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抗氧化剂对慢性丙型肝炎的肝保护作用。

Hepatoprotective effects of antioxidants in chronic hepatitis C.

出版信息

World J Gastroenterol. 2010 Apr 21;16(15):1937-8. doi: 10.3748/wjg.v16.i15.1937.

DOI:10.3748/wjg.v16.i15.1937
PMID:20397276
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2856839/
Abstract

We have read with interest the paper published in issue 2, volume 16 of World Journal of Gastroenterology 2010 by Nakamura et al, demonstrating that the antioxidant resveratrol (RVT) enhances hepatitis C virus (HCV) replication, consequently, they conclude that RVT is not a suitable antioxidant therapy for HCV chronic infection. The data raise some concern regarding the use of complementary and alternative medicine since the most frequent supplements taken by these patients are antioxidants or agents that may be beneficial for different chronic liver diseases. A recent study by Vidali et al on oxidative stress and steatosis in the progression of chronic hepatitis C concludes that oxidative stress and insulin resistance contribute to steatosis, thus accelerating the progression of fibrosis. We are particularly interested in investigating how the oxidative and nitrosative stress mechanisms are involved in the pathogenesis of different chronic liver diseases.

摘要

我们饶有兴趣地阅读了 Nakamura 等人在 2010 年第 16 卷第 2 期《世界胃肠病学杂志》上发表的论文,该论文表明抗氧化剂白藜芦醇(RVT)可增强丙型肝炎病毒(HCV)的复制,因此他们得出结论,RVT 不适合用于 HCV 慢性感染的抗氧化治疗。由于这些患者最常服用的补充剂是抗氧化剂或可能对不同慢性肝病有益的药物,因此这些数据引发了对补充和替代医学使用的一些担忧。Vidali 等人最近关于慢性丙型肝炎进展中的氧化应激和脂肪变性的研究得出结论,氧化应激和胰岛素抵抗导致脂肪变性,从而加速纤维化的进展。我们特别感兴趣的是研究氧化和硝化应激机制如何参与不同慢性肝病的发病机制。

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本文引用的文献

1
An antioxidant resveratrol significantly enhanced replication of hepatitis C virus.抗氧化剂白藜芦醇显著增强丙型肝炎病毒的复制。
World J Gastroenterol. 2010 Jan 14;16(2):184-92. doi: 10.3748/wjg.v16.i2.184.
2
Interplay between oxidative stress and hepatic steatosis in the progression of chronic hepatitis C.慢性丙型肝炎进展过程中氧化应激与肝脂肪变性之间的相互作用。
J Hepatol. 2008 Mar;48(3):399-406. doi: 10.1016/j.jhep.2007.10.011. Epub 2007 Dec 3.
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Pathophysiological basis for antioxidant therapy in chronic liver disease.慢性肝病抗氧化治疗的病理生理基础。
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The contemporary role of antioxidant therapy in attenuating liver ischemia-reperfusion injury: a review.抗氧化疗法在减轻肝脏缺血再灌注损伤中的当代作用:综述
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5
Treatment of chronic hepatitis C virus infection via antioxidants: results of a phase I clinical trial.通过抗氧化剂治疗慢性丙型肝炎病毒感染:一项I期临床试验的结果。
J Clin Gastroenterol. 2005 Sep;39(8):737-42. doi: 10.1097/01.mcg.0000174023.73472.29.
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N-Acetyl-cysteine modulates inducible nitric oxide synthase gene expression in human hepatocytes.N-乙酰半胱氨酸调节人肝细胞中诱导型一氧化氮合酶基因的表达。
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S-Adenosylmethionine modulates inducible nitric oxide synthase gene expression in rat liver and isolated hepatocytes.S-腺苷甲硫氨酸调节大鼠肝脏和分离的肝细胞中诱导型一氧化氮合酶基因的表达。
J Hepatol. 2001 Dec;35(6):692-9. doi: 10.1016/s0168-8278(01)00208-2.
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Intrahepatic expression of inducible nitric oxide synthase in acute liver allograft rejection: evidence of modulation by corticosteroids.
Liver Transpl. 2001 Jan;7(1):16-21. doi: 10.1053/jlts.2001.20779.
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Intrahepatic accumulation of nitrotyrosine in chronic viral hepatitis is associated with histological severity of liver disease.慢性病毒性肝炎中肝内硝基酪氨酸的蓄积与肝脏疾病的组织学严重程度相关。
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