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Effects and underlying mechanisms of ginsenoside Rb1 in improving non-alcoholic steatohepatitis via modulation of the gut-liver axis
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Hui FU1, 2, Benjin XU1, Yuyang WEI1, Yitao ZHANG1, Yiyan LIU1, Chengbo LU1, Jing HAO1, Binyu SONG2
Journal of Army Medical University | 2026, 48(2) : 158 - 168
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Journal of Army Medical University | 2026, 48(2): 158-168
• Basic Medicine •
Effects and underlying mechanisms of ginsenoside Rb1 in improving non-alcoholic steatohepatitis via modulation of the gut-liver axis
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Hui FU1, 2, Benjin XU1, Yuyang WEI1, Yitao ZHANG1, Yiyan LIU1, Chengbo LU1, Jing HAO1, Binyu SONG2
Affiliations
  • 1Department of Laboratory Medicine, Shanxi University of Medicine, Fenyang, Shanxi, China
  • 2Science and Technology Center, Shanxi University of Medicine, Fenyang, Shanxi, China
Published: 2026-01-30 doi: 10.16016/j.2097-0927.202512059
Outline
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Objective

To investigate the therapeutic effects of ginsenoside Rb1 on non-alcoholic steatohepatitis (NASH) and its mechanisms through modulating gut microbiota and repairing intestinal barriers in liver inflammation and metabolic disorders.

Methods

A model NASH mouse was established by high-fat, high-cholesterol diet (HFHCD) feeding. After modeling, the NASH mice were treated with Rb1 via intraperitoneal injection. An in vitro NASH model was induced with oleic acid+cholesterol in HepG2 cells. Serum biochemistry, histopathological observation (HE, Oil Red O, Masson, Sirius Red staining), and Western blotting (inflammatory and tight junction proteins) were performed. Gut microbiota was analyzed with 16S rRNA gene sequencing. The correlations between key microbiota and metabolic phenotypes were analyzed using Spearman correlation analysis and SHapley Additive exPlanations (SHAP) analysis.

Results

Rb1 significantly reduced serum levels of total cholesterol (TC), triglyceride (TG), alanine transaminase (ALT), aspartate aminotransferase (AST) and low-density lipid-cholesterol (LDL-C) in the NASH mice (P<0.05), decreased lipid accumulation and fibrosis in liver tissues, inhibited TNF-α and IL-1β expression, and increased zonula occludens-1(ZO-1) and Occludin levels (P<0.05). It also boosted beneficial bacteria like Lactobacillus and Bifidobacterium, reduced harmful bacteria such as Desulfovibrio, and enhanced gut microbiota diversity (P<0.05). Correlation analysis showed that beneficial bacteria enriched by Rb1 were positively correlated with the improvements of metabolic indicators and negatively with inflammatory factors and liver injury markers (P<0.05). The machine learning model identified ALT as the key predictor for NASH.

Conclusion

Rb1 can inhibit inflammatory response and improve lipid metabolism by modulating gut microbiota and repairing the intestinal barrier, and thus significantly alleviate NASH progression.

ginsenoside Rb1  /  gut microbiota  /  non-alcoholic steatohepatitis  /  zonula occludens-1  /  Occludin  /  gut-liver axis
付慧, 徐本锦, 卫宇阳, 张一弢, 刘一燕, 路程博, 郝静, 宋彬妤. 人参皂苷Rb1通过调节肠-肝轴改善非酒精性脂肪性肝炎的作用及机制研究. 陆军军医大学学报, 2026 , 48 (2) : 158 -168 . DOI: 10.16016/j.2097-0927.202512059
Hui FU, Benjin XU, Yuyang WEI, Yitao ZHANG, Yiyan LIU, Chengbo LU, Jing HAO, Binyu SONG. Effects and underlying mechanisms of ginsenoside Rb1 in improving non-alcoholic steatohepatitis via modulation of the gut-liver axis[J]. Journal of Army Medical University, 2026 , 48 (2) : 158 -168 . DOI: 10.16016/j.2097-0927.202512059
Year 2026 volume 48 Issue 2
82
32
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Article Info
doi: 10.16016/j.2097-0927.202512059
  • Receive Date:2025-12-11
  • Online Date:2026-10-23
  • Published:2026-01-30
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History
  • Received:2025-12-11
  • Revised:2026-01-04
Affiliations
    1Department of Laboratory Medicine, Shanxi University of Medicine, Fenyang, Shanxi, China
    2Science and Technology Center, Shanxi University of Medicine, Fenyang, Shanxi, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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