Abstract:Objective To observe the protective effect of total anthraquinone in semen cassiae (TASC) on acute liver injury (ALI) induced by lipopolysaccharide (LPS) in rats and that on HMGB1/TLR4/NF-κB signaling pathway. Methods Sixty rats were randomly divided into control group, model group, low dose group, middle dose group and high dose group. All rats were given LPS (5 mg/kg) intravenously to establish ALI model except that the control group was instead administered saline of equal volume.The rats in the low, middle and high dose groups were respectively given 5 ml TASC in 10 mg/kg, 20 mg/kg and 40 mg/kg once a day for consecutive 14 days, while the rats in the control group and the model group were given normal saline of the same volume. The alanine aminotransferase (ALT), total bilirubin (TBIL) and aspartate aminotransferase (AST) were detected to indicate the liver function of rats. Hematoxylin - eosin (HE) staining was applied to observe the liver tissue pathological changes. TUNEL assay was used to detect cell apoptosis in rat liver tissues. The tumor necrosis factor alpha (TNF-α), interleukin 6 (IL-6) and interleukin 1β (IL-1β) were determined with ELISA. Western blotting (WB) detected high mobility group B1 (HMGB1), toll-like receptor 4 (TLR4), and nuclear factor kappaB (NF-κB) proteins. Results Compared with the control group, the levels of ALT, AST, TBIL, IL-1β, IL-6, TNF-α and the expressions of HMGB1, TLR4 and NF-κB in the liver tissues of the model group were all increased, which suggested that the apoptosis in the liver cells of the rats was elevated (P < 0.05). Besides, the levels of ALT, AST, TBIL, IL-1β, IL-6, TNF-α and the expression of HMGB1, TLR4 and NF-κB proteins in the liver tissues of rats in the middle and high TASC group were all decreased, indicating that the rat liver cells apoptosis was reduced (P < 0.05) and that the protective effect of TASC on ALI was dose-dependent. Conclusions TASC can inhibit the activation of HMGB1/TLR4/NF-κB signal pathway in ALI rats induced by LPS, thus ameliorating the inflammatory response and protecting liver against the injury.