Since the liver is mainly responsible for the metabolic function of the human, it is sensitive to drugs and other chemicals, covering oxidative stress, apoptosis and inflammation 21. It is known that attenuated liver enzyme function and compensatory bile secretion in alcoholic liver diseases increase the unconjugated bilirubin, accelerating the development of jaundice 22,23. Moreover, alcohol-induced fatty liver is the common cause of liver hypoxia, and excessive reactive oxygen species attacks mitochondrial DNA and proteins 24,25. With high sensitivity to oxidative stress, sarcoplasmic/endoplasmic reticulum calcium ATPase pump abnormally releases calcium ions in endoplasmic reticulum which aggravates mitochondrial metabolic disorders 26,27. As a natural flavonoid, quercetin has hepatoprotective effect related to endoplasmic reticulum stress and inflammation. It can not only activate PI3K/Akt pathway resulting in dynamic regulation of Ca2+ and reduced expression of inflammatory cytokines (IL-6, TNF-α), but block the activities of Jun N-terminal kinase (JNK) 28 and finally positively regulate cell proliferation and inhibit apoptotic process 29. Fatty liver induced by alcohol enhances the incidence of the liver fibrosis, cirrhosis, and hepatocellular carcinoma 30. As jaundice is a common symptom of these diseases, we speculate that Yinzhihuang can activate PI3K/Akt pathway, regulating inflammatory factors and Ca2+, involving in ATP binding, mitochondrial aerobic metabolism, membrane transport of hepatocelluar membrane and so on.
Since the liver is mainly responsible for the metabolic function of the human, it is sensitive to drugs and other chemicals, covering oxidative stress, apoptosis and inflammation 21. It is known that attenuated liver enzyme function and compensatory bile secretion in alcoholic liver diseases increase the unconjugated bilirubin, accelerating the development of jaundice 22,23. Moreover, alcohol-induced fatty liver is the common cause of liver hypoxia, and excessive reactive oxygen species attacks mitochondrial DNA and proteins 24,25. With high sensitivity to oxidative stress, sarcoplasmic/endoplasmic reticulum calcium ATPase pump abnormally releases calcium ions in endoplasmic reticulum which aggravates mitochondrial metabolic disorders 26,27. As a natural flavonoid, quercetin has hepatoprotective effect related to endoplasmic reticulum stress and inflammation. It can not only activate PI3K/Akt pathway resulting in dynamic regulation of Ca2+ and reduced expression of inflammatory cytokines (IL-6, TNF-α), but block the activities of Jun N-terminal kinase (JNK) 28 and finally positively regulate cell proliferation and inhibit apoptotic process 29. Fatty liver induced by alcohol enhances the incidence of the liver fibrosis, cirrhosis, and hepatocellular carcinoma 30. As jaundice is a common symptom of these diseases, we speculate that Yinzhihuang can activate PI3K/Akt pathway, regulating inflammatory factors and Ca2+, involving in ATP binding, mitochondrial aerobic metabolism, membrane transport of hepatocelluar membrane and so on.<br>
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