Atalay E, Ozdemir M T, Tur B K, Erdogdu H I, Sisman P
Bratisl Lek Listy. 2019;120(11):843-848. doi: 10.4149/BLL_2019_140.
The aim of this study is to investigate the effects of obstructive jaundice on the liver and effectivity of alpha‑lipoic acid on liver damage and oxidative stress.
Thirty‑six male Sprague‑Dawley rats were divided into 3 groups per 12 animals, namely into Group I (control group): the bile duct was only mobilized by laparotomy, Group II (bile duct ligation group - BDL): the common bile duct was closed with clips and OJ was caused after laparotomy, and Group III (bile duct ligation and alpha‑lipoic acid group - BDL+LA): after closing the common bile duct, LA was administered in an intramuscular dose of 50 mg/kg for 10 days. On the 10th day, malondialdehyde, glutathione and superoxide dismutase levels were measured in liver and histopathological evaluation was performed.
AST (U/L)/ALT(U/L) in groups I, II and III were 155.33/51.83, 445.28/165.89, 380.78/173.33, respectively (p < 0.005). Superoxide dismutase and glutathione levels were lower in patient groups than in the control group (0.31 μl/g vs 0.36 µl/g; p < 0.05). After the lipoic acid treatment, none of the biochemical markers of liver improved. Only the increase in superoxide dismutase (0.31 µl/g and 0.34 µl/g in groups II and III, respectively) and glutathione levels (0.16 µl/g and 0.22 µl/g in groups II and III, respectively) was statistically significant (p < 0.05).
Histopathological damage was statistically significantly decreased and antioxidant levels were statistically significantly increased after LA treatment (Tab. 1, Fig. 6, Ref. 23).
本研究旨在探讨梗阻性黄疸对肝脏的影响以及α-硫辛酸对肝损伤和氧化应激的有效性。
将36只雄性Sprague-Dawley大鼠按每组12只分为3组,即:I组(对照组):仅通过剖腹术游离胆管;II组(胆管结扎组-BDL):用夹子封闭胆总管,剖腹术后造成梗阻性黄疸;III组(胆管结扎加α-硫辛酸组-BDL+LA):封闭胆总管后,以50mg/kg的剂量肌肉注射α-硫辛酸,持续10天。在第10天,测定肝脏中丙二醛、谷胱甘肽和超氧化物歧化酶水平,并进行组织病理学评估。
I组、II组和III组的谷草转氨酶(U/L)/谷丙转氨酶(U/L)分别为155.33/51.83、445.28/165.89、380.78/173.33(p<0.005)。患者组的超氧化物歧化酶和谷胱甘肽水平低于对照组(分别为0.31μl/g和0.36μl/g;p<0.05)。硫辛酸治疗后,肝脏的生化指标均未改善。仅超氧化物歧化酶水平升高(II组和III组分别为0.31μl/g和0.34μl/g)和谷胱甘肽水平升高(II组和III组分别为0.16μl/g和0.22μl/g)具有统计学意义(p<0.05)。
硫辛酸治疗后,组织病理学损伤有统计学意义的显著降低,抗氧化水平有统计学意义的显著升高(表1,图6,参考文献23)。