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Butein Alleviates Non-Alcoholic Steatohepatitis in Leptin-Deficient Mice by Modulating the PDE4/cAMP/p-CREB Pathway
Chao Guo1,2, Yushan Zhang2, Huan Xue2
1Department of Endocrinology, First Hospital of Shanxi Medical University, Shanxi Medical University, Taiyuan, People's Republic of China.
Drug Design, Development and Therapy
|August 20, 2025
Summary
Butein shows promise in treating non-alcoholic steatohepatitis (NASH). This flavonoid reduced liver inflammation and fibrosis in mouse models by modulating the PDE4/cAMP/p-CREB pathway.
Area of Science:
- Hepatology
- Pharmacology
- Molecular Biology
Background:
- Non-alcoholic steatohepatitis (NASH) is a growing liver disease with limited treatment options.
- Flavonoids, like butein, possess anti-inflammatory and antioxidant properties.
- Butein's therapeutic potential in NASH remains largely unexplored.
Purpose of the Study:
- To investigate the therapeutic effects of butein in experimental NASH models.
- To elucidate the molecular mechanisms underlying butein's action in NASH.
- To evaluate butein's impact on glucolipid metabolism, inflammation, and fibrosis.
Main Methods:
- Utilized a leptin-deficient (ob/ob) mouse model of NASH induced by a GAN diet.
- Employed in vitro models using HepG2 and LX-2 cells treated with palmitic acid.
- Assessed oxidative stress, inflammation, fibrotic markers, and the PDE4/cAMP/p-CREB pathway.
Main Results:
- Butein significantly improved glucolipid metabolism, reduced hepatic inflammation, and ameliorated liver fibrosis in mice.
- In vitro, butein attenuated palmitic acid-induced oxidative stress in HepG2 cells.
- Butein decreased inflammatory and fibrotic responses in LX-2 cells.
Conclusions:
- Butein demonstrates protective effects against NASH progression.
- The PDE4/cAMP/p-CREB signaling pathway is implicated in butein's therapeutic action.
- Butein is a potential therapeutic candidate for NASH, requiring further clinical studies.

