In this study, we evaluated the potential anti-fibrotic property of
neferine, a bisbenzylisoquinline
alkaloid extracted from the seed embryo of Nelumbo mucifera Gaertn. Intratracheal
bleomycin administration resulted in
pulmonary fibrosis 14 and 21 days posttreatment, as evidenced by increased
hydroxyproline content
in bleomycin group (255.77+/-97.17 microg/lung and 269.74+/-40.92 microg/lung) compared to
sham group (170.78+/-76.46 microg/lung and 191.24+/-60.45 microg/lung), and the
hydroxyproline was significantly suppressed (193.07+/-39.55 microg/lung and 201.08+/-71.74 microg/lung) by
neferine administration (20mg/kg, b.i.d). The attenuated-
fibrosis condition was also validated by histological observations. Biochemical measurements revealed that
bleomycin caused a significant decrease in lung superoxidae dismutase (SOD) activity, which was accompanied with a significant increase in
malondialdehyde (MDA) levels and
myeloperoxidase (MPO) activity on the 7th and 14th days. However,
neferine reversed the decrease in SOD activity as well as the increase in MDA and MPO activity.
Enzyme-linked
immunosorbent assay and radio-immunity assay showed that treatment with
neferine alleviated
bleomycin-induced increase of pro-inflammatory
cytokines such as
tumor necrosis factor (
TNF)-alpha,
interleukin (IL)-6 and
endothelin-1 in plasma or in tissue. Additionally,
neferine blocked
bleomycin-induced increases of
NF-kappaB in nuclear extracts and TGF-beta(1) in total
protein extracts of murine RAW264.7 macrophages. In summary,
neferine attenuates
bleomycin-induced
pulmonary fibrosis in vitro and in vivo. The beneficial effect of
neferine might be associated with its activities of anti-
inflammation, antioxidation,
cytokine and
NF-kappaB inhibition.