School of Nutrition and Health Sciences, College of Public Health & Nutrition, Taipei Medical University, Taipei, Taiwan.
Nutrition. 2011 Oct;27(10):1034-9. doi: 10.1016/j.nut.2010.10.019. Epub 2011 Feb 25.
The purpose of this study was to investigate the protective effects of combined treatment of folate and vitamin B12 against alcoholic liver disease.
Male Wistar rats weighing about 160 g were divided into four groups: an ethanol group fed an ethanol liquid diet; a control group pair-fed an isoenergetic diet without ethanol; an ethanol and vitamin group fed an ethanol-containing diet that was supplemented with folate (10 mg/kg of body weight per day) and vitamin B12 (0.5 mg/kg of body weight per day); and a control and vitamin group fed an isoenergetic diet without ethanol, which was supplemented with folate (10 mg/kg of body weight per day) and vitamin B12 (0.5 mg/kg of body weight per day).
After 16 wk, the plasma folate concentration in the ethanol group was significantly lower than in the other three groups. The plasma homocysteine concentration in the ethanol group was significantly higher than in the other three groups. The hepatic matrix metalloproteinase-2 concentration in the ethanol group was significantly higher than in the control and ethanol/vitamin groups. Furthermore, the plasma homocysteine concentration at the 16th week and the hepatic matrix metalloproteinase-2 concentration showed a significant positive correlation in rats of each group. In addition, pathologic evidence of liver fibrosis was observed only in the ethanol group. Furthermore, hepatic cytochrome 2E1 protein expression in group E increased significantly.
These results suggest that combined treatment of folate and vitamin B12 can alleviate alcoholic liver injury that may be related to normalization of plasma homocysteine levels.
本研究旨在探讨叶酸和维生素 B12 联合治疗对酒精性肝病的保护作用。
雄性 Wistar 大鼠体重约 160 g,分为四组:乙醇组给予乙醇液体饮食;对照组给予等热量无乙醇饮食;乙醇加维生素组给予含乙醇饮食,同时补充叶酸(10 mg/kg 体重/天)和维生素 B12(0.5 mg/kg 体重/天);对照组加维生素组给予等热量无乙醇饮食,同时补充叶酸(10 mg/kg 体重/天)和维生素 B12(0.5 mg/kg 体重/天)。
16 周后,乙醇组血浆叶酸浓度明显低于其他三组。乙醇组血浆同型半胱氨酸浓度明显高于其他三组。乙醇组肝基质金属蛋白酶-2 浓度明显高于对照组和乙醇/维生素组。此外,各组大鼠第 16 周时血浆同型半胱氨酸浓度与肝基质金属蛋白酶-2 浓度呈显著正相关。此外,仅在乙醇组观察到肝纤维化的病理证据。此外,E 组肝细胞色素 2E1 蛋白表达显著增加。
这些结果表明,叶酸和维生素 B12 的联合治疗可以减轻酒精性肝损伤,这可能与血浆同型半胱氨酸水平的正常化有关。