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Er-Chen decoction (EC) can be used in the treatment of NAFLD. However, the mechanism of this hepatoprotection is still unknown. In this study, we constructed a rat model with NAFLD fed with high-fat chow and administered EC treatment. The therapeutic effects of EC on NAFLD were evaluated by measuring transaminases, blood lipid levels, and pathological changes in the liver. In addition, we measured the effects of EC on liver inflammatory response and oxidative stress. The changes in gut microbiota after EC treatment were studied using 16S rRNA sequencing. Serum untargeted metabolomics analysis was also used to study the metabolic regulatory mechanisms of EC on NAFLD. The results showed that EC decreased the serum transaminases and lipid levels and improved the pathological changes in NAFLD rats. Furthermore, EC enhanced the activities of SOD and GSH-Px and decreased MDA level in the liver. EC treatment also decreased the gene and protein levels of IL-6, IL-1\u03b2, and TNF-\u03b1 in the liver and serum. The 16S rRNA sequencing and untargeted metabolomics indicated that EC treatment affected the gut microbiota and regulated serum metabolism. Correlation analysis showed that the effects of EC on taurine and hypotaurine metabolism, cysteine and methionine metabolism, and vitamin B6 metabolism pathways were associated with affecting in the abundance of Lactobacillus, Dubosiella, Lachnospiraceae, Desulfovibri, Romboutsia, Akkermansia, Intestinimonas, and Candidatus_saccharimonas in the gut. In conclusion, our study confirmed the protective effect of EC on NAFLD. EC could treat NAFLD by inhibiting oxidative stress, reducing inflammatory responses, and improving the dysbiosis of gut microbiota and the modulation of the taurine and hypotaurine metabolism, cysteine and methionine metabolism, and vitamin B6 metabolism pathways in serum.<\/jats:p>","DOI":"10.1155\/2022\/6221340","type":"journal-article","created":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T17:22:05Z","timestamp":1648747325000},"page":"1-18","source":"Crossref","is-referenced-by-count":24,"title":["Er-Chen Decoction Alleviates High-Fat Diet-Induced Nonalcoholic Fatty Liver Disease in Rats through Remodeling Gut Microbiota and Regulating the Serum Metabolism"],"prefix":"10.1155","volume":"2022","author":[{"given":"Jing","family":"Miao","sequence":"first","affiliation":[{"name":"Tianjin Second People\u2019s Hospital, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liying","family":"Guo","sequence":"additional","affiliation":[{"name":"Tianjin Second People\u2019s Hospital, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huantian","family":"Cui","sequence":"additional","affiliation":[{"name":"Shandong Provincial Key Laboratory of Animal Cell and Developmental Biology, School of Life Sciences, Shandong University, Qingdao, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Wang","sequence":"additional","affiliation":[{"name":"Tianjin Second People\u2019s Hospital, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Zhu","sequence":"additional","affiliation":[{"name":"Tianjin Second People\u2019s Hospital, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinyan","family":"Lei","sequence":"additional","affiliation":[{"name":"Tianjin Second People\u2019s Hospital, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Li","sequence":"additional","affiliation":[{"name":"Tianjin Second People\u2019s Hospital, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7782-8437","authenticated-orcid":true,"given":"Jianwei","family":"Jia","sequence":"additional","affiliation":[{"name":"Tianjin Second People\u2019s Hospital, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9471-4252","authenticated-orcid":true,"given":"Zhaiyi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Tianjin University of Traditional Chinese Medicine, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0030668"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2020.03.039"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.3390\/nu13051720"},{"key":"4","first-page":"224","article-title":"Nonalcoholic steatohepatitis clinical research network","volume":"37","year":"2003","journal-title":"Hepatology"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.10446"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1038\/s41575-020-00366-5"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa0907929"},{"key":"8","first-page":"355","article-title":"Different serum lipid adjustment drugs for the treatment of hyperlipidemic fatty liver","volume":"9","author":"M. 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