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醋酸美替诺龙对硫代乙酰胺诱导的肝硬化的实验性治疗。一项形态学和生物化学研究。

Experimental treatment of thioacetamide-induced liver cirrhosis by metenolone acetate. A morphological and biochemical study.

作者信息

Kretzschmar M, Machnik G, Müller A, Splinter F K, Zimmermann T, Klinger W

机构信息

Institute of Pharmacology and Toxicology, Friedrich Schiller University Jena F.R.G.

出版信息

Exp Pathol. 1991;42(1):37-46. doi: 10.1016/s0232-1513(11)80036-8.

Abstract

The influence of metenolone acetate (1 mg/kg b.m. orally) on intact and chronically thioacetamide-injured rat liver (experimental liver cirrhosis) was investigated over 14 d. Histological examination revealed nodular transformation of liver structure according to cirrhosis like lesions with hepatocellular and cholangiocellular proliferations. These structural alterations were more serious in the group treated with metenolone compared with the group without metenolone. Metanolone administration to animals with thioacetamide-induced experimental liver cirrhosis led to an increase in liver injury. This treatment seems to promote hepatic preneoplastic lesions induced by thioacetamide reflected by histology and induction of gamma-glutamyltranspeptidase and 7-ethoxycoumarin O-deethylase in injured livers. Metenolone did not interfere directly with the processes of connective tissue synthesis and degradation after thioacetamide pretreatment. Only little changes of the investigated biochemical parameters were seen after metenolone administration to animals with intact liver function: increases in serum cholinesterase and tissue N-acetyl-beta-D-glucosaminidase activity; decreases in N-acetyl-beta-D-glucosaminidase in serum, liver hydroxyproline content and hepatic gamma-glutamyltranspeptidase activity. The observed changes reflect hepatic adaption processes under the influence of metenolone. The results of this study indicate that the risk of anabolic steroids in adjuvant therapy of liver cirrhosis cannot be calculated at present.

摘要

研究了醋酸美睾酮(1毫克/千克体重,口服)对正常大鼠及硫代乙酰胺慢性损伤大鼠肝脏(实验性肝硬化)的影响,观察期为14天。组织学检查显示,肝脏结构呈结节样改变,符合肝硬化样病变,伴有肝细胞和胆管细胞增生。与未使用美睾酮的组相比,使用美睾酮的组这些结构改变更为严重。对硫代乙酰胺诱导的实验性肝硬化动物给予美睾酮导致肝损伤增加。这种治疗似乎促进了硫代乙酰胺诱导的肝脏肿瘤前病变,这在组织学上以及损伤肝脏中γ-谷氨酰转肽酶和7-乙氧基香豆素O-脱乙基酶的诱导中得到体现。美睾酮在硫代乙酰胺预处理后并未直接干扰结缔组织的合成和降解过程。对肝功能正常的动物给予美睾酮后,所研究的生化参数仅有微小变化:血清胆碱酯酶和组织N-乙酰-β-D-氨基葡萄糖苷酶活性增加;血清中N-乙酰-β-D-氨基葡萄糖苷酶、肝脏羟脯氨酸含量和肝脏γ-谷氨酰转肽酶活性降低。观察到的变化反映了在美睾酮影响下的肝脏适应过程。本研究结果表明,目前无法计算合成代谢类固醇在肝硬化辅助治疗中的风险。

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