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托吡酯对乙醇所致大鼠胃溃疡的胃保护作用。

Gastro protecting influence of Topiramate in ethanol produced gastric ulcers in rats.

作者信息

Kadasah Saeed, Al Eid Ahmad Saleh, Alawad Salem Saleh, Al Shahrani Abdullah S, Alruwaihi Ahmed Salem, Elfaki Ibrahim, Arshaduddin Mohammed

机构信息

Department of Psychiatry, PSMMC, Riyadh, Saudi Arabia.

Department of Pharmacy, PSMMC, Riyadh, Saudi Arabia.

出版信息

Toxicol Rep. 2021 May 11;8:1031-1039. doi: 10.1016/j.toxrep.2021.05.004. eCollection 2021.

DOI:10.1016/j.toxrep.2021.05.004
PMID:34036049
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8138487/
Abstract

BACKGROUND

Topiramate (TPM), an antiepileptic drug, is also effective against alcohol dependency, a crucial factor in forming gastric ulcers. There is an increased possibility of patients with compromised gastric conditions getting exposed to TPM, but its effect on gastric ulcers is unknown. This study investigates the implication of acute TPM in ethanol-produced gastric ulceration in rats.

MATERIAL AND METHODS

The effect of TPM studied in male 200-225 g Sprague Dawley rats against ethanol-induced gastric ulcers and for gastric secretion and acidity. The factors assessed include gastric secretion and acidity, gastric ulcer score, biochemical and histological changes, NF-kB, and p53 expression. The analysis of data performed by using the Kruskal Wallis test and Dunnett's multiple comparison tests.

RESULTS

TPM pretreatment showed gastroprotective effects. It significantly reduced ethanol-induced increased gastric secretion, acidity, and gastric ulcer index and prevented gastric mucus depletion. The ethanol-induced inflammation and apoptosis were also significantly decreased by reducing the increased gastric myeloperoxidase activity and the expression of NF-kB and p53. TPM pretreatment also reduced the ethanol-induced damage to the gastric histology in rats.

CONCLUSION

TPM exerted a gastro-protective effect against ethanol-induced gastric ulcers mediated by reducing the gastric ulcer index, preventing a decrease of the mucus levels, reduction in inflammation, damage to gastric histology, and a decrease in the enhanced expression of NF-kB and TPM. Further detailed investigations are essential to understand the chronic influence of TPM on gastric ulcers.

摘要

背景

托吡酯(TPM)是一种抗癫痫药物,对酒精依赖也有效,而酒精依赖是形成胃溃疡的关键因素。胃部状况不佳的患者接触TPM的可能性增加,但其对胃溃疡的影响尚不清楚。本研究调查急性TPM对大鼠乙醇诱导的胃溃疡的影响。

材料与方法

在体重200 - 225 g的雄性Sprague Dawley大鼠中研究TPM对乙醇诱导的胃溃疡以及胃分泌和酸度的影响。评估的因素包括胃分泌和酸度、胃溃疡评分、生化和组织学变化、NF-κB和p53表达。使用Kruskal Wallis检验和Dunnett多重比较检验进行数据分析。

结果

TPM预处理显示出胃保护作用。它显著降低了乙醇诱导的胃分泌增加、酸度和胃溃疡指数,并防止了胃黏液减少。通过降低胃髓过氧化物酶活性以及NF-κB和p53的表达增加,乙醇诱导的炎症和细胞凋亡也显著减少。TPM预处理还减少了乙醇对大鼠胃组织学的损伤。

结论

TPM通过降低胃溃疡指数、防止黏液水平降低、减轻炎症、减少胃组织学损伤以及降低NF-κB和TPM增强表达介导的乙醇诱导的胃溃疡,发挥了胃保护作用。进一步详细研究对于了解TPM对胃溃疡的慢性影响至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a31b/8138487/a7b8c74af8a7/gr8.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a31b/8138487/a7b8c74af8a7/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a31b/8138487/7df71cc82a0b/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a31b/8138487/7e620c5750cf/gr1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a31b/8138487/07d360cba9ba/gr4.jpg
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