Aydin A, Sakrak O, Yilmaz T U, Kerem M
Bratisl Lek Listy. 2014;115(4):209-15. doi: 10.4149/bll_2014_049.
Ischemia-reperfusion injury (IR) is associated with a high morbidity and mortality. Several agents have been used to protect the liver after IR. We aimed to investigated the effects of the Hypericum perforatum on IR of the liver.
A total of 62 wistar-albino male rats in 4 groups were used. Sham group (n: 8). Control group (IR, n: 18) was underwent partially liver ischemia and reperfusion (IR). Carboxymethyl cellulose group (CMC n: 18) was given 0.5 % carboxymethyl cellulose before IR for a week. Hypericum perforatum group (HP, n:18) was given 0.5 % carboxymethyl cellulose supplemental the extract of Hypericum perforatum before IR for a week. Blood and liver samples were obtained before ischemia, and 1, 2, 4 hours after the reperfusion. AST, ALT, LDH, TNF-α, IL-6, MDA and advanced oxidation protein products(AOPP) levels were determined in blood samples. Histological evaluation and tissue MDA, AOPP levels were determined.
Blood levels of ALT, TNF-α, IL-6 and MDA were significantly low in HP group compared with IR and CMC groups (p < 0.05). There was no difference between the liver injury scrores of IR and CMC groups (p > 0.05).
[corrected] These results indicate that H. perforatum can protect the liver against IR. As antioxidative agent, Hypericum perforatum has both local and systemic protective effects in ischemia reperfusion injury (Tab. 1, Fig. 4, Ref. 31).
缺血再灌注损伤(IR)与高发病率和死亡率相关。几种药物已被用于在IR后保护肝脏。我们旨在研究贯叶连翘对肝脏IR的影响。
总共使用了62只雄性Wistar白化大鼠,分为4组。假手术组(n = 8)。对照组(IR,n = 18)进行部分肝脏缺血再灌注(IR)。羧甲基纤维素组(CMC,n = 18)在IR前一周给予0.5%羧甲基纤维素。贯叶连翘组(HP,n = 18)在IR前一周给予0.5%羧甲基纤维素补充贯叶连翘提取物。在缺血前以及再灌注后1、2、4小时采集血液和肝脏样本。测定血液样本中的谷草转氨酶(AST)、谷丙转氨酶(ALT)、乳酸脱氢酶(LDH)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、丙二醛(MDA)和晚期氧化蛋白产物(AOPP)水平。进行组织学评估并测定组织MDA、AOPP水平。
与IR组和CMC组相比,HP组血液中ALT、TNF-α、IL-6和MDA水平显著降低(p < 0.05)。IR组和CMC组的肝损伤评分无差异(p > 0.05)。
这些结果表明贯叶连翘可以保护肝脏免受IR损伤。作为抗氧化剂,贯叶连翘在缺血再灌注损伤中具有局部和全身保护作用(表1,图4,参考文献31)。