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肝炎平对大鼠肝纤维化影响的实验研究

Experimental study of effect of Ganyanping on fibrosis in rat livers.

作者信息

Tang Wang-Xian, Dan Zi-Li, Yan Hong-Mei, Wu Cui-Huan, Zhang Guo, Liu Mei, Li Qin, Li Shao-Bai

机构信息

Institute of Liver Diseases, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei Province, China.

出版信息

World J Gastroenterol. 2003 Jun;9(6):1292-5. doi: 10.3748/wjg.v9.i6.1292.

Abstract

AIM

To observe the effects of Ganyanping on CCl(4)-induced hepatic fibrosis in rats.

METHODS

The rats were separated randomly into five groups. Groups A to group D, each consisting of 15 rats, were for different tests, while 8 rats were used as normal controls (N). For group D, CCl(4) was injected subcutaneously, at a dosage of 3 ml/kg for 9 weeks. For group A, Ganyanping was administered via gastric tube at a dosage of 10 ml/kg. For group B, the treatment with Ganyanping was started 4 weeks after CCl(4) administration. In group C, Ganyanping was administered 8 weeks after the intoxication, and treatment lasted for 4 weeks. Liver tissues were fixed in 10 % formalin and embedded in paraffin. Pathologic changes, particularly fibrosis, were evaluated on the HE and V-G-stained sections. Ten middle-power fields were randomly selected for assessment of collagen deposition.

RESULTS

Loss of normal hepatic architecture, some with pseudo-lobule formation, was observed in group D, while hepatocytes steatosis and fibrosis were less pronounced in the animals treated with Ganyanping. Pseudo-lobule formation was not evident in the latter groups. The total collagen area and ratio were 840.23+/-81.65 and 7.0+/-0.9, respectively in group D, the ratio being reduced greatly in the Ganyanping-treated groups (148.73+/-45.89 and 1.16+/-0.33, respectively). The activities of MAO and ACP were elevated and that of SDH in group D decreased in the hepatic tissue as compared to the control group. The treatment with Ganyanping abrogated these enzymatic changes.

CONCLUSION

Our data approved that Ganyanping could improve the microcirculation in the liver, reduce oxygen-derived free radicals, and enhance the cellular metabolism and immune function, all resulting in an anti-fibrotic effect. Hence, Ganyanping can protect the liver from fibrosis. It may be a safe and effective preparation for patient with fibrosis.

摘要

目的

观察肝炎平对四氯化碳诱导的大鼠肝纤维化的影响。

方法

将大鼠随机分为五组。A组至D组,每组15只大鼠,用于不同实验,另8只大鼠作为正常对照(N)。D组皮下注射四氯化碳,剂量为3 ml/kg,持续9周。A组经胃管给予肝炎平,剂量为10 ml/kg。B组在四氯化碳给药4周后开始用肝炎平治疗。C组在中毒8周后给予肝炎平,治疗持续4周。肝组织用10%福尔马林固定,石蜡包埋。在苏木精-伊红(HE)和维多利亚蓝-姬姆萨(V-G)染色切片上评估病理变化,尤其是纤维化。随机选择10个中倍视野评估胶原沉积。

结果

D组观察到正常肝结构丧失,部分形成假小叶,而肝炎平治疗的动物中肝细胞脂肪变性和纤维化不太明显。后几组中未明显见到假小叶形成。D组总胶原面积和比例分别为840.23±81.65和7.0±0.9,肝炎平治疗组的比例大幅降低(分别为148.73±45.89和1.16±0.33)。与对照组相比,D组肝组织中单胺氧化酶(MAO)和酸性磷酸酶(ACP)活性升高,琥珀酸脱氢酶(SDH)活性降低。肝炎平治疗消除了这些酶变化。

结论

我们的数据证明肝炎平可改善肝脏微循环,减少氧自由基,增强细胞代谢和免疫功能,所有这些均导致抗纤维化作用。因此,肝炎平可保护肝脏免受纤维化。它可能是一种对纤维化患者安全有效的制剂。

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