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本文引用的文献

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Pravastatin for thioacetamide-induced hepatic failure and encephalopathy.普伐他汀治疗硫代乙酰胺诱导的肝衰竭和脑病。
Eur J Clin Invest. 2012 Feb;42(2):139-45. doi: 10.1111/j.1365-2362.2011.02566.x. Epub 2011 Jul 12.
2
Pitavastatin inhibits hepatic steatosis and fibrosis in non-alcoholic steatohepatitis model rats.匹伐他汀可抑制非酒精性脂肪性肝炎模型大鼠的肝脂肪变性和肝纤维化。
Hepatol Res. 2011 Apr;41(4):375-85. doi: 10.1111/j.1872-034X.2010.00769.x. Epub 2011 Jan 30.
3
Atorvastatin attenuates hepatic fibrosis in rats after bile duct ligation via decreased turnover of hepatic stellate cells.阿托伐他汀通过减少肝星状细胞的转化来减轻胆管结扎大鼠的肝纤维化。
J Hepatol. 2010 Oct;53(4):702-12. doi: 10.1016/j.jhep.2010.04.025. Epub 2010 Jun 18.
4
Synergistic antifibrotic efficacy of statin and protein kinase C inhibitor in hepatic fibrosis.他汀类药物和蛋白激酶 C 抑制剂在肝纤维化中的协同抗纤维化作用。
Am J Physiol Gastrointest Liver Physiol. 2010 Jan;298(1):G126-32. doi: 10.1152/ajpgi.00299.2009. Epub 2009 Nov 12.
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Cholesterol-induced stimulation of postinflammatory liver fibrosis.
Bull Exp Biol Med. 2008 Jun;145(6):692-5. doi: 10.1007/s10517-008-0175-6.
6
Atorvastatin lowers portal pressure in cirrhotic rats by inhibition of RhoA/Rho-kinase and activation of endothelial nitric oxide synthase.阿托伐他汀通过抑制RhoA/ Rho激酶和激活内皮型一氧化氮合酶降低肝硬化大鼠的门静脉压力。
Hepatology. 2007 Jul;46(1):242-53. doi: 10.1002/hep.21673.
7
Measurement of liver collagen synthesis by heavy water labeling: effects of profibrotic toxicants and antifibrotic interventions.通过重水标记测量肝脏胶原合成:促纤维化毒物和抗纤维化干预措施的影响
Am J Physiol Gastrointest Liver Physiol. 2007 Jun;292(6):G1695-705. doi: 10.1152/ajpgi.00209.2006. Epub 2007 Mar 8.
8
Oxidative stress in the development of liver cirrhosis: a comparison of two different experimental models.肝硬化发展过程中的氧化应激:两种不同实验模型的比较
J Gastroenterol Hepatol. 2006 Jun;21(6):947-57. doi: 10.1111/j.1440-1746.2006.04231.x.
9
Tissue-specific effects of statins on the expression of heme oxygenase-1 in vivo.他汀类药物在体内对血红素加氧酶-1表达的组织特异性影响。
Biochem Biophys Res Commun. 2006 May 12;343(3):738-44. doi: 10.1016/j.bbrc.2006.03.036. Epub 2006 Mar 20.
10
Alcohol and oxidative liver injury.酒精与肝脏氧化损伤
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阿托伐他汀和瑞舒伐他汀不能预防硫代乙酰胺诱导的大鼠肝硬化。

Atorvastatin and rosuvastatin do not prevent thioacetamide induced liver cirrhosis in rats.

机构信息

Gastroenterology Institute, Assaf Harofeh Medical Center, Zerifin 70300, Israel.

出版信息

World J Gastroenterol. 2013 Jan 14;19(2):241-8. doi: 10.3748/wjg.v19.i2.241.

DOI:10.3748/wjg.v19.i2.241
PMID:23345947
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3547559/
Abstract

AIM

To examine whether the administration of atorvastatin and rosuvastatin would prevent experimentally-induced hepatic cirrhosis in rats.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

目的

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。

方法

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。

结果

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。

结论

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。