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N-乙酰半胱氨酸对环磷酰胺诱导的大鼠心脏毒性的保护作用。

Protective effect of N-acetylcysteine on cyclophosphamide-induced cardiotoxicity in rats.

作者信息

Mansour Heba H, El Kiki Shereen M, Hasan Hesham F

机构信息

Health Radiation Research Department, National Center for Radiation Research and Technology, PO Box 29, Nasr City, Cairo, Egypt.

Health Radiation Research Department, National Center for Radiation Research and Technology, PO Box 29, Nasr City, Cairo, Egypt.

出版信息

Environ Toxicol Pharmacol. 2015 Sep;40(2):417-22. doi: 10.1016/j.etap.2015.07.013. Epub 2015 Jul 21.

Abstract

Cyclophosphamide (CP) is an oxazaphosphorine nitrogen mustard alkylating drug used for the treatment of chronic and acute leukemias, lymphoma, myeloma, and cancers of the breast and ovary. It is known to cause severe cardiac toxicity. This study investigated the protective effect of N-Acetylcysteine (NAC) on CP-induced cardiotoxicity in rats. CP resulted in a significant increase in serum aminotransferases, creatine kinase (CK), lactate dehydrogenase(LDH) enzymes, asymmetric dimethylarginine and tumor necrosis factor-α and significant decrease in total nitrate/nitrite(NOx). In cardiac tissues, a single dose of CP (200mg/kg, i.p.) resulted in significant increase in malondialdehyde and NOx and a significant decrease in reduced glutathione content, glutathione peroxidase, catalase, and superoxide dismutase activities. Interestingly, Administration of NAC (200mg/kg, i.p.) for 5 days prior to CP attenuates all the biochemical changes induced by CP. These results revealed that NAC attenuates CP-induced cardiotoxicity by inhibiting oxidative and nitrosative stress and preserving the activity of antioxidant enzymes.

摘要

环磷酰胺(CP)是一种恶唑磷氮芥类氮芥烷化剂药物,用于治疗慢性和急性白血病、淋巴瘤、骨髓瘤以及乳腺癌和卵巢癌。已知它会引起严重的心脏毒性。本研究调查了N-乙酰半胱氨酸(NAC)对CP诱导的大鼠心脏毒性的保护作用。CP导致血清转氨酶、肌酸激酶(CK)、乳酸脱氢酶(LDH)、不对称二甲基精氨酸和肿瘤坏死因子-α显著升高,总硝酸盐/亚硝酸盐(NOx)显著降低。在心脏组织中,单次注射CP(200mg/kg,腹腔注射)导致丙二醛和NOx显著增加,还原型谷胱甘肽含量、谷胱甘肽过氧化物酶、过氧化氢酶和超氧化物歧化酶活性显著降低。有趣的是,在CP给药前5天腹腔注射NAC(200mg/kg)可减轻CP诱导的所有生化变化。这些结果表明,NAC通过抑制氧化应激和亚硝化应激并维持抗氧化酶的活性来减轻CP诱导的心脏毒性。

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