Notoginsenoside R1 alleviates cholestatic liver fibrosis through modulation of the intestinal FXR-FGF15 axis and bile

Min Yang1, Qiaolian Ma1, Bairong Yang2

  • 1Yunnan Key Laboratory of Sustainable Utilization of Panax notoginseng Resources, Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming 650500, China; Center for Translational Research in Clinical Medicine, Medical School, Kunming University of Science and Technology, Kunming 650500, China.

Insights

Notoginsenoside R1 (NG-R1) treats cholestatic liver fibrosis by restoring gut-liver bile acid balance via the intestinal FXR-FGF15 pathway. This reduces inflammation and fibrosis, offering therapeutic potential.

Area of Science:

  • Hepatology
  • Pharmacology
  • Gastroenterology

Background:

  • Cholestatic liver fibrosis lacks effective treatments and involves bile acid disruption.
  • Notoginsenoside R1 (NG-R1) shows anti-fibrotic effects, but its mechanism in cholestasis is unknown.

Purpose of the Study:

  • To investigate the therapeutic mechanism of NG-R1 in cholestatic liver fibrosis.

Main Methods:

  • Mice underwent bile duct ligation (BDL) and received NG-R1 treatment.
  • Liver function, injury, inflammation, and fibrosis were assessed.
  • Intestinal FXR-FGF15 signaling, bile acid homeostasis, and gut microbiota were analyzed.

Main Results:

  • NG-R1 improved liver function, reduced hepatic and intestinal injury, and attenuated fibrosis.
  • NG-R1 restored intestinal FXR-FGF15 signaling, enhancing gut-liver bile acid homeostasis.
  • NG-R1 modulated bile acid transporters, decreased hepatic bile acid accumulation, and corrected gut dysbiosis.

Conclusions:

  • NG-R1 protects against cholestatic liver fibrosis by modulating the intestinal FXR-FGF15 axis.
  • Restoration of gut-liver bile acid homeostasis is a key mechanism for NG-R1's protective effects.
  • NG-R1 demonstrates therapeutic potential for cholestatic liver fibrosis.

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