Averyanova E V, Shkolnikova M N, Chugunova O V, Mazko O N
I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University), 119991, Moscow, Russian Federation.
Vopr Pitan. 2023;92(4):81-91. doi: 10.33029/0042-8833-2023-92-4-81-91. Epub 2023 Jun 30.
One of the principles of prevention and non-medicamentous treatment of liver diseases, including hepatitis of different etiology, is the normalization of the diet through the consumption of food with physiologically active ingredients, in particular betulin, which helps to eliminate the causes of metabolic and oxidative disorders within liver cells. of the research was to assess in vivo the influence of triterpene alcohol betulin extracted from Betula pendula Roth. birch bark in fat-containing products (for example mayonnaise) on the blood biochemical parameters and liver morphological structure of rats with initiated acute toxic hepatitis. . Hepatoprotective and antioxidant activities of betulin as part of mayonnaise samples has been investigated in vivo on the model of toxic hepatitis initiated by carbon tetrachloride in male Wistar rats weighing 210-265 g. The animals were divided into 4 groups of 10 animals each: CG-1 - intact, CG-2 and MG - with carbon tetrachloride initiated toxic hepatitis. rats of the main groups were orally administered mayonnaise once a day at a dosage of 1 ml for 21 days after the formation of the model pathology: OG-1 with the added betulin (1 mg per 1 kg of body weight), OG-2 without betulin. Disorders of metabolic and oxidative processes in liver cells of animals were evaluated by biochemical indicators of blood plasma: the level of glucose, albumin, total cholesterol, triglycerides and urea and the activity of alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase and γ-glutamyltransferase. Oxidative stress in rats was estimated by the activity of catalase and superoxide dismutase in blood hemolysate (at a dilution of 1:200 and 1:10, respectively); the total prooxidant (in blood plasma) and total antioxidant (in blood hemolysate at a dilution of 1:10) activity were determined spectrophotometrically (colored complexes of TWIN-80 oxidation products with thiobarbituric acid). The morphological structure of rats' liver was estimated by microscopy of prepared cuts of hepatic tissue. . Based on biochemical parameters of rat blood plasma, it has been established that the administration of mayonnaise with betulin prevents the development of cytolic syndrome and suppresses the process of peroxidation by directly neutralizing free radicals. Aspartate aminotransferase and alkaline phosphatase activity in blood plasma of the experimental animals of the main group MG-1 reduced by 20.7 and 35.2% compared with indicators of the rats of the main group MG-2. Glucose concentration normalized to the level of the control group CG-1. The concentration of bilirubin and triglycerides decreased by 22.9 and by 48.1%, which indicates a significant reduction in the indicators of cholestatic syndrome in the group of animals OG-1 compared to OG-2. The total prooxidant activity and the concentration of thiobarbiturate-reactive products decreased compared to the CG-2 and MG-2 groups, which indicates the suppression of oxidative stress and, as a result, an improvement in liver conditions of animals with toxic hepatitis even when taking a fat-containing product. In liver histopeparates of animals receiving mayonnaise with betulin, necrobotic changes were less pronounced in comparison with the group MG-2. They were estimated at 1 point: small-drip dystrophy spots were found, haemorrhages in the interregional septum with inflammatory infiltration in the course of hemorrhages against the presence of necrosis hepatocytes with pronounced adipose dystrophy in the centres of the lobules, step necrosis with signs of replacing the damaged hepatocytes of the connective tissue, accompanied by centrolobular hemorrhages in MG-2 rats. . Introduced into the composition of mayonnaise betulin, reduces the development of cytolic syndrome in toxic hepatitis and suppresses the process of peroxidation, on the basis of which fat-containing foods with betulin can be recommended for clinical examination as specialized products in acute and chronic liver diseases, including complicated cholestasis.
预防和非药物治疗肝脏疾病(包括不同病因的肝炎)的原则之一是通过食用含有生理活性成分的食物来使饮食正常化,特别是桦木醇,它有助于消除肝细胞内代谢和氧化紊乱的原因。本研究的目的是在体内评估从白桦树皮中提取的三萜醇桦木醇添加到含脂肪产品(如蛋黄酱)中对引发急性中毒性肝炎的大鼠血液生化参数和肝脏形态结构的影响。在体重210 - 265克的雄性Wistar大鼠中,以四氯化碳引发中毒性肝炎模型,对作为蛋黄酱样品一部分的桦木醇的肝保护和抗氧化活性进行了体内研究。动物分为4组,每组10只:CG - 1组为正常组,CG - 2组和MG组为四氯化碳引发中毒性肝炎组。在模型病理形成后,主要组的大鼠每天口服1毫升蛋黄酱,持续21天:OG - 1组添加桦木醇(每1千克体重1毫克),OG - 2组不添加桦木醇。通过血浆生化指标评估动物肝细胞内代谢和氧化过程的紊乱:葡萄糖、白蛋白、总胆固醇、甘油三酯和尿素水平以及丙氨酸转氨酶、天冬氨酸转氨酶、碱性磷酸酶和γ - 谷氨酰转移酶的活性。通过血液溶血产物中过氧化氢酶和超氧化物歧化酶的活性估计大鼠的氧化应激(分别稀释1:200和1:10);通过分光光度法测定总促氧化剂(血浆中)和总抗氧化剂(溶血产物稀释1:10)的活性(TWIN - 80氧化产物与硫代巴比妥酸的有色复合物)。通过肝组织切片显微镜检查评估大鼠肝脏的形态结构。基于大鼠血浆的生化参数,已确定添加桦木醇的蛋黄酱给药可预防细胞溶解综合征的发展,并通过直接中和自由基抑制过氧化过程。主要组MG - 1实验动物血浆中天冬氨酸转氨酶和碱性磷酸酶活性与主要组MG - 2大鼠指标相比分别降低了20.7%和35.2%。葡萄糖浓度恢复到对照组CG -