

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Main Authors: Yun-Hang Chu, Bing-Yao Pang, Ming Yang, Qi Meng, Yan Leng
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0304176
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author Yun-Hang Chu
Bing-Yao Pang
Ming Yang
Qi Meng
Yan Leng
author_facet Yun-Hang Chu
Bing-Yao Pang
Ming Yang
Qi Meng
Yan Leng
author_sort Yun-Hang Chu
collection DOAJ
description <h4>Objective</h4>This study aimed to evaluate the intervention effect of curcumin on hepatic fibrosis in rodent models through systematic review and meta-analysis, in order to provide meaningful guidance for clinical practice.<h4>Methods</h4>A systematic retrieval of relevant studies on curcumin intervention in rats or mice hepatic fibrosis models was conducted, and the data were extracted. The outcome indicators included liver cell structure and function related indicators, such as alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), albumin (ALB), ratio of albumin to globulin (A/G), total bilirubin (TBIL), bax protein, bcl-2 protein and index of liver, as well as the relevant indicators for evaluating the degree of hepatic fibrosis, such as hyaluronic acid (HA), laminin (LN), type I collagen (Collagen I), type III collagen (Collagen III), type III procollagen (PCIII), type III procollagen amino terminal peptide (PIIINP), type IV collagen (IV-C), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), α-Smooth muscle actin (α-SMA), hydroxyproline (HYP), platelet derived factor-BB (PDGF-BB), connective tissue growth factor (CTGF) and transforming growth factor-β1 (TGF-β1), and oxidative stress-related indicators, such as superoxide dismutase (SOD), malondialdehyde (MDA) and glutathione peroxidase (GSH-Px). These results were then analyzed by meta-analysis. Studies were evaluated for methodological quality using the syrcle's bias risk tool.<h4>Results</h4>A total of 59 studies were included in the meta-analysis, and the results showed that curcumin can reduce the levels of ALT, AST, ALP, TBIL, bax protein, and index of liver in hepatic fibrosis models. It can also reduce HA, LN, Collagen I, Collagen III, PCIII, PIIINP, IV-C, TNF-α, α-SMA, HYP, PDGF-BB, CTGF, TGF-β1 and MDA, and increase the levels of ALB, A/G, SOD, and GSH-Px in the hepatic fibrosis models. However, the effects of curcumin on bcl-2 protein, IL-6 in hepatic fibrosis models and index of liver in mice were not statistically significant.<h4>Conclusion</h4>The analysis results indicate that curcumin can reduce liver cell apoptosis by maintaining the stability of liver cell membrane, inhibit the activation and proliferation of hepatic stellate cells by reducing inflammatory response, and alleviate tissue peroxidation damage by clearing oxygen free radicals.
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spelling doaj-art-8e3e28e222a04cc986a4c12297b54bf22025-01-21T05:31:24ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01195e030417610.1371/journal.pone.0304176The intervention of curcumin on rodent models of hepatic fibrosis: A systematic review and meta-analysis.Yun-Hang ChuBing-Yao PangMing YangQi MengYan Leng<h4>Objective</h4>This study aimed to evaluate the intervention effect of curcumin on hepatic fibrosis in rodent models through systematic review and meta-analysis, in order to provide meaningful guidance for clinical practice.<h4>Methods</h4>A systematic retrieval of relevant studies on curcumin intervention in rats or mice hepatic fibrosis models was conducted, and the data were extracted. The outcome indicators included liver cell structure and function related indicators, such as alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), albumin (ALB), ratio of albumin to globulin (A/G), total bilirubin (TBIL), bax protein, bcl-2 protein and index of liver, as well as the relevant indicators for evaluating the degree of hepatic fibrosis, such as hyaluronic acid (HA), laminin (LN), type I collagen (Collagen I), type III collagen (Collagen III), type III procollagen (PCIII), type III procollagen amino terminal peptide (PIIINP), type IV collagen (IV-C), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), α-Smooth muscle actin (α-SMA), hydroxyproline (HYP), platelet derived factor-BB (PDGF-BB), connective tissue growth factor (CTGF) and transforming growth factor-β1 (TGF-β1), and oxidative stress-related indicators, such as superoxide dismutase (SOD), malondialdehyde (MDA) and glutathione peroxidase (GSH-Px). These results were then analyzed by meta-analysis. Studies were evaluated for methodological quality using the syrcle's bias risk tool.<h4>Results</h4>A total of 59 studies were included in the meta-analysis, and the results showed that curcumin can reduce the levels of ALT, AST, ALP, TBIL, bax protein, and index of liver in hepatic fibrosis models. It can also reduce HA, LN, Collagen I, Collagen III, PCIII, PIIINP, IV-C, TNF-α, α-SMA, HYP, PDGF-BB, CTGF, TGF-β1 and MDA, and increase the levels of ALB, A/G, SOD, and GSH-Px in the hepatic fibrosis models. However, the effects of curcumin on bcl-2 protein, IL-6 in hepatic fibrosis models and index of liver in mice were not statistically significant.<h4>Conclusion</h4>The analysis results indicate that curcumin can reduce liver cell apoptosis by maintaining the stability of liver cell membrane, inhibit the activation and proliferation of hepatic stellate cells by reducing inflammatory response, and alleviate tissue peroxidation damage by clearing oxygen free radicals.https://doi.org/10.1371/journal.pone.0304176
spellingShingle Yun-Hang Chu
Bing-Yao Pang
Ming Yang
Qi Meng
Yan Leng
The intervention of curcumin on rodent models of hepatic fibrosis: A systematic review and meta-analysis.
PLoS ONE
title The intervention of curcumin on rodent models of hepatic fibrosis: A systematic review and meta-analysis.
title_full The intervention of curcumin on rodent models of hepatic fibrosis: A systematic review and meta-analysis.
title_fullStr The intervention of curcumin on rodent models of hepatic fibrosis: A systematic review and meta-analysis.
title_full_unstemmed The intervention of curcumin on rodent models of hepatic fibrosis: A systematic review and meta-analysis.
title_short The intervention of curcumin on rodent models of hepatic fibrosis: A systematic review and meta-analysis.
title_sort intervention of curcumin on rodent models of hepatic fibrosis a systematic review and meta analysis
url https://doi.org/10.1371/journal.pone.0304176
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