Gastroenterology Institute, Assaf Harofeh Medical Center, Zerifin 70300, Israel.
World J Gastroenterol. 2013 Jan 14;19(2):241-8. doi: 10.3748/wjg.v19.i2.241.
To examine whether the administration of atorvastatin and rosuvastatin would prevent experimentally-induced hepatic cirrhosis in rats.
Liver cirrhosis was induced by injections of thioacetamide (TAA). Rats were treated concurrently with TAA alone or TAA and either atorvastatin (1,10 and 20 mg/kg) or rosuvastatin (1, 2.5, 5, 10 and 20 mg/kg) given daily by nasogastric gavage.
Liver fibrosis and hepatic hydroxyproline content, in the TAA-treated group was significantly higher than those of the controls [11.5 ± 3.2 vs 2.6 ± 0.6 mg/g protein (P = 0.02)]. There were no differences in serum aminotransferase levels in the TAA controls compared to all the groups treated concomitantly by statins. Both statins used in our study did not prevent liver fibrosis or reduce portal hypertension, and had no effect on hepatic oxidative stress. Accordingly, the hepatic level of malondialdehyde was not lower in those groups treated by TAA + statins compared to TAA only. In vitro studies, using the BrdU method have shown that atorvastatin had no effect of hepatic stellate cells proliferation. Nevertheless, statin treatment was not associated with worsening of liver damage, portal hypertension or survival rate.
Atorvastatin or rosuvastatin did not inhibit TAA-induced liver cirrhosis or oxidative stress in rats. Whether statins may have therapeutic applications in hepatic fibrosis due to other etiologies deserve further investigation.
观察阿托伐他汀和瑞舒伐他汀是否能预防大鼠实验性肝硬变。
通过硫代乙酰胺(TAA)注射诱导肝硬变。大鼠同时给予 TAA 单独或 TAA 和阿托伐他汀(1、10 和 20mg/kg)或瑞舒伐他汀(1、2.5、5、10 和 20mg/kg)经鼻胃管给药。
TAA 治疗组肝纤维化和肝羟脯氨酸含量明显高于对照组[11.5 ± 3.2 比 2.6 ± 0.6mg/g 蛋白(P = 0.02)]。TAA 对照组的血清转氨酶水平与所有同时用他汀类药物治疗的组无差异。本研究中使用的两种他汀类药物均不能预防肝纤维化或降低门脉高压,对肝氧化应激也没有影响。因此,与 TAA 单独治疗组相比,TAA + 他汀类药物治疗组肝内丙二醛水平并没有降低。体外研究,用 BrdU 法表明,阿托伐他汀对肝星状细胞增殖没有影响。然而,他汀类药物治疗与肝损伤、门脉高压或生存率的恶化无关。
阿托伐他汀或瑞舒伐他汀不能抑制 TAA 诱导的大鼠肝硬变或氧化应激。他汀类药物是否可能对其他病因引起的肝纤维化有治疗作用,值得进一步研究。