Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Eur Rev Med Pharmacol Sci. 2013 May;17(10):1305-10.
Cholestatic liver diseases are characterized by impaired hepatocellular secretion of bile, resulting in intracellular accumulation of bile acids which result in a shift in the oxidant/prooxidant balance in favor of increased free radical activity and injury of different tissues including liver and intestine. The aim of this research was to study protective effect of lipoic acid (LA) as a potent antioxidant in cholestsis induced hepatic and intestinal injury in rats.
Forty five adult male Wistar rats were randomly assigned to four groups each containing fifteen rats as follows: sham operation (SO) (control), bile duct ligating (BDL), and BDL+LA (25 mg/kg). After fourteen days hepatic and intestinal tissue sampled and blood serum sampled for pathologic and biochemical studies.
Levels of SOD and GPx antioxidant enzymes were higher in BDL+LA group comparing to BDL group, levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST) and γ-glutamyltranspeptidase (GGT), and pathologic scores in liver and intestine were lower in BDL+LA group comparing to BDL group significantly, but there is no significant difference in concentrations of total bilirubin between groups.
Our results showed the protective potential of LA with liver and intestine damage. Despite improvements in operative technique and the development of potent, broad-spectrum antibiotics, biliary tract surgery in patients with obstructive jaundice is still associated with high morbidity and mortality rates In summary, our results show that BDL induced hepatic and intestinal injury were significantly attenuated by LA administration and the administration of LA could effectively diminish this damage.
胆汁淤积性肝病的特征是肝细胞分泌胆汁功能受损,导致胆汁酸在细胞内蓄积,从而导致氧化应激/促氧化平衡向自由基活性增加和肝、肠等不同组织损伤的方向转移。本研究旨在研究硫辛酸(LA)作为一种有效的抗氧化剂在胆汁淤积诱导的大鼠肝肠损伤中的保护作用。
45 只成年雄性 Wistar 大鼠随机分为 4 组,每组 15 只,分别为:假手术(SO)(对照组)、胆管结扎(BDL)和 BDL+LA(25mg/kg)。14 天后,采集肝、肠组织和血清,进行病理和生化研究。
BDL+LA 组的 SOD 和 GPx 抗氧化酶水平高于 BDL 组,肝、肠组织丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)和γ-谷氨酰转肽酶(GGT)水平以及病理评分均低于 BDL 组,差异有统计学意义,但各组总胆红素浓度无显著差异。
我们的结果表明 LA 对肝和肠损伤具有保护作用。尽管手术技术不断改进,广谱抗生素不断发展,但在梗阻性黄疸患者中进行胆道手术仍然与高发病率和死亡率相关。总之,我们的结果表明,LA 给药可显著减轻 BDL 诱导的肝肠损伤,LA 给药可有效减轻这种损伤。