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N-乙酰半胱氨酸对非酒精性脂肪性肝病大鼠部分肝切除术后再生的影响。

Effects of N-acetylcysteine on regeneration following partial hepatectomy in rats with nonalcoholic fatty liver disease.

作者信息

Uzun Mehmet Ali, Koksal Neset, Kadioglu Huseyin, Gunerhan Yusuf, Aktas Suat, Dursun Nevra, Sehirli Ahmet Ozer

机构信息

Second Department of General Surgery, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.

出版信息

Surg Today. 2009;39(7):592-7. doi: 10.1007/s00595-008-3930-4. Epub 2009 Jun 28.

Abstract

PURPOSE

To investigate the effect of N-acetylcysteine on regeneration following partial hepatectomy in rats with nonalcoholic fatty liver disease (NAFLD).

METHODS

N-Acetylcysteine was given to seven rats with NAFLD (group 1); physiological saline was given to seven rats with NAFLD (group 2); and physiological saline was given to seven rats with a normal liver (group 3). We performed two-thirds hepatectomy in all rats and removed the remnant liver tissue 48 h later to measure the mitotic index (MI), proliferating cell nuclear antigen, glutathione (GSH), and malondialdehyde (MDA) levels.

RESULTS

Mitotic index values were significantly higher in group 1 than in groups 2 and 3, and higher in group 3 than in group 2. Proliferating cell nuclear antigen values were significantly higher in group 1 than in group 2, but no significant difference was found in comparison with group 3. Glutathione values in group 1 were significantly higher than in group 2 and MDA values in group 1 were lower than in group 2. There was no significant difference between groups 1 and 3 in GSH and MDA values, in both the two-thirds hepatectomy and 48-h tissues.

CONCLUSIONS

N-Acetylcysteine enhanced regeneration after partial hepatectomy in rats with NAFLD. We believe that it exerted this effect through its influence on oxidative stress.

摘要

目的

研究N-乙酰半胱氨酸对非酒精性脂肪性肝病(NAFLD)大鼠部分肝切除术后肝脏再生的影响。

方法

给7只患有NAFLD的大鼠(第1组)给予N-乙酰半胱氨酸;给7只患有NAFLD的大鼠(第2组)给予生理盐水;给7只肝脏正常的大鼠(第3组)给予生理盐水。对所有大鼠进行三分之二肝切除术,48小时后取出残余肝组织,测量有丝分裂指数(MI)、增殖细胞核抗原、谷胱甘肽(GSH)和丙二醛(MDA)水平。

结果

第1组的有丝分裂指数值显著高于第2组和第3组,第3组高于第2组。第1组的增殖细胞核抗原值显著高于第2组,但与第3组相比无显著差异。第1组的谷胱甘肽值显著高于第2组,第1组的丙二醛值低于第2组。在三分之二肝切除术和48小时组织中,第1组和第3组的谷胱甘肽和丙二醛值均无显著差异。

结论

N-乙酰半胱氨酸增强了NAFLD大鼠部分肝切除术后的肝脏再生。我们认为它通过对氧化应激的影响发挥了这种作用。

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