The Indonesian Biomedical Journal
Vol 11, No 1 (2019)

The Effect of Curcumin on Regression of Liver Fibrosis through Decreased Expression of Transforming Growth Factor-β1 (TGF-β1)

Supriono Supriono (Department of Internal Medicine, Brawijaya University School of Medicine, Saiful Anwar Hospital, Jl. Veteran, Malang 65145)
Asri Nugraheni (Department of Internal Medicine, Brawijaya University School of Medicine, Saiful Anwar Hospital, Jl. Veteran, Malang 65145)
Handono Kalim (Department of Internal Medicine, Brawijaya University School of Medicine, Saiful Anwar Hospital, Jl. Veteran, Malang 65145)
Mudjiwijono Handaru Eko (Department of Anatomical Pathology, Brawijaya University School of Medicine, Saiful Anwar Hospital, Jl. Veteran, Malang 65145)



Article Info

Publish Date
30 Apr 2019

Abstract

BACKGROUND: Transforming growth factor (TGF)-β1 has a pivotal role in liver fibrogenesis. Curcumin effectively prevent the progression of liver fibrosis through inhibition of TGF-β1/Sma and drosophila MAD (Smad) signaling pathway. However, the role of curcumin in the regression of liver fibrosis is still unknown. This study investigated the role of curcumin and TGF-β1 in liver fibrosis regression.METHODS: An experimental Wistar rat model included 6 treatment groups as well as positive and negative control groups. The treatment and positive control groups were injected with carbon tetrachlorid (CCl4) for 9 weeks to induce liver fibrosis. After cessation of injection, 3 of the treatment groups were given curcumin and 3 were given carboxymethylcellulose (CMC) for 2, 5 and 9 weeks, while the positive control was untreated. The negative control was injected with normal saline. TGF-β1 liver tissue levels were analyzed by ELISA, while the TGF-β1 expression in liver cells was analyzed by immunohistochemical assay. The metavir score was used to assess the degree of liver fibrosis. Values of p<0.05 were regarded as statistically significant.RESULTS: Nine weeks of CCl4 injection induced liver fibrosis (metavir F3); and significantly increased TGF-β1 levels and expression in tissues (p=0.00, p=0.021, respectively). Curcumin administration decreased levels and expression of TGF-β1 in the liver and accelerated regression of liver fibrosis. There was a significant correlation between duration of administration of curcumin with an expression of TGF-β1 in the liver tissue (r=0.87; p<0.00).CONCLUSION: Curcumin accelerates regression of liver fibrosis, likely through decreasing of TGF-β1 expression in the liver.KEYWORDS: curcumin, TGF-β1, liver fibrosis regression, CCl4, animal model

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