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评估瘦素在对乙酰氨基酚中毒相关肝损伤情况下对肝损伤的影响。

Assessing the Effect of Leptin on Liver Damage in Case of Hepatic Injury Associated with Paracetamol Poisoning.

作者信息

Polat Murat, Cerrah Serkan, Albayrak Bulent, Ipek Serkan, Arabul Mahmut, Aslan Fatih, Yilmaz Omer

机构信息

Department of Internal Medicine, Erzurum Ataturk University, Yakutiye, 25240 Erzurum, Turkey.

Department of Gastroenterology, Erzurum Ataturk University, Yakutiye, 25240 Erzurum, Turkey.

出版信息

Gastroenterol Res Pract. 2015;2015:357360. doi: 10.1155/2015/357360. Epub 2015 Nov 30.

Abstract

Background Aim. In case of high-dose acetaminophen intake, the active metabolite can not bind to the glutathione, thereby inducing cellular necrosis through binding to the cytosol proteins. This trial was performed to histologically and biochemically investigate whether leptin was protective against liver damage induced by paracetamol at toxic doses. Material and Method. In our trial, 30 female rats, divided into 5 groups, were used. IP leptin administration was performed after an hour in the group of rats, in which paracetamol poisoning was induced. The groups were as follows: Group 1: the control group, Group 2: 20 µg/kg leptin, Group 3: 2 g/kg paracetamol, Group 4: 2 g/kg paracetamol + 10 µg/kg leptin, and Group 5: 2 g/kg paracetamol + 20 µg/kg leptin. Results. The most significant increase was observed in the PARA 2 g/kg group, while the best improvement among the treatment groups occurred in the PARA 2 g/kg + LEP 10 µg/kg group (p < 0.05). While the most significant glutathione (GSH) reduction was observed in the PARA 2 g/kg group, the best improvement was in the PARA 2 g/kg + LEP 10 µg/kg group (p < 0.05). Conclusion. Liver damage occurring upon paracetamol poisoning manifests with hepatocyte breakdown occurring as a result of inflammation and oxidative stress. Leptin can prevent this damage thanks to its antioxidant and anti-inflammatory efficacy.

摘要

背景目的。在高剂量对乙酰氨基酚摄入的情况下,活性代谢产物无法与谷胱甘肽结合,从而通过与胞浆蛋白结合诱导细胞坏死。本试验旨在从组织学和生物化学角度研究瘦素是否对中毒剂量的对乙酰氨基酚诱导的肝损伤具有保护作用。材料与方法。在我们的试验中,使用了30只雌性大鼠,分为5组。在诱导对乙酰氨基酚中毒的大鼠组中,1小时后进行腹腔注射瘦素。分组如下:第1组:对照组,第2组:20μg/kg瘦素,第3组:2g/kg对乙酰氨基酚,第4组:2g/kg对乙酰氨基酚+10μg/kg瘦素,第5组:2g/kg对乙酰氨基酚+20μg/kg瘦素。结果。在2g/kg对乙酰氨基酚组中观察到最显著的增加,而在治疗组中,2g/kg对乙酰氨基酚+10μg/kg瘦素组改善最佳(p<0.05)。在2g/kg对乙酰氨基酚组中观察到谷胱甘肽(GSH)减少最为显著,而在2g/kg对乙酰氨基酚+10μg/kg瘦素组中改善最佳(p<0.05)。结论。对乙酰氨基酚中毒时发生的肝损伤表现为由于炎症和氧化应激导致的肝细胞分解。由于其抗氧化和抗炎功效,瘦素可以预防这种损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a66e/4677191/ce8de99e47bb/GRP2015-357360.001.jpg

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