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降低全身动脉高血压患者的内皮损伤和氧化应激指标:探索性对照临床试验结果。

Decreases Endothelial Damage and Oxidative Stress Indicators in Patients with Systemic Arterial Hypertension: Results from Exploratory Controlled Clinical Trial.

机构信息

Departamento de Bioquímica, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México 04510, Mexico.

出版信息

Mar Drugs. 2018 Dec 8;16(12):496. doi: 10.3390/md16120496.

Abstract

(1) Background: () has shown beneficial effects such as being anti-dyslipidemic, antiviral, antioxidant and antihypertensive. However, there are few and limited clinical studies. (2) Methods: a prospective, randomized, parallel pilot study of 4.5 g administration of or placebo for 12 weeks in 16 patients with systemic arterial hypertension (SAH) undergoing treatment with angiotensin-converting enzyme (ACE) inhibitors was performed to assess the effects on endothelial damage and oxidative stress indicators. The blood levels of sICAM-1, sVCAM-1, endothelin-1, and sE-selectin were quantified; the activities of catalase, superoxide dismutase, glutathione peroxidase, glutathione reductase and concentrations of reduced glutathione, oxidized glutathione, and thiobarbituric acid reactive substances, were also quantified before and after the treatment period. (3) Results: There were statistically significant ( < 0.05) decreases in systolic blood pressure, sVCAM-1, sE-selectin and endothelin-1 levels, and increases in glutathione peroxidase activity and oxidized glutathione levels. (4) Conclusion: The effects found in the present study agree with antihypertensive and antioxidant effects previously reported for . However, this is the first report about the effects on indicators of endothelial damage. More research in this field is necessary to gain an insight into the effects of on these indicators.

摘要

(1)背景:[药物名称]具有抗血脂异常、抗病毒、抗氧化和降压作用。然而,相关的临床研究很少且有限。(2)方法:对 16 名正在服用血管紧张素转换酶(ACE)抑制剂的系统性动脉高血压(SAH)患者进行了为期 12 周的前瞻性、随机、平行的[药物名称] 4.5 克给药或安慰剂对照的初步研究,以评估对内皮损伤和氧化应激指标的影响。定量检测血液中 sICAM-1、sVCAM-1、内皮素-1 和 sE-选择素的水平;并在治疗前后定量检测过氧化氢酶、超氧化物歧化酶、谷胱甘肽过氧化物酶、谷胱甘肽还原酶以及还原型谷胱甘肽、氧化型谷胱甘肽和硫代巴比妥酸反应物质的浓度。(3)结果:收缩压、sVCAM-1、sE-选择素和内皮素-1水平均显著降低(<0.05),谷胱甘肽过氧化物酶活性和氧化型谷胱甘肽水平显著升高。(4)结论:本研究发现的作用与先前报道的[药物名称]的降压和抗氧化作用一致。然而,这是首次报道其对内皮损伤指标的影响。需要进一步研究该领域,以深入了解[药物名称]对这些指标的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b13a/6315658/129af6fea028/marinedrugs-16-00496-g001.jpg

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