|Year : 2018 | Volume
| Issue : 55 | Page : 102-109
Molecular interaction of naringin and its metabolite naringenin to human liver fibrosis proteins: An In Silico approach
VJ Shine1, GI Anuja1, S Pradeep2, SR Suja1
1 Division of Ethnomedicine and Ethnopharmacology, Jawaharlal Nehru Tropical Botanic Garden and Research Institute, Thiruvananthapuram, Kerala, India
2 Division of Microbiology, Jawaharlal Nehru Tropical Botanic Garden and Research Institute, Thiruvananthapuram, Kerala, India
|Date of Submission||30-Sep-2017|
|Date of Acceptance||07-Nov-2017|
|Date of Web Publication||28-Jun-2018|
G I Anuja
Division of Ethnomedicine and Ethnopharmacology, Jawaharlal Nehru Tropical Botanic Garden and Research Institute, Thiruvananthapuram - 695 562, Kerala
Source of Support: None, Conflict of Interest: None
| Abstract|| |
Background: Naringin, pharmaceutically active flavonoid, rapidly metabolizes in liver into naringenin. Both naringin and naringenin have significant biological activity and less toxicity. Objective: In the present study, in silico molecular interactions of naringin and its metabolite naringenin have been evaluated against different human liver fibrosis proteins. Materials and Methods: The major human therapeutic protein targets such as epidermal growth factor receptor (EGFR), vascular endothelial growth factor receptor-2 (VEGFR-2), fibroblast growth factor receptor-1 (FGFR1), Kelch-like ECH-associated protein-1 (Kaep1), transforming growth factor beta receptor I (TGFBR-1), angiotensin II receptor type-1 (Angio-II-Type-1), Janus kinase-2 (JAK-2), Zeta-chain-associated protein kinase-70 (ZAP-70) have been selected for the docking studies. This computational study was performed using Schrödinger Suite Maestro 10.3 Glide software 2015. Results: The studies demonstrated comparable binding affinities of naringin and naringenin with human therapeutic protein targets such as JAK-2, ZAP-70 Kinase, Angio-II-Type 1, TGFBR1, Kaep1, EGFR, VEGFR-2, and FGFR1 when compared to their respective standard drugs such as gefitinib, regorafenib, dovitinib, bardoxolone methyl, SB-431542, olmesartan, and ruxolitinib. Naringin showed better glide score ranging from −8.5 to −13.3 kcal/mol whereas its metabolite Naringenin also showed comparable glide score ranging from −5.4 to −9.3 kcal/mol. The binding of target proteins with respective standard drugs showed −2.2 to −10.12 kcal/mol. Conclusion: The observed in silico human protein interactions of naringin and its metabolite naringenin could be exploited for the anti-liver fibrosis therapy. The results derived from this pioneering virtual study may advance further mechanistic in vitro and preclinical in vivo studies.
Abbreviations used: Jak-2: Janus kinase-2, ZAP-70: Zeta-chain-associated protein kinase-70, Angio-II-type-1: Angiotensin II receptor type-1, TGFBR1: Transforming growth factor beta receptor I, Kaep1: Kelch-like ECH-associated protein-1, EGFR: Epidermal growth factor receptor, VEGFR-2: Vascular endothelial growth factor receptor-2, FGFR1 kinase: Fibroblast growth factor receptor-1.
Keywords: Liver fibrosis, molecular docking, naringenin, naringin
|How to cite this article:|
Shine V J, Anuja G I, Pradeep S, Suja S R. Molecular interaction of naringin and its metabolite naringenin to human liver fibrosis proteins: An In Silico approach. Phcog Mag 2018;14, Suppl S1:102-9
|How to cite this URL:|
Shine V J, Anuja G I, Pradeep S, Suja S R. Molecular interaction of naringin and its metabolite naringenin to human liver fibrosis proteins: An In Silico approach. Phcog Mag [serial online] 2018 [cited 2021 Apr 11];14, Suppl S1:102-9. Available from: http://www.phcog.com/text.asp?2018/14/55/102/235277
- Naringin and its metabolite naringenin could interact with different human proteins JAK-2, ZAP-70 Kinase, Angio-II-Type1, TGFBR1, Kaep1, EGFR, VEGFR-2, FGFR1 kinase and subsequently inhibit the progression of liver fibrosis.
| Introduction|| |
Flavonoids are one of the pivotal natural products of interest due to their role in prevention of chronic disorders through dietary supplementation. Naringin is a flavanone glycoside (4′, 5, 7-trihydroxyflavanone-7-rhamnoglucoside) having several biological and pharmacological properties. It is formed from the flavanone naringenin and the disaccharide neohesperidose. Naringin is abundant in citrus fruits and grapefruit juices which imparts a characteristic bitter taste  Herbal medicinal plants such as Citrus aurantium L., Citrus medica L. and Drynaria quercifolia (L.) J. Smith are a few reported sources of naringin.,, Our group have reported the anti-inflammatory and anti-liver fibrosis property and the presence of naringin, naringenin in D. quercifolia., Naringin possesses pharmacological activities such as anti-inflammatory, anticancer, bone regeneration, ameliorates metabolic syndrome, modulate oxidative stress, and protect central nervous system diseases. Naringin was found to be nontoxic for Sprague-Dawley rats in oral acute toxicity study, and the no-observed-adverse-effect-level of naringin in subchronic toxicity was >1250 mg/kg/day in rats when administered orally for 6 months. Following an oral administration of naringin to rats, the tissue concentrations after 8 h revealed the presence of naringin in stomach, small intestine, liver and trachea. Whereas, the metabolite naringenin was detected in liver, stomach, small intestine, kidney, lung and trachea. In humans, naringin undergoes extensive phase II metabolism to yield an array of conjugated products including naringenin.
Globally, liver diseases including hepatitis B virus and hepatitis C virus infections, alcoholic liver disease, nonalcoholic fatty liver disease, cirrhosis and hepatocellular carcinoma are major causes of illness and death. Liver fibrosis is reversible even at late stage of disease. Hence, the fibrotic stage is significantly important in therapeutic approach of chronic liver diseases. Activation of hepatic stellate cells (HSCs) means transdifferentiation of quiescent, Vitamin-A-storing cells into proliferative, fibrogenic myofibroblasts are the key mechanism of liver fibrosis in experimental and human liver injury. Thus, HSCs activation leads to the formation of profibrogenic myofibroblasts which further initiates the deposition of extracellular matrix formation and stiffness of liver. Multitargeted approach is the most significant strategy for the anti-liver fibrosis therapy, which includes the elimination of the primary cause of injury, inhibition of inflammation, inhibition of scar tissue formation, increasing matrix degradation, inhibiting HSCs activation, or stimulating HSCs apoptosis. Recently, the use of phytochemicals, especially obtained from dietary sources has gained therapeutic importance due to their safety and efficacy.
Molecular docking studies with unexploited molecules give insights to predict the possible drugability in terms of its binding to human target receptor proteins. Such virtual interactions of ligands could possibly truncate the intensive mechanistic in vitro and preclinical in vivo studies. Recently, Pradeep et al. explored the in silico binding of a 25 C prodigiosin to human molecular targets such as cyclooxygenase-2, Zeta-chain-associated protein kinase-70 (ZAP-70) kinase, and Janus kinase-3 (Jak-3) kinase.
Multitargeted approach focusing on different pathways is the most promising therapeutic strategy against fibrotic diseases. Hence, in the present study rather than focusing on a single target, following human therapeutic targets are used to screen the drug against liver fibrosis. Tyrosine kinases (TKs) such as epidermal growth factor receptor (EGFR), vascular endothelial growth factor receptor-2 (VEGFR), and fibroblast growth factor receptor-1 (FGFR) have been identified as central mediators in collagen production and potential targets for anti-liver fibrosis therapies. Under normal conditions, cytoplasmic Nrf2 combines with Kelch-like ECH-associated protein (Keap1). Any drug which could dissociate Nrf2-Kep1 combination by Keap1 modification prevents the oxidative stress in liver fibrosis. Furthermore, transforming growth factor beta receptor I (TGFBR-1), Angiotensin II receptor type-1 (Angio-II-Type-1) and JAK-2 are other important therapeutic targets for liver fibrosis therapy.
Literature survey shows the lack of in silico studies with naringin and naringenin onto human therapeutic protein targets such as EGFR, VEGFR-2, FGFR1, Kaep1, TGFBR-1, Angio-II-Type-1, JAK-2, and ZAP-70. Hence, we tried virtually to identify the application potential of naringin and its metabolite naringenin against selected human therapeutic protein markers of liver fibrosis.
| Materials and Methods|| |
Molecular docking study
Molecular docking in silico experiments were performed with Schrodinger Glide dock-XP. The Glide-XP scoring function is inferred from the equation; G score = Ec+ Ev+ Eb+ Ep, where Ec, Ev, Eb, and Ep are the different energy levels during molecular docking.
Using Glide, Schrödinger 2015, the ligand-bound protein structures were imported. Final optimizations, minimizations were performed by default settings of Schrödinger Protein Preparation Wizard (PrepWizard). This preparation protocol added hydrogen, built side chains, and loops with missing atoms, optimized the H-bonding network and performed a restrained minimization to get the final précised structure of proteins for docking.
Ligand binding domain
The target human receptors selected in this study were the ligand binding domains (LBD) of Jak-2, ZAP-70, Angio-II-Type-1, TGFBR1, Kaep1, EGFR, VEGFR-2, and FGFR1 kinase-1. All the LBDs were retrieved from the RCSB Protein Data Bank. [Table 1] summarizes information on the target receptors used, their Protein Data Bank IDs, polypeptide chains, number of amino acid (aa) residues.
|Table 1: Summary of the human protein targets studied with protein data bank-ID, number of polypeptide chains, and amino acid residue|
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The structures of selected ligands were retrieved from PubChem database; naringin (PubChem CID-442428), naringenin (PubChem CID-439246), ruxolitinib (PubChem CID-25126798), olmesartan (PubChem CID-158781), gefitinib (PubChem CID-123631), SB-431542 (PubChem CID-4521392), bardoxolone methyl (PubChem CID-400769), regorafenib (PubChem CID-11167602), and dovitinib (PubChem CID-9886808). Optimized 3D structure with lower energy was prepared by LigPrep Schrödinger using OPLS 2005 force field method. Here, modified the torsions of the ligands, apart from assigning suitable protonation states. For a ligand, 32 stereo-chemical structures were generated with possible states at pH 7.0 ± 2.0.
Receptor grid generation
Receptor grids were calculated for prepared proteins such that various ligand poses bind within the predicted active site during docking. The grid boxes were generated by choosing the co-crystallized ligands in the LBD, and these glide grids were used for the molecular docking with selected ligands used in this study. Grids were generated keeping the default parameters of van der Waals scaling factor 1.00 and charge cutoff 0.25 subjected to OPLS 2001 force field. A cubic box of specific dimensions centerd on the centroid of the active site residues (predicted by CASTp) was generated for each receptor. The bounding box was set to 14 Å ×14 Å ×14 Å for docking experiments.
Glide docking for each ligand was carried out using Glide dock-XP mode. The prepared glide grid of each ligand was individually docked to the LBD of the target receptor. Final scores were obtained based on energy-minimized poses and represented as Glide score (G-score). The best docked pose with minimum G-score value was given for each ligand.
| Results and Discussion|| |
In silico molecular docking studies
Molecular docking studies were performed to evaluate therapeutic abilities of active molecules naringin and its metabolite naringenin against human molecular targets of liver fibrosis. The results demonstrated promising binding affinity [Table 2] and [Table 3] against target receptors in terms of docking score compared with standard drugs [Figure 1]. Glide-XP mode evaluated various factors including G score, G energy, H bonding, ligand efficiency, etc. However, G score-the foremost simplified interpretation of molecular docking has been considered for describing the docking efficiency of ligands. G scores (kcal/mol) >7 is considered as affirmative binding of ligand with target receptor.
|Table 2: Summary of the extra precision glide docking results of naringin and standard drugs onto the ligand binding domains of human protein targets|
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|Table 3: Summary of the extra precision glide docking results of naringenin and standard drugs onto the ligand binding domains of human protein targets|
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|Figure 1: (a) Ligand binding domain of Janus kinase-2 and naringin forming six hydrogen bonds. (b) Ligand binding domain of Zeta-chain-associated protein kinase-70 kinase and naringin formed 5 hydrogen bonds. (c) Ligand binding domain of Angiotensin II receptor type-1 and naringin formed 5 hydrogen, one Pi-Pi, and one Pi-Cat interaction. (d) Ligand binding domain of transforming growth factor beta receptor I, and naringin formed 7 hydrogen bonds. (e) Ligand binding domain of Kelch-like ECH-associated protein-1 and naringin resulting 6 hydrogen, two Pi-Pi, one Pi-Cat interaction. (f) Ligand binding domain of epidermal growth factor receptor and naringin generated 6 hydrogen bonds. (g) Ligand binding domain of vascular endothelial growth factor receptor-2 and naringin formed 10 hydrogen bonds. (h) Ligand binding domain of fibroblast growth factor receptor-1 kinase and naringin formed 8 hydrogen bonds|
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Molecular interaction with Janus kinase-2 and angiotensin II receptor type-1
Naringin interacted with JAK-2 (PDB ID-3KCK) and generated a glide score of −12.46, forming six hydrogen bonds with amino acid residues GLU-1015, ASP-994, LYS-882, GLU-930, and ARG-980. The interaction of naringenin with JAK-2 generated a glide score of −9.2 through the formation of three H bonds with amino acid residues GLU-898 and LEU-932. The standard drug ruxolitinib interacted with JAK-2 and generated a glide score of −9.51 [Figure 1] and [Figure 2].
|Figure 2: (a) Ligand binding domain of Janus kinase-2 and naringenin resulting 3 H bonds. (b) Ligand binding domain of zeta-chain-associated protein kinase-70 Kinase and naringenin generated 2 H bonds. (c) Ligand binding domain of Angiotensin II receptor type-1 and naringenin formed 1 H bond, one Pi-Pi interaction. (d) Ligand binding domain of Transforming growth factor beta receptor I and naringenin formed 2 H bonds. (e) Ligand binding domain of Kelch-like ECH-associated protein-1 and naringenin formed 4 H bonds, four Pi-Pi, and one Pi-Cat interaction. (f) Ligand binding domain of epidermal growth factor receptor and naringenin formed 4 H bonds. (g) Ligand binding domain of vascular endothelial growth factor receptor-2 and naringenin formed 3 H bonds. (h) Ligand binding domain of fibroblast growth factor receptor-1 kinase and naringenin formed 3 H bonds|
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Naringin interacted with Angio-II-Type-1 (PDB ID-4ZUD) which resulted a glide score of −11.12, formed five hydrogen bond interactions, one Pi-Pi interaction, one Pi-Cat interaction with amino acid residues SER-109, TYR-113, THR-260, ASP-263, and ARG-167. Naringenin interacted with Angio-II-Type-1 and generated a glide score of −8.22 through one H bond, one Pi-Pi interaction with 2 amino acid residues TYR-87 and CYS-180 whereas standard drug olmesartan generated a glide score of −8.422 [Figure 1] and [Figure 2].
Stimulation of angiotensin-II (AngII) type I receptor (AT1R), activation of Jak-2-signal transducer, and activator of transcription (Jak-STAT) signaling pathway  are important factors in the development of liver fibrosis. Inhibition of JAK-2 offers a promising therapy for liver fibrosis. Naringin and naringenin showed comparable binding affinity with angiotensine-II-type-1 receptor and JAK-2. Naringin showed better affinity when compared to standard inhibitor drug Ruxolitinib and Olmesartan, respectively, for inhibitors of Jak-2 and Angio-II-Type-1, respectively. Naringenin also has comparable affinity with Jak-2 and Angio-II-Type-1, which was almost comparable to standard drugs. Thus, inhibition of Jak-2 and Angio-II-Type-1 receptor by naringin and naringenin offers promising therapeutic candidates against liver fibrosis.
Molecular interaction with zeta-chain-associated protein kinase-70
The interaction of naringin with ZAP-70 (PDB ID-1U59) formed a glide score of −12.76, with the formation of five hydrogen bonds with amino acid residues LYS-369, ASP-479, ASP-461, and ALA-417. Naringenin interacted with ZAP-70 and generated a glide score of −8.54 through two H bonds with amino acid residues LYS-369 and ASP-479. The standard drug gefitinib interacted with ZAP-70 and could generate a glide score of −8.134 [Figure 1] and [Figure 2].
Nuclear factor-kappa B (NF-κB) signaling pathway appears to have a central function in liver homeostasis, pathophysiology, and regulation of the inflammation–fibrosis–cancer axis. In a major pathway of NF-κB activation; depends on endoplasmic reticulum stress which cause NF-κB activation through tyrosine phosphorylation of IκBα, mediated by the TK ZAP-70. Thus, inhibition of ZAP-70 could indirectly inhibit the NF-κB activation.
Molecular interaction with transforming growth factor beta receptor I
Naringin interacted with TGFBR1 (PDB ID-2×7O) and formed a glide score of −13.27, with the formation of seven hydrogen bonds with amino acid residues GLU-245, HID-283, ASN-338, LYS-337, LYS-213, and ASP-290. Naringenin; interacted TGFBR1 with a glide score of −9.33 through two H bonds with amino acid residue HID-283. The standard drug SB-431542 could generate a glide score of −8.08 [Figure 1] and [Figure 2].
Naringin and its metabolite naringenin showed comparable molecular affinity towards TGFBR1, which is better than that of standard drug SB-431542. Increased levels of TGF-β in chronic liver diseases activate HSC to myofibroblast and increased hepatocyte cell death, which causes liver fibrosis. Thus, TGF-β signaling pathway is critical for fibrotic response in liver, in the classic or canonical pathway, ligand-bound TGFBRII recruits and phosphorylates TGFBR1. Inhibition of TGFB or blocking its downstream signaling pathway resulted in the prevention of the fibrotic process in liver fibrosis. The inhibitory effect of naringin and naringenin on TGF-β signaling through binding with TGFBR1. That is by preventing recruitment, and phosphorylation of Smads, which facilitate TGFBR1 degradation, leading to inhibition of Smad activation.
Molecular interaction with Kelch-like ECH-associated protein-1
Naringin interacted with Kaep1 (PDB ID-3VNG) and generated a glide score of −9.54, with the formation of six hydrogen bonds, two Pi-Pi interaction, one Pi-Cat interaction with amino acid residues such as ARG-94, SER-234, ASP-68, and ARG-59. The molecular interaction of naringenin with Kaep1 produced a glide score of -5.37 through forming four H bonds, four Pi-Pi interactions, and one Pi-Cat interaction with amino acid residues ARG-94, SER-42, ARG-59, ASN-61, PHE-256, and TYR-251. The standard drug bardoxolone methyl could form a low glide score of −2.192 [Figure 1] and [Figure 2].
Nuclear translocation of Nrf2 and binding to the site of antioxidant responsive element (ARE) is the key step in the expression of antioxidant defense system. Nrf2 levels are mostly regulated by the complex formation with Kaep1 which dissociate by either Keap1 modification or Nrf2 phosphorylation which activate the Nrf2. The activated Nrf2 translocate into nucleus and interacts with ARE, promoting the expression of cytoprotective target genes responsible for antioxidant defense system; phase II detoxifying enzymes. As naringin and naringenin showed comparable binding affinity with Kaep1 protein, which could cause Keap1 modification and activation of Nrf2. Nrf2 activation is considered as beneficial, especially against liver diseases. Thus, naringin and naringenin may enhance the antioxidant pool through Nrf2/HO-1 pathway.
Molecular interaction with Tyrosine kinases
Molecular interaction with epidermal growth factor receptor
Naringin interacted with EGFR (PDB ID-2J6M) and formed a glide score of −8.46, with the formation of six hydrogen bonds containing amino acid residues MET-793, LYS-745, ASP-855, ASN-842, and ASP-800. Naringenin interacted with EGFR generated a glide score of −7.92 through four H bonds with amino acid residues MET-793, ASP-855, and LYS-745. The standard drug gefitinib could generate a glide score of −8.584 while interacting with EGFR [Figure 1] and [Figure 2].
Molecular interaction with vascular endothelial growth factor receptor
Naringin interacted with VEGFR-2 (PDB ID-1YWN) and formed a glide score of −12.06, with the formation of ten hydrogen bonds with amino acid residues such as LYS-866, GLU-883, CYS-917, ARG-1030, ASN-1031, LEU-838, and ASN-921. Molecular interaction of naringenin with VEGFR-2 resulted in a glide score of −7.436 through the formation of three H bonds with amino acid residues LEU-838, GLU-883, and CYS-917. The standard drug regorafenib interacted with VEGFR-2 and generated a glide score of −10.118 [Figure 1] and [Figure 2].
Molecular interaction with fibroblast growth factor receptor-1
Naringin interacted with FGFR1 (PDB ID-5B7V) resulted a glide score of −12.35, formed eight hydrogen bond interactions with amino acid residues GLU-531, ALA-564, GLU-486, ASN-568, and TYR-563 of FGFR1. Naringenin interacted with FGFR1 with the glide score of −7.152 through three H bonds interacting two amino acid residues GLU-531, ALA-564 of FGFR1. Whereas the standard drug dovitinib generated a glide score of −6.174 [Figure 1] and [Figure 2].
TKs play a major role in progression of liver fibrosis. TKs, such as VEGFR-2, platelet-derived growth factor receptor (PDGFR), FGFR1, and EGFR kinases  have been identified as central mediators in collagen production and potential targets for anti-liver fibrosis therapies. TK targeting agents exhibit significant inhibitory effects on HSCs activation; downstream signaling pathways MEK/ERK, and PI3K/Akt. As naringin and naringenin showed comparable binding affinities with EGFR, VEGFR, and FGFR which was comparable to standard drugs gefitinib, regorafenib, and dovitinib, respectively, these two natural products could be potent molecules against liver fibrosis.
| Conclusion|| |
In treatment of liver fibrosis, an effective drug offers hepatocyte protection, anti-inflammatory response, free radical scavenging, and prevents the activation of hepatic stellate cell. Hence, the potent drug against liver fibrosis should target different pathways responsible for liver fibrosis. In this circumstance, our study evaluated the possible molecular interactions of naringin and its metabolite with different human protein targets responsible for liver fibrosis. Naringin and its metabolite naringenin could interact with human proteins; JAK-2, ZAP-70 kinase, Angio-II-Type 1, TGFBR1, Kaep1, EGFR, VEGFR-2, and FGFR1 kinase which subsequently inhibit liver fibrosis progression through different pathways.
Naringin showed protection against ankylosing spondylitis through the induction of ossification, suppression of inflammation, and oxidative stress and the downregulation of JAK2/STAT3 in mice. Naringin restrained oxidative stress by activating Nrf2 antioxidant pathway. In the present study, the molecular interactions revealed naringin could directly bind with the JAK2 and Kaep1 for the downregulation JAK2/STAT3 and upregulation of Nrf2 respectively.
From the present study, it was clear that naringin and its metabolite naringenin could possibly bind to the multiple human protein targets responsible for the protection of liver from chronic liver diseases. Hence, naringin could be a promising drug candidate for chronic liver diseases along with its well-known pharmacological properties.
The authors thankfully acknowledge The Director, JNTBGRI for the facilities provided. The authors are also grateful to DST-SERB (No. SB/YS/LS-241/2013 and No.YSS/2014/000411) for the financial support.
Financial support and sponsorship
This study was financially supported by DST-SERB (No. SB/YS/LS-241/2013 and No.YSS/2014/000411).
Conflicts of interest
There are no conflicts of interest.
| References|| |
Mariana CS, Rodolpho CB, Bertilha AS, Valéria de O, Carolina HA. In silico
metabolism studies of dietary flavonoids by CYP1A2 and CYP2C9. Food Res Int 2013;50:102-10.
Ross JA, Kasum CM. Dietary flavonoids: Bioavailability, metabolic effects, and safety. Annu Rev Nutr 2002;22:19-34.
Lv X, Zhao S, Ning Z, Zeng H, Shu Y, Tao O, et al. Citrus
fruits as a treasure trove of active natural metabolites that potentially provide benefits for human health. Chem Cent J 2015;9:68.
Zhang J, Gao W, Liu Z, Zhang Z, Liu C. Systematic analysis of main constituents in rat biological samples after oral administration of the methanol extract of fructus aurantii by HPLC-ESI-MS/MS. Iran J Pharm Res 2014;13:493-503.
Anuja GI, Latha PG, Suja SR, Shyamal S, Shine VJ, Sini S, et al.
Anti-inflammatory and analgesic properties of Drynaria quercifolia
(L.) J. Smith. J Ethnopharmacol 2010;132:456-60.
Anuja GI, Shine VJ, Latha PG, Suja SR. Protective effect of ethyl acetate fraction of Drynaria quercifolia
against CCl4 induced rat liver fibrosis via Nrf2/ARE and NFκB signalling pathway. J Ethnopharmacol 2017;14:1-7.
Esmaeili MA, Alilou M. Naringenin attenuates CCl4 -induced hepatic inflammation by the activation of an Nrf2-mediated pathway in rats. Clin Exp Pharmacol Physiol 2014;41:416-22.
Ramesh E, Alshatwi AA. Naringin induces death receptor and mitochondria-mediated apoptosis in human cervical cancer (SiHa) cells. Food Chem Toxicol 2013;51:97-105.
Chen KY, Lin KC, Chen YS, Yao CH. A novel porous gelatin composite containing naringin for bone repair. Evid Based Complement Alternat Med 2013;2013:283941.
Pu P, Gao DM, Mohamed S, Chen J, Zhang J, Zhou XY, et al.
Naringin ameliorates metabolic syndrome by activating AMP-activated protein kinase in mice fed a high-fat diet. Arch Biochem Biophys 2012;518:61-70.
Gopinath K, Sudhandiran G. Naringin modulates oxidative stress and inflammation in 3-nitropropionic acid-induced neurodegeneration through the activation of nuclear factor-erythroid 2-related factor-2 signalling pathway. Neuroscience 2012;227:134-43.
Wang DM, Yang YJ, Zhang L, Zhang X, Guan FF, Zhang LF, et al.
Naringin enhances CaMKII activity and improves long-term memory in a mouse model of Alzheimer's disease. Int J Mol Sci 2013;14:5576-86.
Li P, Wang S, Guan X, Cen X, Hu C, Peng W, et al.
Six months chronic toxicological evaluation of naringin in Sprague-Dawley rats. Food Chem Toxicol 2014;66:65-75.
Zou W, Yang C, Liu M, Su W. Tissue distribution study of naringin in rats by liquid chromatography-tandem mass spectrometry. Arzneimittelforschung 2012;62:181-6.
Zeng X, Bai Y, Peng W, Su W. Identification of naringin metabolites in human urine and feces. Eur J Drug Metab Pharmacokinet 2017;42:647-56.
Wang FS, Fan JG, Zhang Z, Gao B, Wang HY. The global burden of liver disease: The major impact of China. Hepatology 2014;60:2099-108.
Poelstra K. Liver fibrosis in 2015: Crucial steps towards an effective treatment. Nat Rev Gastroenterol Hepatol 2016;13:67-8.
Tsuchida T, Friedman SL. Mechanisms of hepatic stellate cell activation. Nat Rev Gastroenterol Hepatol 2017;14:397-411.
Bansal R, Nagórniewicz B, Prakash J. Clinical advancements in the targeted therapies against liver fibrosis. Mediators Inflamm 2016;2016:7629724.
Zhang A, Sun H, Wang X. Recent advances in natural products from plants for treatment of liver diseases. Eur J Med Chem 2013;63:570-7.
Patwardhan B, Vaidya AD. Natural products drug discovery: Accelerating the clinical candidate development using reverse pharmacology approaches. Indian J Exp Biol 2010;48:220-7.
Pradeep S, Sarath Josh MK, Balachandran S, Sudha Devi R, Sadasivam R, Thirugnanam PE, et al.
Achromobacter denitrificans SP1 produces pharmaceutically active 25C prodigiosin upon utilizing hazardous di(2-ethylhexyl) phthalate. Bioresour Technol 2014;171:482-6.
Rosenbloom J, Mendoza FA, Jimenez SA. Strategies for anti-fibrotic therapies. Biochim Biophys Acta 2013;1832:1088-103.
Qu K, Huang Z, Lin T, Liu S, Chang H, Yan Z, et al.
New insight into the anti-liver fibrosis effect of multitargeted tyrosine kinase inhibitors: From molecular target to clinical trials. Front Pharmacol 2015;6:300.
Ni YH, Huo LJ, Li TT. Antioxidant axis Nrf2-keap1-ARE in inhibition of alcoholic liver fibrosis by IL-22. World J Gastroenterol 2017;23:2002-11.
Schuppan D, Kim YO. Evolving therapies for liver fibrosis. J Clin Invest 2013;123:1887-901.
Friesner RA, Murphy RB, Repasky MP, Frye LL, Greenwood JR, Halgren TA, et al.
Extra precision glide: Docking and scoring incorporating a model of hydrophobic enclosure for protein-ligand complexes. J Med Chem 2006;49:6177-96.
Kong X, Horiguchi N, Mori M, Gao B. Cytokines and STATs in liver fibrosis. Front Physiol 2012;3:69.
Granzow M, Schierwagen R, Klein S, Kowallick B, Huss S, Linhart M, et al.
Angiotensin-II type 1 receptor-mediated janus kinase 2 activation induces liver fibrosis. Hepatology 2014;60:334-48.
Sun B, Karin M. NF-kappaB signaling, liver disease and hepatoprotective agents. Oncogene 2008;27:6228-44.
Fabregat I, Moreno-Càceres J, Sánchez A, Dooley S, Dewidar B, Giannelli G, et al.
TGF-β signalling and liver disease. FEBS J 2016;283:2219-32.
Li GS, Jiang WL, Tian JW, Qu GW, Zhu HB, Fu FH, et al. In vitro
and in vivo
antifibrotic effects of rosmarinic acid on experimental liver fibrosis. Phytomedicine 2010;17:282-8.
Lallemand F, Seo SR, Ferrand N, Pessah M, L'Hoste S, Rawadi G, et al.
AIP4 restricts transforming growth factor-beta signaling through a ubiquitination-independent mechanism. J Biol Chem 2005;280:27645-53.
Chen B, Lu Y, Chen Y, Cheng J. The role of Nrf2 in oxidative stress-induced endothelial injuries. J Endocrinol 2015;225:R83-99.
Bing L, Tao S, Weinan L, Xiaodong S, Xiaomin Y, Xiangjun S. Piceatannol protects ARPE-19 cells against vitamin A dimer-mediated photo-oxidative damage through activation of Nrf2/NQO1 signalling. J Funct Foods 2016;26:739-49.
Pandey P, Singh AK, Singh M, Tewari M, Shukla HS, Gambhir IS, et al.
The see-saw of keap1-Nrf2 pathway in cancer. Crit Rev Oncol Hematol 2017;116:89-98.
Li JP, Gao Y, Chu SF, Zhang Z, Xia CY, Mou Z, et al.
Nrf2 pathway activation contributes to anti-fibrosis effects of ginsenoside Rg1 in a rat model of alcohol- and CCl4-induced hepatic fibrosis. Acta Pharmacol Sin 2014;35:1031-44.
Yoshiji H, Kuriyama S, Yoshii J, Ikenaka Y, Noguchi R, Hicklin DJ, et al.
Vascular endothelial growth factor and receptor interaction is a prerequisite for murine hepatic fibrogenesis. Gut 2003;52:1347-54.
Heldin CH. Targeting the PDGF signaling pathway in the treatment of non-malignant diseases. J Neuroimmune Pharmacol 2014;9:69-79.
Fuchs BC, Hoshida Y, Fujii T, Wei L, Yamada S, Lauwers GY, et al.
Epidermal growth factor receptor inhibition attenuates liver fibrosis and development of hepatocellular carcinoma. Hepatology 2014;59:1577-90.
Liu K, Wu L, Shi X, Wu F. Protective effect of naringin against ankylosing spondylitis via ossification, inflammation and oxidative stress in mice. Exp Ther Med 2016;12:1153-8.
Chen F, Zhang N, Ma X, Huang T, Shao Y, Wu C, et al.
Naringin alleviates diabetic kidney disease through inhibiting oxidative stress and inflammatory reaction. PLoS One 2015;10:e0143868.
[Figure 1], [Figure 2]
[Table 1], [Table 2], [Table 3]