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实验性硫代乙酰胺诱导的肝硬化

Experimental thioacetamide-induced cirrhosis of the liver.

作者信息

Muñoz Torres E, Paz Bouza J I, López Bravo A, Abad Hernández M M, Carrascal Marino E

机构信息

Department of Pathology, Faculty of Medicine, University of Salamanca, Spain.

出版信息

Histol Histopathol. 1991 Jan;6(1):95-100.

PMID:1806061
Abstract

Hepatic cirrhosis is a complex disease in which several biological, biochemical and chemical alterations are combined, none of these alone being sufficient for diagnosis. The morphological characteristics of the final stages of cirrhosis are well known, but the initial lesions and intermediate stages still have not been fully clarified. An experimental model of hepatic cirrhosis by chronic administration over 30 weeks of thioacetamide (50 mg/kg twice weekly) to female Wistar rats has been produced. In a macroscopic, microscopic and ultrastructural study. The different lesions that appeared were evaluated according to the dose of the toxic agent administered up, until hepatic cirrhosis was finally installed; this was after 60 doses of the toxic agent (30 weeks). Discussion is made of the different types of administration and the doses employed to obtain a suitable survival rate for these cases; in our experiments this was 95%. It has been demonstrated in both human and experimental pathology that once the disease itself has been installed, currently there is no rational or useful treatment for it. A beneficial effect has been demonstrated for certain substances, improving the initial and intermediate lesions, so we conclude by stating that it is necessary to further study the hepatic lesions preceeding cirrhosis. Knowledge of these lesions could form the basis for establishing a useful and rational therapy for such cases.

摘要

肝硬化是一种复杂的疾病,它合并了多种生物学、生物化学和化学改变,其中任何一种改变都不足以单独用于诊断。肝硬化终末期的形态学特征已为人熟知,但初始病变和中间阶段仍未完全阐明。通过对雌性Wistar大鼠每周两次慢性给予硫代乙酰胺(50毫克/千克),持续30周,建立了肝硬化实验模型。在一项宏观、微观和超微结构研究中,根据所给予的有毒物质剂量,对出现的不同病变进行评估,直至最终形成肝硬化;这是在给予60剂有毒物质(30周)之后。讨论了不同的给药类型和为这些病例获得合适存活率所采用的剂量;在我们的实验中,这一存活率为95%。在人类和实验病理学中均已证明,一旦疾病本身形成,目前尚无合理或有效的治疗方法。已证明某些物质具有有益作用,可改善初始和中间病变,因此我们得出结论,有必要进一步研究肝硬化之前的肝脏病变。了解这些病变可为建立针对此类病例的有用且合理的治疗方法奠定基础。

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