Imberti R, Mapelli A, Colombo P, Richelmi P, Bertè F, Bellomo G
Servizio di Anestesia e Rianimazione II, IRCCS Policlinico S. Matteo, Italy.
Arch Toxicol. 1990;64(6):459-65. doi: 10.1007/BF01977627.
Acute 1,2-dichloropropane (DCP) poisoning in humans is relatively frequent in Italy, where DCP is widely diffused as a constituent of commercial solvents and dry cleaners. In this study we have investigated the effects of DCP on intracellular glutathione (GSH) content in main target tissues of male Wistar rats, i.e. liver, kidney and blood, in order to establish if a correlation between DCP-induced GSH depletion and tissue damage exists. Administration of DCP (2 ml/kg body weight orally) caused a dramatic loss of tissue GSH occurring 24 h after DCP intoxication, followed by a slow restoration approaching physiological levels after 96 h. GSH depletion was associated with a marked increase in serum GOT, GPT, 5'-nucleotidase, gamma-glutamyl transpeptidase, alkaline phosphatase, urea and creatinine, and a significant degree of hemolysis. When animals were pretreated with a GSH depleting agent, buthionine-sulfoximine (BSO) (0.5 g/kg body weight) i.p. 4 h before DCP intoxication, an increase of overall mortality was found, significantly different from the group of animals treated with DCP alone. On the contrary, the administration of a GSH precursor, N-acetylcysteine (NAC) i.p. (250 mg/kg body weight) 2 and 16 h after DCCP intoxication prevented the dramatic loss of cellular GSH and reduced the extent of injury in target tissues, as demonstrated by laboratory indices. Furthermore, statistical analysis of the data revealed a correlation between: (1) depletion of liver GSH and increase in serum GOT, GPT, 5'-nucleotidase, (2) depletion of kidney GSH and increase in serum urea and creatinine and (3) depletion of blood GSH and the occurrence of hemolysis.(ABSTRACT TRUNCATED AT 250 WORDS)
在意大利,人类急性1,2 - 二氯丙烷(DCP)中毒较为常见,DCP作为商业溶剂和干洗清洁剂的成分广泛传播。在本研究中,我们调查了DCP对雄性Wistar大鼠主要靶组织(即肝脏、肾脏和血液)细胞内谷胱甘肽(GSH)含量的影响,以确定DCP诱导的GSH消耗与组织损伤之间是否存在相关性。口服给予DCP(2 ml/kg体重)导致DCP中毒后24小时组织GSH急剧损失,随后在96小时后缓慢恢复至生理水平。GSH消耗与血清谷草转氨酶、谷丙转氨酶、5'-核苷酸酶、γ-谷氨酰转肽酶、碱性磷酸酶、尿素和肌酐显著升高以及明显程度的溶血有关。当动物在DCP中毒前4小时腹腔注射GSH消耗剂丁硫氨酸 - 亚砜胺(BSO)(0.5 g/kg体重)时,发现总体死亡率增加,与仅用DCP处理的动物组有显著差异。相反,在DCCP中毒后2小时和16小时腹腔注射GSH前体N - 乙酰半胱氨酸(NAC)(250 mg/kg体重)可防止细胞GSH的急剧损失,并减少靶组织的损伤程度,实验室指标已证明这一点。此外,数据的统计分析显示:(1)肝脏GSH消耗与血清谷草转氨酶、谷丙转氨酶、5'-核苷酸酶升高之间;(2)肾脏GSH消耗与血清尿素和肌酐升高之间;(3)血液GSH消耗与溶血发生之间存在相关性。(摘要截短为250字)