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Received: 25 September 2020    Revised: 17 February 2021    Accepted: 21 February 2021

DOI: 10.1111/jfbc.13687

FULL ARTICLE

Protective effects of Dendrobium candidum Wall ex Lindl. on


high-­fat diet-­induced liver damage in mice

Xiong-­Zhang Yin1 | Wei-­Ming Chi2 | Ling Zhang3 | Yan-­Qi Su4 | Zhong-­Yuan Zhang5 |


Cheng-­Bin Xue6

1
Department of Pharmacy, Tongji Hospital
Affiliated to Tongji Medical College Abstract
Huazhong University of Science and D. candidum Wall. ex Lindl. (D. candidum) is a traditional Chinese herbal medicine with
Technology, Wuhan, China
2 multiple therapeutic properties. D. candidum was administered to mice with high-­fat
Department of Pharmacy, The Third
People's Hospital of Hubei Province, Wuhan, diet (HFD)-­induced nonalcoholic fatty liver disease (NAFLD) and its mechanism of
China
action was elucidated. D. candidum was intragastrically administered to HFD mice
3
Department of Pharmacy, The First
People's Hospital of Xiantao, Xiantao, China
for 6 weeks at a dosage of 200 or 400 mg/kg. D. candidum reduced body weight gain
4
Department of Pharmacy, Wuhan Caidian and blood glucose levels in HFD mice in a dose-­dependent manner, while significantly
District People's Hospital, Wuhan, China reducing lipid accumulation in the liver. D. candidum significantly regulated the ex-
5
Department of Pharmacy, Affiliated
pression of lipid metabolism-­and gluconeogenesis-­related genes and inhibited acti-
Tianyou Hospital Wuhan University of
Science and Technology, Wuhan, China vation of the NLRP3 inflammasome. In summary, D. candidum significantly inhibits fat
6
Department of Pharmacy, Huazhong accumulation, maintains lipid metabolism and glucose homeostasis, and inhibits the
University of Science and Technology
Hospital, Wuhan, China inflammatory response in the liver of HFD mice. Our findings suggest that D. candi-
dum may be an effective therapeutic strategy against NAFLD injury.
Correspondence
Cheng-­Bin Xue, Huazhong University of Practical applications
Science and Technology Hospital, 1037
The occurrence and development of fatty liver is closely related to abnormalities in
Luoyu Road, Hongshan District, Wuhan City,
Hubei Province, China. lipid and glucose metabolism. An HFD-­induced NAFLD mouse model was used to
Email: chengbin027@yeah.net
study the effects of D. candidum. After treatment with D. candidum, lipid and glucose
metabolism in the mice was effectively regulated, which reduced liver damage and
fat storage with obvious protective effects on the liver. Our results suggest that D.
candidum has potential for further clinical application in the treatment of NAFLD.

KEYWORDS

Dendrobium candidum, lipid metabolism, NLRP3, nonalcoholic fatty liver disease

1 |  I NTRO D U C TI O N been increasing continuously (Zhou et al., 2019). Therefore, efforts


must be made to reduce the burden of NAFLD.
Lifestyle changes in modern society has led to higher consumption NAFLD is characterized by abnormal lipid accumulation in he-
of high-­fat and high-­cholesterol foods. The incidence of nonalco- patocytes (Boutari et al., 2018). Studies have revealed that being
holic fatty liver disease (NAFLD) is increasing, and the age of onset is overweight, oxidative stress, and insulin resistance are the main
reducing. Approximately 25%–­45% of adults worldwide are affected causes of NAFLD (Gomaraschi et al., 2019; Rives et al., 2020). NAFLD
by NAFLD (Bellentani et al., 2010); NAFLD has become the first liver can progressively develop into cirrhosis and subsequently into he-
disease to occur in developed countries. In China, it is the second-­ patocellular carcinoma. The incidence of cirrhosis in patients with
most common liver disease after viral hepatitis and its incidence has NAFLD occurring within 10 years of onset is as high as 25% (Bhagat

J Food Biochem. 2021;45:e13687. wileyonlinelibrary.com/journal/jfbc |


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https://doi.org/10.1111/jfbc.13687
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et al., 2010). However, the pathological mechanism of NAFLD is still in the HFD group were fed a 60% kcal high-­fat diet (HFD) (20%
poorly understood. NAFLD is the result of a wide range of patho- protein; 20% carbohydrate; 60% fat) (#D12492, Research Diets,
logical factors. Recent research has revealed potential lipid metab- New Brunswick, NJ, USA) for a period of 12 weeks. After 6 weeks
olism disorders, insulin resistance, and cytokine-­
related damage of feeding with the HFD, the HFD mice were randomly divided
mechanisms in the pathogenesis of NAFLD (Shoreibah et al., 2016; into three groups: a nontreated control group (HFD group) and
Wallace et al., 2018). Abnormal lipid metabolism is considered to be two D. candidum-­t reated groups (200 or 400 mg/kg body weight
one of the most critical pathogenic links in NAFLD. Abnormal lipid of the aqueous extract). Each group contained 10 mice. Treatment
metabolism and other factors induce Kupffer cells to get activated groups were treated with once-­daily intragastric administration of
and release inflammatory mediators, which is an important process D. candidum solution. D. candidum (Shanghai Pharmacy Co., Ltd.,
that bridges fatty liver and nonalcoholic steatohepatitis (NASH), and Shanghai, China) freeze-­
dried powder was mixed with 20-­
fold
is also a key factor in the induction of progressive liver fibrosis (Mato volume of water and was boiled; the extracted samples were col-
et al., 2019). lected after stirring overnight. The D. candidum groups received
The effective prevention or treatment of NAFLD injury has 200 or 400 mg/kg body weight of the aqueous extract intragastri-
become a hot topic in the study of hepatic injury. However, cur- cally (Li, Sun, Wang, et al., 2014). The control group received an
rently, there are few effective preventive measures or treatment intragastric administration of water. Isoflurane was used for anes-
options for NAFL injury. The commonly used insulin sensitizers, thesia and the mice were sacrificed for tissue collection. We meas-
lipid-­lowering drugs, and antioxidant stress relievers are limited ured the body weight and food intake of the mice every week.
by adverse side effects or a lack of clinical data proving their effi- Blood glucose levels were measured monthly using a One-­Touch
cacy (Ali & Cusi, 2009). In addition to lifestyle changes, increasing Ultra glucometer (Lifescan, Milpitas, CA, USA) at the same time
evidence shows that the supplementation of functional nutrients of the day.
is an indispensable and effective means of preventing the oc-
currence and development of NAFL injury. Traditional Chinese
medicine has good prospects for the prevention and treatment 2.2 | Histopathological observation
of liver injury (Melchart et al., 2017). Dendrobium candidum Wall
ex Lindl. (D. candidum) is a subspecies of the Dendrobium family. Following overnight fixation in 4% paraformaldehyde, the embedded
Dendrobium candidum has long been used as a traditional Chinese liver tissues were sliced into 4-­mm sections using a Leica automatic
herb drug (Wang et al., 2014). It has a broad range of biological microtome (Leica Microsystems, Wetzlar, Germany) and stained with
functions, including anticancer activity (Li, Sun, Zhou, et al., 2014), hematoxylin and eosin (H & E) and 0.3% Oil Red O in isopropanol
osteoprotection (Wang et al., 2018), and inflammatory regulation for histological assessment under light microscopy (Olympus BX51,
effects (Gong et al., 2020). Recent studies also reveal the hepatic Tokyo, Japan).
therapeutic effect of D. candidum (Li, Sun, Wang, et al., 2014). In
this study, D. candidum was utilized as a treatment for mice with
high-­f at diet-­induced NAFLD. Through intragastric administration, 2.3 | Blood biochemistry
the protective effect of D. candidum on liver function and injury
was investigated, providing scientific information for further ex- At the end of the intervention, mice were anesthetized and orbital
ploration of the mechanisms underlying NAFLD and a reference sinus bleeding was performed by removing the eyeball. Blood was
for the clinical administration of D. candidum. collected for assessments of serum alanine aminotransferase (ALT),
aspartate transaminase (AST), and cholesterol (CHOL) using an au-
tomatic biochemistry analyzer. Serum insulin and hepatic IL-­6 and
2 |  M ATE R I A L S A N D M E TH O DS TNF-­α levels were determined using an enzyme-­linked immuno-
sorbent assay (ELISA) kit (Millipore, Bedford, MA, USA). The ho-
2.1 | Animals meostasis model insulin resistance index was calculated as follows:
homeostasis model insulin resistance assessment (HOMA-­IR) = [FBG
Forty-­t welve-­week-­old male C57BL/6 mice were provided by the (mmol/L) × FINS (mIU/L)]/22.5.
Laboratory Animal Center of Huazhong University of Science and
Technology (SCXK (E) 2016–­0 009). All experimental procedures
were approved by the Institutional Animal Care and Use Committee 2.4 | Quantitative real-­time polymerase chain
at Huazhong University of Science and Technology, and all meth- reaction (qRT-­PCR)
ods were performed in accordance with the relevant guidelines
and regulations. A mouse model of NAFLD was developed as pre- Total RNA was isolated using TRIzol and transcribed into complemen-
viously reported (Hong et al., 2020). Briefly, the mice in the control tary DNA using the RevertAid First Strand cDNA Synthesis Kit (Thermo
group (Con) were fed a normal standard diet (33% protein; 58% Fisher Scientific, Inc., Waltham, MA, USA). Then, qRT-­PCR was carried
carbohydrate; 9% fat) (#V1535, Ssniff, Soest, Germany) and those out using the QuantiNova™ SYBR® Green PCR kit. GAPDH was used
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as the internal standard. The primer sequences used were as follows: 2.8 | Statistical analysis
FAS, 5-­GCCATGCCCAGAGGGTGGTT-­3, 3-­AGGGTCGACCTGGTC CT
CA-­5; SREBP1, 5-­GAAGCTGTCGGGGTAGCGTC-­3, 3-­CTCTCAGGA Results were expressed as the mean ±  SEM and analyzed using
GAGTTGGCACCTG-­5; G6P, 5-­GTGCCTGTCCGTCGGGA TGT-­3; 3-­G SPSS 22.0 (SPSS, Inc.). The significance of differences was ana-
TGAG CTCGGTGACGGTCTC-­5; PCK1, 5-­ATCTTTGGTGGCCGTAGA lyzed using Student's t-­
test or one-­
way analysis of variance
CCT-­3; and 3-­CCGAAGTTGTAGCCGAAGAA-­5′. (ANOVA). p < .05 was considered to indicate a statistically signifi-
cant difference.

2.5 | Glucose tolerance test


3 | R E S U LT S
Oral glucose tolerance tests (OGTT) (Day et al., 2009) were per-
formed for 48 hr after the indicated time and mice were fasted for 3.1 | D. candidum produces metabolic changes and
12 hr followed by oral glucose gavage (2.0 g/kg body weight). Blood alters liver histopathology in HFD-­fed mice
glucose was measured by collecting blood from the tail veil at 0, 60,
120, and 180 min after glucose stimulation. D. candidum was administered intragastrically to investigate its
effect on NAFLD in HFD-­fed mice. D. candidum prevented the
excessive weight gain produced by HFD in a dose-­d ependent man-
2.6 | Immunohistochemistry ner (Figure 1a). At the end of 12 weeks, the mean body weight
for each group is 27.28 ± 3.46, 36.85 ± 4.21, 31.46 ± 6.31, and
After fixation with 4% paraformaldehyde, permeabilization with 28.53 ± 2.86 correspondingly. We assessed the glucose metabolic
0.2% Triton X-­
100, and blocking with 5% BSA, cross sections parameters of fasting blood glucose (FBG). The FBG of the HFD
were incubated with primary antibodies anti-­IL-­6 (1:500, ab6672, mice reached over 15 mmol/L, while D. candidum treatment res-
Abcam, Cambridge, MA, USA), anti-­
TNF-­
α (1:400, ab11564, cued glucose regulation, with a dose-­d ependent decrease in FBG
Abcam), or anti-­NLRP3 antibody (1:800, ab4207, Abcam) at 4°C levels (Figure 1b). We compared the appearance of liver samples
overnight. After three washes with 0.01 M PBS (5 min each), a at the end of the intervention. Morphologically, the livers in the
secondary antibody was added to the sections for a 30-­min incu- HFD group were enlarged compared with those in the normal
bation at 37°C, followed by five PBS washes. Thereafter, the sec- diet control group. The D. candidum-­supplemented HFD groups
tions were incubated with HRP-­labeled avidin for 30 min at 37°C displayed slightly smaller and less discolored livers than the HFD
and reacted with DAB. group. Larger lipid droplets in the liver were observed in HFD-­
fed mice by H&E and Oil Red O staining microscopic images but
were largely disseminated after treatment with D. candidum in a
2.7 | Western blotting dose-­d ependent manner (Figure 1c,d). These data suggest that D.
candidum lowered lipid accumulation in liver tissue in the HFD-­fed
The samples were mixed with gel-­loading dye, boiled at 95°C for group.
5 min, and then subjected to separation by SDS-­PAGE on a 15%
polyacrylamide gel. After SDS-­
PAGE, the proteins were trans-
ferred onto a PVDF membrane. The membrane was blocked with 3.2 | Effect of D. candidum on liver damage and
5% skim milk overnight after the blotting procedure. Primary anti- glycometabolism in HFD-­fed mice
bodies against NLRP3 (1:2,000, ab4207, Abcam), ASC1 (1:3,000,
ab228630, Abcam), cleaved Caspase-­
1 (1:2,000, 89332S, Cell To further investigate the protective role of D. candidum in liver
Signaling Technology, Danvers, MA, USA), IL-­1β (1:3,000, 31202S, tissue, we evaluated serum parameters. Levels of serum aspartate
Cell Signaling Technology), and GAPDH (1:1,000, G9545, Sigma, St. transaminase (AST), alanine aminotransferase (ALT), and cholesterol
Louis, MO, USA) were diluted 1:1,000 in 5% skim milk and incubated (CHOL), which were elevated in the HFD-­fed mice, were reduced by
with the membranes for 2 hr at room temperature. Then, the mem- D. candidum treatment in a dose-­dependent manner (Figure 1a–­c).
brane was washed with TBST three times, followed by incubation After the treatment, D. candidum also reduced basal glucose levels
with the secondary antibody at 1:1,000 dilution for 1 hr at 25°C. measured before glucose loading. In the OGTT, 400 mg/kg D. candi-
After washing with TBST three times, the signals were detected dum treatment caused a significant decrease in glycemia (Figure 2d)
using Amersham ECL Prime western blotting Detection Reagent (GE and insulin levels (Figure 2e) at 120 min. Accordingly, IR assessed by
Healthcare, Buckinghamshire, UK). The chemiluminescent signal was the HOMA index was markedly reduced by 400 mg/kg dose of D. can-
recorded using the ChemiDoc™ XRS + System and analyzed using didum (Figure 2f). The HOMA index for each group is 52.54 ± 11.43,
the Image Lab™ Software (Bio-­Rad Laboratories, Hercules, CA, USA). 95.23 ± 14.85, 83.13 ± 9.57, and 73.43 ± 8.97 correspondingly.
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F I G U R E 1   Effect of D. candidum on metabolic changes and hepatic histopathology in HFD-­fed mice. (a) Body weight in each group
indicated (n = 10 in each group). (b) Fasting blood glucose level in each group indicated (n = 10 in each group). (c) Representative pictures of
the liver HE staining of mice in each group indicated. Scale bar = 100 μm. (d) Representative pictures of the liver Oil Red O staining of mice
in each group indicated. Scale bar = 100 μm. The values are expressed as Mean ± SEM, ###p < .001 versus Con; **p < .01; ***p < .001 versus
HFD

3.3 | D. candidum rescues expression of genes and the expression of FAS and SREBP1 was significantly increased in
involved in glucose and lipid metabolism the liver of HFD mice. In contrast, D. candidum decreased mRNA lev-
els of FAS and SREBP1 in a dose-­dependent manner, indicating that
To investigate the lipogenic inhibition mechanism of D. candidum, we D. candidum could regulate lipid synthesis (Figure 3a,b). The expres-
first examined the expression of genes involved in lipid metabolism. sion of FAS is 462.64 ± 44.43% for HFD group, 320.32 ± 44.43%
SREBP1 activation of FAS is an important pathway for lipid synthesis, for 200 mg/kg dose, and 167.56 ± 23.53 for 400 mg/kg dose
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F I G U R E 2   Effect of D. candidum on hepatic damage and glucose homeostasis in HFD-­fed mice. Serum AST (a), ALT (b), and CHOL(c)
levels were measured with the corresponding commercial kits (n = 6, each group). OGTT glycemia (d), insulin levels (e), and HOMA IR (f) were
also reported (n = 6 in each group). The values are expressed as Mean ± SEM. ##p < .01; ###p < .001 versus Con; *p < .05, **p < .01 versus
HFD

correspondingly. We further examined the expression of genes (Figure 3c,d). The expression of PCK1 is 401.77 ± 32.86% for HFD
involved in hepatic glucose metabolism. Expression levels of glu- group, 263.53 ± 36.64% for 200 mg/kg dose, and 145.54 ± 31.77
coneogenic genes (G6P, PCK1) in liver tissue were decreased by for 400 mg/kg dose correspondingly. These results suggested that
D. candidum administration in HFD mice in a dose-­dependent manner D. candidum decreases hepatic lipid synthesis and gluconeogenesis.
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F I G U R E 3   D. candidum rescue genes expression involved in glucose and lipid metabolism. Expression of lipid metabolism genes (A and
B) and glucose metabolism genes (C and D) in the livers of mice in each treatment group. The values are expressed as Mean ± SEM (n = 6 in
each group). ###p <.001 versus Con; *p <.05; **p <.01; ***p <.001 versus HFD

3.4 | D. candidum treatment counteracts hepatic We first detected the expression of NLRP3 inflammasome compo-
inflammation nents (including NLRP3, ASC, caspase-­1, and IL-­1β) in the mice. The
expression of NLRP3, ASC1, cleaved Caspase-­1, and IL-­1β increased
IL-­6 and TNF-­α are important proinflammatory mediators involved in more than four times in HFD-­fed mouse liver tissue; however, the
liver damage. As shown in Figure 4a,b, the HFD induced an increase in expression of these NLRP3 inflammasome-­associated pathways de-
IL-­6 and TNF-­α levels compared to those in the control group, and this ef- creased in a dose-­dependent manner after D. candidum treatment
fect was alleviated by D. candidum treatment in a dose-­dependent man- (Figure 5a–­e). The expression of IL-­1β is 431.12 ± 43.18% for HFD
ner. This anti-­inflammatory effect of D. candidum was confirmed by the group, 365.97 ± 54.24% for 200 mg/kg dose, and 177.86 ± 28.43 for
hepatic ELISA results for IL-­6 and TNF-­α concentrations (Figure 4c,d). 400 mg/kg dose correspondingly. The NLRP3-­positive cells in the
The mean TNF-­
α concentrations for each group is 16.68 ± 6.43, liver further validated this observation (Figure 5f). These results dem-
67.32 ± 11.63, 51.12 ± 7.27, and 38.53 ± 7.12 correspondingly. onstrate that D. candidum can alleviate HFD-­induced hepatic injury
possibly by the inhibition of NLRP3 inflammasome activation.

3.5 | D. candidum inhibits the activation of the


NLRP3 inflammasome in the liver of the HFD mouse 4 | D I S CU S S I O N

Finally, we investigated whether the effect of D. candidum on liver dam- The onset of NAFLD is accompanied by a variety of pathological
age was associated with the inhibition of the NLRP3 inflammasome. processes (Newton, 2010), and current treatments mainly involve
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F I G U R E 4   Effect of D. candidum on the production of pro-­inflammatory cytokines in HFD-­fed mice. (a) Representative
immunohistochemical staining showing the expression of IL-­6 (a) and TNF-­α (b) at liver. The effect of D. candidum on (a) IL-­6 and (b) TNF-­α
levels in liver was measured by ELISA. The values are expressed as Mean ± SEM. (n = 8 in each group). ##p < .01; ###p < .001 versus Con;
*p < .05; **p < .01; ***p < .001 versus HFD

lifestyle interventions, such as dietary energy restriction and exer- et al., 2020) (Jacome-­Sosa et al., 2014). Previous studies have found
cise (Ali & Cusi, 2009). However, this type of treatment is difficult to that D. candidum has many bioreactive effects. D. candidum can
maintain and the control process of the disease is passive; therefore, exert an anticancer role in a variety of cancers, such as liver can-
there is an urgent need to develop new drugs to treat NAFLD. In cer (Guo et al., 2019), breast cancer (Sun et al., 2016), and colon tu-
this study, we established a mouse NAFLD model using HFD. Our mors (Zhao et al., 2014). D. candidum has also shown target organ
experimental results showed that D. candidum could significantly protective roles under pathophysiological conditions such as in the
reduce body weight, blood glucose level, and liver lipid accumula- kidney (Chang et al., 2019) and salivary glands (Xiao et al., 2011).
tion in HFD-­fed mice. We also found that lipid metabolism, gluco- Additionally, D. candidum significantly prevents liver damage in
neogenesis, and NLRP3 inflammasome-­related pathway alterations hyperuricemic rats (Lou et al., 2020). Li, Sun, Wang, et al. (2014)
were involved in the therapeutic effect of D. candidum. Our study showed that D. candidum could attenuates CCl4-­induced liver dam-
reveals the protective role of D. candidum in NAFLD and its potential age in mice. However, the effect of D. candidum on NAFLD has not
mechanism in improving liver fat metabolism, insulin resistance, and been reported. In our study, we found that D. candidum significantly
inflammation. improves hepatic function in HFD mice. Our histopathological ev-
In the drug therapy of NAFLD, in addition to traditional drug idence showed changes in fat metabolism; therefore, we studied
choices, special functional components found in food can prevent the expression of adipose metabolism-­and gluconeogenesis-­related
and improve NAFL injury, which is of great significance in improv- genes in mouse liver by qRT-­PCR. SREBP1-­FAS is a key pathway
ing the quality of life of individuals with NAFL injuries (Westfall of lipid synthesis in the liver (Chen et al., 2020). The reduction in
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F I G U R E 5   D. candidum attenuates the activation of the NLRP3 inflammasome induced by a high-­fat diet mouse model. (a–­e) Western
blots of NLRP3, ASC, Cleaved Caspase-­1, and IL-­1β were performed with liver tissues. (f) The immunohistochemistry staining of NLRP3
inflammasome was significantly decreased in liver tissues of the HFD-­D. candidum. The values are expressed as Mean ± SEM (n = 6 in each
group). ###p < .001 versus Con; *p < .05; **p < .01; ***p < .001 versus HFD

SREBP1-­
FAS expression should be implicated in the effect of mouse model induced by a long-­term high-­fat diet, caspase-­1 mRNA
D. candidum in regulating lipid synthesis after HFD in mice. In addi- and serum IL-­1β levels of NLRP3 inflammasome are significantly in-
tion, the glycolysis-­related genes G6P and PCK1 were inhibited by creased (Mridha et al., 2017), and this was consistent with our results.
D. candidum. These results reveal the mechanisms by which D. can- These results suggest that the NLRP3 inflammasome is involved in
didum can reduce hepatic gluconeogenesis and lipid synthesis. the development of NAFLD. However, no definite target drug of
NAFLD is a complex inflammatory process that mediates the NLRP3 could be used. Our results showed that D. candidum reduced
progress of hepatocyte steatosis to steatohepatitis. The NLRP3 NLRP3 inflammasome activation induced by HFD and decreased IL-­
inflammasome plays an important role in liver steatosis, inflamma- 1β or caspase-­1 and ASC production in the liver. Our results demon-
tion, liver injury, and fibrosis (Shao et al., 2015). The NLRP3 inflam- strate that D. candidum is a pharmacological inhibitor of the NLRP3
masome can be seen not only in immune cells, such as Kupffer cells, inflammasome and alleviates the NLRP3 inflammasome activation
neutrophils, and dendritic cells, but also in some nonimmune cells, of NAFLD in vivo. There has been no research demonstrating the ef-
such as hepatocytes, hepatic stellate cells, endothelial cells, and my- fects of D. candidum on inhibiting NLRP3 inflammasome-­dependent
ofibroblasts (Wree et al., 2014). In Kupffer cells, selective reduction cell or tissue damage. In future, we plan to further investigate the
in the release of IL-­1 α can reduce the expression of cytokines in mechanism by which D. candidum inhibits the NLRP3 inflammasome.
the liver, and activation of the NLRP3 inflammasome is involved in In conclusion, our results showed that D. candidum can signifi-
the coordination of Kupffer cells (Olteanu et al., 2014). In the NASH cantly inhibit lipid accumulation, maintain lipid metabolism and
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glucose homeostasis, and inhibit NLRP3 inflammatory responses H., Kirchner, H., Lockie, S. H., Hofmann, S., … Tschöp, M. H. (2009).
A new glucagon and GLP-­1 co-­agonist eliminates obesity in rodents.
in the liver of the HFD mice and the possible mechanism of action
Nature Chemical Biology, 5(10), 749–­ 757. https://doi.org/10.1038/
has been elucidated. The pharmacodynamic mechanisms of D. can- nchem​bio.209
didum against NAFLD have multiple therapeutic effects on multiple Gomaraschi, M., Fracanzani, A. L., Dongiovanni, P., Pavanello, C., Giorgio,
targets, suggesting the feasibility of treatment for NAFLD. Our re- E., Da Dalt, L., Norata, G. D., Calabresi, L., Consonni, D., Lombardi,
search provides new treatment options for NAFLD. R., Branchi, A., & Fargion, S. (2019). Lipid accumulation impairs ly-
sosomal acid lipase activity in hepatocytes: Evidence in NAFLD pa-
tients and cell cultures. Biochimica et Biophysica Acta. Molecular and
C O N FL I C T O F I N T E R E S T Cell Biology of Lipids, 1864(12), 158523. https://doi.org/10.1016/j.
The authors declare that they have no competing interests. bbalip.2019.158523
Gong, X., Jiang, S., Tian, H., Xiang, D., & Zhang, J. (2020). Dendrobium can-
didum polyphenols in the fermentation liquid of relieve intestinal in-
C O N S E N T FO R P U B L I C AT I O N
flammation in zebrafish through the intestinal microbiome-­mediated
All authors agreed to the publication of this study. immune response. Frontiers in Immunology, 11, 1542. https://doi.
org/10.3389/fimmu.2020.01542
AU T H O R C O N T R I B U T I O N Guo, Z., Zhou, Y., Yang, J., & Shao, X. (2019). Dendrobium candidum ex-
tract inhibits proliferation and induces apoptosis of liver cancer
Xiongzhang Yin: Formal analysis; Investigation. Wei-­Ming Chi:
cells by inactivating Wnt/β-­c atenin signaling pathway. Biomedicine &
Investigation; Validation. Ling Zhang: Software; Supervision. Yan-­Q i Pharmacotherapy = Biomedecine & Pharmacotherapie, 110, 371–­379.
Su: Data curation; Validation. Zhong-­Yuan Zhang: Methodology; https://doi.org/10.1016/j.biopha.2018.11.149
Project administration. Chengbin Xue: Conceptualization; Hong, Y., Li, B., Zheng, N., Wu, G., Ma, J., Tao, X., & Li, H. (2020).
Integrated metagenomic and metabolomic analyses of the effect
Investigation.
of Astragalus polysaccharides on alleviating high-­fat diet-­induced
metabolic disorders. Frontiers in Pharmacology, 11, 833. https://doi.
DATA AVA I L A B I L I T Y S TAT E M E N T org/10.3389/fphar.2020.00833
The datasets used or analyzed during the current study are available Hu, X., Sun, J., Fu, X., Wang, Y., Liu, Y. E., Guo, Y., Bo, H., & Sheng, J.
(2016). Dendrobium candidum inhibits MCF-­7 cells proliferation by
from the corresponding author upon reasonable request.
inducing cell cycle arrest at G2/M phase and regulating key biomark-
ers. OncoTargets and Therapy, 9, 21–­3 0. https://doi.org/10.2147/ott.
ORCID s93305
Cheng-­Bin Xue  https://orcid.org/0000-0002-1097-5149 Jacome-­Sosa, M. M., Borthwick, F., Mangat, R., Uwiera, R., Reaney, M.
J., Shen, J., Quiroga, A. D., Jacobs, R. L., Lehner, R., & Proctor, S. D.
(2014). Diets enriched in trans-­11 vaccenic acid alleviate ectopic lipid
REFERENCES
accumulation in a rat model of NAFLD and metabolic syndrome.
Ali, R., & Cusi, K. (2009). New diagnostic and treatment approaches in The Journal of Nutritional Biochemistry, 25(7), 692–­701. https://doi.
non-­alcoholic fatty liver disease (NAFLD). Annals of Medicine, 41(4), org/10.1016/j.jnutb​io.2014.02.011
265–­278. https://doi.org/10.1080/07853​89080​2552437 Li, G., Sun, P., Wang, Q., Qian, Y., Zhu, K., & Zhao, X. (2014).
Bellentani, S., Scaglioni, F., Marino, M., & Bedogni, G. (2010). Dendrobium candidum Wall. ex Lindl. attenuates CCl-­induced he-
Epidemiology of non-­alcoholic fatty liver disease. Digestive Diseases, patic damage in imprinting control region mice. Experimental and
28(1), 155–­161. https://doi.org/10.1159/00028​2080 Therapeutic Medicine, 8(3), 1015–­1021. https://doi.org/10.3892/
Bhagat, V., Mindikoglu, A. L., Nudo, C. G., Schiff, E. R., Tzakis, A., & Regev, etm.2014.1834
A. (2010). Outcomes of liver transplantation in patients with cirrho- Li, G., Sun, P., Zhou, Y., Zhao, X., & Chen, F. (2014). Dendrobium can-
sis due to nonalcoholic steatohepatitis versus patients with cirrhosis didum Preventive effects of Wall ex Lindl. on the formation of lung
due to alcoholic liver disease. Liver Transplantation, 15(12), 1814–­ metastases in BALB/c mice injected with 26–­M3.1 colon carcinoma
1820. https://doi.org/10.1002/lt.21927 cells. Oncology Letters, 8(4), 1879–­ 1885. https://doi.org/10.3892/
Boutari, C., Lefkos, P., Athyros, V., Karagiannis, A., & Tziomalos, K. (2018). ol.2014.2383
Nonalcoholic fatty liver disease vs. nonalcoholic steatohepatitis: Lou, X., Wang, Y., Lei, S., He, X., Lu, T., Zhan, L., & Chen, S. (2020).
Pathological and clinical implications. Current Vascular Pharmacology, Dendrobium candidum beneficial effects of macroporous resin ex-
16(3), 214–­218. https://doi.org/10.2174/15701​61115​66617​06210​ tract of leaves in rats with hyperuricemia induced by a high-­purine
75157 diet. Evidence-­based Complementary and Alternative Medicine, 2020,
Chang, J., Zhou, Y., Cong, G., Guo, H., Guo, Y., Lu, K., & Tian, H. (2019). 3086106. https://doi.org/10.1155/2020/3086106
Dendrobium candidum protects against diabetic kidney lesions Mato, J., Alonso, C., Noureddin, M., & Lu, S. (2019). Biomarkers and sub-
through regulating vascular endothelial growth factor, Glucose types of deranged lipid metabolism in non-­alcoholic fatty liver dis-
Transporter 1, and connective tissue growth factor expression in ease. World Journal of Gastroenterology, 25(24), 3009–­3 020. https://
rats. Journal of Cellular Biochemistry, 120(8), 13924–­13931. https:// doi.org/10.3748/wjg.v25.i24.3009
doi.org/10.1002/jcb.28666 Melchart, D., Hager, S., Albrecht, S., Dai, J., Weidenhammer, W., &
Chen, K., Ma, Z., Yan, X., Liu, J., Xu, W., Li, Y., Dai, Y., Zhang, Y., & Xiao, Teschke, R. (2017). Herbal traditional chinese medicine and sus-
H. (2020). Investigation of the lipid-­lowering mechanisms and ac- pected liver injury: A prospective study. World Journal of Hepatology,
tive ingredients of Danhe Granule on hyperlipidemia based on sys- 9(29), 1141–­1157. https://doi.org/10.4254/wjh.v9.i29.1141
tems pharmacology. Frontiers in Pharmacology, 11, 528. https://doi. Mridha, A. R., Wree, A., Robertson, A. A. B., Yeh, M. M., Johnson, C. D.,
org/10.3389/fphar.2020.00528 Van Rooyen, D. M., Haczeyni, F., Teoh, N.-­H., Savard, C., Ioannou,
Day, J. W., Ottaway, N., Patterson, J. T., Gelfanov, V., Smiley, D., Gidda, G. N., Masters, S. L., Schroder, K., Cooper, M. A., Feldstein, A. E.,
J., Findeisen, H., Bruemmer, D., Drucker, D. J., Chaudhary, N., & Farrell, G. C. (2017). NLRP3 inflammasome blockade reduces
Holland, J., Hembree, J., Abplanalp, W., Grant, E., Ruehl, J., Wilson, liver inflammation and fibrosis in experimental NASH in mice.
|
10 of 10       YIN et al.

Journal of Hepatology, 66(5), 1037–­1046. https://doi.org/10.1016/j. Wang, Q., Sun, P., Li, G., Zhu, K., Wang, C., & Zhao, X. (2014). Dendrobium
jhep.2017.01.022 candidum inhibitory effects of Wall ex Lindl. on azoxymethane-­and
Newton, J. (2010). Systemic symptoms in non-­alcoholic fatty liver disease. dextran sulfate sodium-­induced colon carcinogenesis in C57BL/6
Digestive Diseases, 28(1), 214–­ 219. https://doi.org/10.1159/00028​ mice. Oncology Letters, 7(2), 493–­ 498. https://doi.org/10.3892/
2089 ol.2013.1728
Olteanu, S., Kandel-­Kfir, M., Shaish, A., Almog, T., Shemesh, S., Barshack, Westfall, E., Jeske, R., & Bader, A. (2020). Nonalcoholic fatty liver dis-
I., Apte, R. N., Harats, D., & Kamari, Y. (2014). Lack of interleukin-­1α ease: Common questions and answers on diagnosis and manage-
in Kupffer cells attenuates liver inflammation and expression of in- ment. American Family Physician, 102(10), 603–­612.
flammatory cytokines in hypercholesterolaemic mice. Digestive and Wree, A., Eguchi, A., McGeough, M. D., Pena, C. A., Johnson, C. D.,
Liver Disease: Official Journal of the Italian Society of Gastroenterology Canbay, A., Hoffman, H. M., & Feldstein, A. E. (2014). NLRP3 inflam-
and the Italian Association for the Study of the Liver, 46(5), 433–­439. masome activation results in hepatocyte pyroptosis, liver inflamma-
https://doi.org/10.1016/j.dld.2014.01.156 tion, and fibrosis in mice. Hepatology, 59(3), 898–­910. https://doi.
Rives, C., Fougerat, A., Ellero-­Simatos, S., Loiseau, N., Guillou, H., Gamet-­ org/10.1002/hep.26592
Payrastre, L., & Wahli, W. (2020). Oxidative stress in NAFLD: Role of Xiao, L., Ng, T. B., Feng, Y.-­B., Yao, T., Wong, J. H., Yao, R.-­M., Li, L., Mo,
nutrients and food contaminants. Biomolecules, 10(12), 1702. https:// F.-­Z., Xiao, Y., Shaw, P.-­C., Li, Z.-­M., Sze, S. C. W., & Zhang, K. Y. (2011).
doi.org/10.3390/biom1​0121702 Dendrobium candidum extract increases the expression of aquaporin-­5
Shao, B., Xu, Z., Han, B., Su, D., & Liu, C. (2015). NLRP3 inflammasome in labial glands from patients with Sjögren's syndrome. Phytomedicine:
and its inhibitors: A review. Frontiers in Pharmacology, 6, 262. https:// International Journal of Phytotherapy and Phytopharmacology, 18, 194–­
doi.org/10.3389/fphar.2015.00262 198. https://doi.org/10.1016/j.phymed.2010.05.002
Shoreibah, M., Raff, E., Bloomer, J., Kakati, D., Rasheed, K., Kuo, Y., & Zhao, X., Sun, P., Qian, Y., & Suo, H. (2014). D. candidum has in vitro
Singal, A. (2016). Alcoholic liver disease presents at advanced stage anticancer effects in HCT-­116 cancer cells and exerts in vivo anti-­
and progresses faster compared to non-­alcoholic fatty liver disease. metastatic effects in mice. Nutrition Research and Practice, 8(5), 487–­
Annals of Hepatology, 15(2), 183–­189. https://doi.org/10.5604/16652​ 493. https://doi.org/10.4162/nrp.2014.8.5.487
681.1193707 Zhou, J., Cai, J., She, Z., & Li, H. (2019). Noninvasive evaluation of nonalco-
Wallace, M., Green, C. R., Roberts, L. S., Lee, Y. M., McCarville, J. L., holic fatty liver disease: Current evidence and practice. World Journal
Sanchez-­ Gurmaches, J., Meurs, N., Gengatharan, J. M., Hover, J. of Gastroenterology, 25(11), 1307–­1326. https://doi.org/10.3748/wjg.
D., Phillips, S. A., Ciaraldi, T. P., Guertin, D. A., Cabrales, P., Ayres, v25.i11.1307
J. S., Nomura, D. K., Loomba, R., & Metallo, C. M. (2018). Enzyme
promiscuity drives branched-­chain fatty acid synthesis in adipose
tissues. Nature Chemical Biology, 14(11), 1021–­ 1031. https://doi.
How to cite this article: Yin X-­Z, Chi W-­M, Zhang L, Su Y-­Q,
org/10.1038/s4158​9-­018-­0132-­2
Zhang Z-­Y, Xue C-­B. Protective effects of Dendrobium
Wang, M.-­Y., Shen, C., An, M.-­F., Xie, C.-­Q., Wu, X., Zhu, Q.-­Q., Sun, B.,
Huang, Y.-­P., Zhao, Y.-­L ., Wang, X.-­J., & Sheng, J. (2018). Combined candidum Wall ex Lindl. on high-­fat diet-­induced liver damage
treatment with Dendrobium candidum and black tea extract pro- in mice. J Food Biochem. 2021;45:e13687. https://doi.
motes osteoprotective activity in ovariectomized estrogen deficient org/10.1111/jfbc.13687
rats and osteoclast formation. Life Sciences, 200, 31–­41. https://doi.
org/10.1016/j.lfs.2018.03.025

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