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美沙拉嗪对吲哚美辛诱导的炎症性肠病(克罗恩病大鼠模型)形态学和功能变化的影响

Effects of Mesalazine on Morphological and Functional Changes in the Indomethacin-Induced Inflammatory Bowel Disease (Rat Model of Crohn's Disease).

作者信息

Simon Higin, Fischer Tamás, Almási Attila, Fischer Emil

机构信息

Department of Pharmacology and Pharmacotherapy, Medical Faculty, University of Pécs, 12 Szigeti út, Pécs, Hungary.

Department of Pharmaceutical Chemistry, Pharmaceutical Faculty, University of Pécs, 2 Rókus utca, Pécs, Hungary.

出版信息

Pathol Oncol Res. 2017 Jan;23(1):41-46. doi: 10.1007/s12253-016-0069-2. Epub 2016 Jun 13.

Abstract

Morphological and functional changes have been investigated in the rat model of Crohn's disease. The inflammatory bowel disease was induced by indomethacin (1 × 10 mg/kg s.c. for 3 days). Morphological alterations were evaluated by macroscopic scoring system and on the base of histological changes in the small intestine. Functional activities were studied by determination of the intestinal and hepatic elimination of p-Nitrophenol (PNP) and its metabolites (PNP-glucuronide: PNP-G and PNP-sulfate: PNP-S) during the luminal perfusion of PNP. It was found that the indomethacin induced severe macroscopic changes (hyperaemia, petechia, bleeding, erosions, ulcerations) and significant histological alterations in the small intestine of rats which were definitely inhibited by mesalazine (1000 mg/kg by gastric tube for 3 days). Disappearance of PNP from the luminal perfusion solution was diminished by indomethacin which was corrected by administration of mesalazine. Significant depression was found in the luminal appearance of PNP metabolites by giving of indomethacin and these alterations could not be compensated by mesalazine.Hepatic elimination of PNP (biliary excretion of PNP and its metabolites) was decreased definitely by indomethacin which was - at least partly - compensated by mesalazine.The findings of the present study suggest that the indomethacin-induced inflammation in the small intestine represents a useful rat model of Crohn's disease. Morphological and functional alterations caused by indomethacin can be compensated by mesalazine.

摘要

在克罗恩病大鼠模型中对形态学和功能变化进行了研究。通过吲哚美辛(1×10毫克/千克皮下注射,连续3天)诱导炎症性肠病。通过宏观评分系统并基于小肠的组织学变化评估形态学改变。在对硝基苯酚(PNP)进行肠腔灌注期间,通过测定PNP及其代谢产物(PNP-葡萄糖醛酸苷:PNP-G和PNP-硫酸盐:PNP-S)的肠道和肝脏清除率来研究功能活性。发现吲哚美辛在大鼠小肠中诱导了严重的宏观变化(充血、瘀点、出血、糜烂、溃疡)和显著的组织学改变,而美沙拉嗪(1000毫克/千克经胃管给药,连续3天)可明确抑制这些变化。吲哚美辛减少了PNP从肠腔灌注溶液中的消失,而美沙拉嗪给药可纠正这一情况。给予吲哚美辛后,PNP代谢产物的肠腔出现显著降低,且这些改变不能被美沙拉嗪补偿。吲哚美辛明确降低了PNP的肝脏清除率(PNP及其代谢产物的胆汁排泄),而美沙拉嗪至少部分补偿了这一情况。本研究结果表明,吲哚美辛诱导的小肠炎症是一种有用的克罗恩病大鼠模型。吲哚美辛引起的形态学和功能改变可被美沙拉嗪补偿。

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