Objective To investigate the effect of hyperin on liver fibrosis in rats with heart failure,and to explore its molecular mechanism from the perspective of TGF-β1/Smad pathway and TIMP/MMP axis. Methods Twenty-four male Wistar rats were randomly divided into the Sham group,heart failure group,100 mg/kg hyperin group,and 200 mg/ kg hyperin group. Heart failure models were made by abdominal aorta-vena cava shunt in the heart failure group and hyperoside group,and abdominal organs were directly reset after Sham operation. Rats in the 100 mg/kg hyperin group and 200 mg/kg hyperin group were given 100 and 200 mg/kg hyperin, respectively. Rats in the Sham group and heart failure group were given the same volume of solvent,once a day, for 4 weeks. After administration,cardiac output(CO)and left ventricular ejection fraction(LVEF)were measured by small animal ultrasound system. Serum liver function indexes[alanine aminotransferase (ALT)and aspartate aminotransferase(AST)]were detected by ELISA. The body weight (BW)and liver weight (LW)of rats were weighed and the liver coefficient was calculated. Liver pathomorphology was observed by HE staining,and collagen formation area was measured by Masson staining. Oxidative stress indicators[hydroxyprolide (Hyp),glutathione peroxidase(GSH-Px),malondialdehyde(MDA),and total superoxide dismutase(T-SOD)]of liver tissues were detected by alkaline hydrolysis,colorimetry,thiobarbituric acid and hydroxylamine methods,respectively. Transforming growth factor-β1(TGF-β1)/Smad pathway-related genes[transforming growth factor β1(TGF-β1),and connective tissue growth factor(CTGF) mRNA] and TIMP/MMP axis-related genes[TIMP1,matrix metalloproteinase 1 (MMP1),MMP2,and collagen Ⅲ]were detected by real-time PCR;the expression levels of TGF- β1, Smad2/3,p- Smad2/3,CTGF,TIMP1,MMP1,MMP2 and collagenⅢ were detected by Western blotting. Results Compared with the Sham group,CO,LVEF,+dp/dtmax and -dp/dtmax decreased,LVESP,LVEDP,and LVESV increased in the heart failure group(all P<0. 01). Compared with the heart failure group, LVESP,LVEDP,and LVESV in the 100 mg/kg hyperin group decreased(all P<0. 01). Compared with the heart failure group, LVESP,LVEDP,and LVESV in 200 mg/kg hyperin group decreased(all P<0. 01, while CO,LVEF, +dp/dtmax,and -dp/dtmax increased(P<0. 05 or P<0. 01). Compared with the Sham group,the serum ALT and AST levels in the heart failure group were higher(all P<0. 01). Compared with the heart failure group,the serum AST level decreased in the 100 mg/kg hyperin group,and the serum ALT and AST levels decreased in the 200 mg/kg hyperin group(P<0. 05 or P<0. 01). There was no significant difference in liver coefficient among the four groups(P>0. 05). Compared with the Sham group,the liver tissue in heart failure group had diffuse inflammatory infiltration and steatosis,the liver cells became larger and more uneven in shape,the liver lobule structure disappeared,the liver plate was destroyed and the central vein collapsed,and the collagen formation area increased (all P<0. 05). Compared with the heart failure group,hepatic steatosis, inflammatory cell infiltration and fibrosis in 100 mg/kg and 200 mg/kg hyperin groups were reduced in different degrees,and collagen formation area was reduced (all P< 0. 05. Compared with the Sham group,the levels of Hyp and MDA in the liver tissues of the heart failure group increased, while the levels of GSH-Px and T-SOD decreased (all P<0. 05. Compared with the heart failure group,the levels of Hyp and MDA decreased and T-SOD increased in the 100 mg/kg hyperin group;the levels of Hyp and MDA decreased, and the levels of GSH-Px and T-SOD increased in the 200 mg/kg hyperin group (all P<0. 05. Compared with the Sham group,the mRNA and protein levels of TGF-β1, CTGF,TIMP1, MMP2 and collagen Ⅲ in the liver tissues of the heart failure group increased,while the protein level of p-Smad2/3 increased and MMP1 mRNA and protein decreased (all P<0. 05). Compared with the heart failure group,the mRNA and protein levels of TGF- β1, CTGF,TIMP1,MMP2 and collagen Ⅲ in the liver tissues of 100 mg/kg hyperin group decreased,while the protein level of p-Smad2/3 decreased and MMP1 protein increased (all P<0. 05). Compared with the heart failure group,the mRNA and protein levels of TGF-β1, CTGF,TIMP1,MMP2,and collagen Ⅲ decreased,the protein level of p-Smad2/3 decreased and the mRNA and protein levels of MMP1 increased in the 200 mg/kg hyperin group(all P<0. 05. Conclusion Heart failure can lead to liver fibrosis in rats;hyperin can inhibit liver fibrosis,and its mechanism may be related to regulating the activation of TGF-β1/ Smad pathway and the balance of TIMP/MMP axis. [ABSTRACT FROM AUTHOR]