Abstract:Objective To investigate the effects of chitosan (CS) and paeoniflorin (PF) on lipid metabolism in highfat diet-induced nonalcoholic fatty liver disease (NAFLD) mice. Methods A total of 30 6-week-old male C57BL/6 mice were randomly divided into blank Control group (Ctrl group), high-fat diet group (HFD group), CS group [CS 50 mg/(kg·d)], PF group [PF 50 mg/(kg·d)]and CS +PF group [CS and PF 25 mg/(kg·d) each], with 6 mice in each group. The NAFLD model was established on a high-fat diet for 8 consecutive weeks, and then the corresponding treatment was administered by gavage. The normal diet group and the high-fat diet group were given the same volume of 0.9% normal saline. Body mass and food intake were measured every 3 days, and mice were sacrificed 8 weeks later. Body mass changes were compared between groups, and serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels and liver fat weight were measured. Hematoxylin and eosin (HE) staining was used to observe the pathological changes in the liver and abdominal fat. Results Compared with the Ctrl group, the body weight and abdominal fat weight of the mice in the HFD group were significantly increased (P<0.000 1). CS +PF combined treatment significantly reduced both the body weight and abdominal fat weight of mice (P<0.000 1), and the effect on body weight reduction was greater than that of CS or PF alone (P<0.000 1). Additionally, the serum levels of ALT and AST in the HFD group were significantly increased compared with the Ctrl group (P<0.05). There was no significant difference in the levels of ALT and AST among the CS, PF, and CS +PF groups compared to the Ctrl group (P>0.05). There was no significant difference in liver index (liver weight/body weight) between groups (P>0.05). Conclusion The combined use of CS and PF can significantly improve lipid metabolism and reduce the accumulation of abdominal fat in NAFLD mice.