[Abstract] Objective To investigate the protective effects of extract ofPeriplaneta americana(APA) against carbon
tetrachloride (CCl4)-induced hepatic fibrosis in rats. Methods Seventy SD rats were divided into five groups: normal control group (C), model control group (M), extract of APA 1group (APA1), extract of APA2group (APA2) and reduced glutathione group (R). The liver fibrosis model was induced by injecting40% CCl4-olive solution subcutaneously for seven weeks in M, APA1, APA 2and R groups. Drugs were given at the same time. Rats were killed at7-week (C, M, APA1and R groups),and were killed at9-week (APA2group). The serum values of transaminase (ALT, AST), albumin (ALB), hyaluronic acid (HA) and laminin (LN), and hepatic inflammation and fibrosis were detected respectively. The expressions of apoptotic related gene Bcl-2and Bax protein in central veins and portal areas of hepatic lobules were detected by immunohistochemical method. Results Rats showed poor nutritional status, and significantly increased transaminase, HA and LN in M group, but the serum level of ALB was significantly lower than that in C group. There was extensive necrosis of liver cells, obviously fibrosis or cirrhosis in model rats’liver tissues. The serum contents of ALT, AST, HA and LN were significantly decreased, the serum level of ALB were significantly increased in APA1,APA2and R groups (P<0.05). There were complete hepatic lobule and no obvious fibrous tissue hyperplasia in liver biopsy of APA1and R groups. The values of Bcl-2/Bax proteins in central vein of liver tissues were significantly higher in APA1,APA2and R groups than those of M group (P<0.05), but the ratio of Bcl-2/Bax was lower in periportal area of liver tissues (P<0.05). There were significantly higher body weight and ALB levels in APA1group than those in R group (P<0.05). The level of transaminase was slightly higher in APA1 group than that of R group. The degeneration of liver cells was found mostly in R group. Conclusion The extract ofPeriplaneta americanahas a role in protecting liver cells, inhibiting the progression of hepatic fibrosis, and improving the nutritional status of trial rats.