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维生素 C 作为一种潜在的改善剂,可减轻酗酒者的肝毒性。

Vitamin C as a potential ameliorating agent against hepatotoxicity among alcoholic abusers.

机构信息

Department of Pharmacology and Toxicology, College of Pharmacy, Qassim University, Buraydah 51452, Qassim, Kingdom of Saudi Arabia.

出版信息

Eur Rev Med Pharmacol Sci. 2023 Apr;27(8):3322-3335. doi: 10.26355/eurrev_202304_32103.

Abstract

OBJECTIVE

Drug and substance abuse remains a major medical problem globally. Alcohol consumption, particularly heavy drinking, is an important risk factor for many health problems and is a major contributor to the global burden of disease. Vitamin C has proven to be defensive against toxic substances and provides antioxidant and cytoprotective activity to hepatocytes. The aim of this study was to investigate vitamin C as a potential ameliorating agent against hepatotoxicity among alcohol abusers.

PATIENTS AND METHODS

This study was a cross-sectional study that included eighty male hospitalized alcohol abusers and twenty healthy people as a control group. Alcohol abusers received standard treatment plus vitamin C. Total protein, albumin, total Bilirubin, aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), thiobarbituric acid reactive substances (TBARS), reduced glutathione (GSH), superoxide dismutase (SOD), catalase (CAT) and 8-hydroxhguanosine (8-OHdG) were investigated.

RESULTS

This study reported that, in the alcohol abuser group, there was a significant increase in the total protein, bilirubin, AST, ALT, ALP, TBARS, SOD and 8-OHdG; on the other hand, there was a significant decrease in albumin, GSH and CAT compared with the control group. The alcohol abuser group treated with vitamin C showed a significant decrease in total protein, bilirubin, AST, ALT, ALP, TBARS, SOD and 8-OHdG; on the other hand, there was a significant increase in albumin, GSH and CAT compared with the control group.

CONCLUSIONS

This study's findings suggest that alcohol abuse induces significant alterations in various hepatic biochemical parameters and oxidative stress and that vitamin C has a partial protective role in countering alcohol abuse-induced hepatotoxicity. Using vitamin C as an adjunctive supplement to standard treatment may be helpful in minimizing the toxic side effects of alcohol abuse.

摘要

目的

药物和物质滥用仍然是一个全球性的主要医学问题。饮酒,特别是大量饮酒,是许多健康问题的重要危险因素,也是全球疾病负担的主要原因。维生素 C 已被证明可防御有毒物质,并为肝细胞提供抗氧化和细胞保护作用。本研究旨在探讨维生素 C 作为一种潜在的改善酒精滥用者肝毒性的药物。

患者和方法

这是一项横断面研究,包括 80 名男性住院酒精滥用者和 20 名健康人作为对照组。酒精滥用者接受标准治疗加维生素 C。总蛋白、白蛋白、总胆红素、天门冬氨酸转氨酶(AST)、丙氨酸转氨酶(ALT)、碱性磷酸酶(ALP)、硫代巴比妥酸反应物质(TBARS)、还原型谷胱甘肽(GSH)、超氧化物歧化酶(SOD)、过氧化氢酶(CAT)和 8-羟基鸟嘌呤(8-OHdG)进行了研究。

结果

本研究报告称,在酒精滥用者组中,总蛋白、胆红素、AST、ALT、ALP、TBARS、SOD 和 8-OHdG 显著增加;另一方面,白蛋白、GSH 和 CAT 显著下降与对照组相比。用维生素 C 治疗的酒精滥用者组总蛋白、胆红素、AST、ALT、ALP、TBARS、SOD 和 8-OHdG 显著下降;另一方面,白蛋白、GSH 和 CAT 显著增加与对照组相比。

结论

本研究结果表明,酒精滥用会导致各种肝生化参数和氧化应激发生显著变化,维生素 C 对对抗酒精滥用引起的肝毒性具有部分保护作用。在标准治疗中添加维生素 C 作为辅助补充可能有助于减少酒精滥用的毒性副作用。

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