Victorrajmohan Chandrasekaran, Pradeep Kannampalli, Karthikeyan Sivanesan
Department of Pharmacology and Environmental Toxicology, Dr ALM Postgraduate Institute of Basic Medical Sciences, University of Madras, Taramani, Chennai, India.
Drugs R D. 2005;6(6):395-400. doi: 10.2165/00126839-200506060-00007.
This study evaluated the influence of simultaneous administration of silymarin (SIL), a hepatoprotective and antioxidant agent, on the status of glutathione (GSH) and its metabolising enzymes in the liver tissue of rats treated with antitubercular drugs, i.e. isoniazid (INH), rifampicin (RIF) and pyrazinamide (PYR).
Male Wistar albino rats (n = 24) were randomly divided into four groups. Group I received saline as they served as controls. Group II rats were administered antitubercular drugs (INH 25 mg/kg + RIF 50 mg/kg + PYR 140 mg/kg orally) daily for 45 days. Group III animals were treated with SIL (50 mg/kg orally) simultaneously with the antitubercular drugs for the same period. Group IV animals were treated with SIL alone. The status of GSH, glutathione peroxidase (GPx), glutathione reductase (GR) and glutathione-s-transferase (GST) in liver tissue was evaluated at the end of the study.
Administration of antitubercular drugs caused a significant decrease (p < 0.001) in the status of GPx, GST and GR and of non-enzymic (GSH) antioxidants in liver tissue when compared with saline-treated control rats. Simultaneous treatment of SIL with antitubercular drugs completely prevented decreases in the levels of all the above parameters. Treatment with SIL alone enhanced the activities of GST (p < 0.001) and GPx (p < 0.05) and did not alter glutathione levels compared with control.
A fall in the status of glutathione and its conjugating enzymes upon administration of antitubercular drugs denotes an impairment of the antioxidant defence mechanism. Simultaneous administration of SIL afforded complete protection of the liver against this abnormality, an effect that could have been due to the strong antioxidant properties of SIL.
本研究评估了同时给予水飞蓟素(SIL)(一种具有肝脏保护和抗氧化作用的药物)对接受抗结核药物(即异烟肼(INH)、利福平(RIF)和吡嗪酰胺(PYR))治疗的大鼠肝脏组织中谷胱甘肽(GSH)及其代谢酶状态的影响。
将24只雄性Wistar白化大鼠随机分为四组。第一组给予生理盐水作为对照。第二组大鼠每天口服抗结核药物(INH 25 mg/kg + RIF 50 mg/kg + PYR 140 mg/kg),持续45天。第三组动物在给予抗结核药物的同时口服SIL(50 mg/kg),持续相同时间。第四组动物单独给予SIL。在研究结束时评估肝脏组织中GSH、谷胱甘肽过氧化物酶(GPx)、谷胱甘肽还原酶(GR)和谷胱甘肽-S-转移酶(GST)的状态。
与生理盐水处理的对照大鼠相比,给予抗结核药物导致肝脏组织中GPx、GST和GR以及非酶促(GSH)抗氧化剂的状态显著降低(p < 0.001)。SIL与抗结核药物同时治疗完全防止了上述所有参数水平的降低。与对照组相比,单独给予SIL可增强GST(p < 0.001)和GPx(p < 0.05)的活性,且不改变谷胱甘肽水平。
给予抗结核药物后谷胱甘肽及其结合酶状态的下降表明抗氧化防御机制受损。同时给予SIL可使肝脏完全免受这种异常影响,这种作用可能归因于SIL强大的抗氧化特性。