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他达拉非联合刺山柑治疗大鼠急性肝衰竭的新药疗法。

Novel drug therapy of acute hepatic failure induced in rats by a combination of tadalafil and Lepidium sativum.

机构信息

Pharmacology Department, Faculty of Veterinary Medicine, Assiut University, Assiut, 71526, Egypt.

Department of animal and poultry behavior and management, Faculty of Veterinary Medicine, Assiut University, Assiut, 71526, Egypt.

出版信息

BMC Complement Med Ther. 2024 Feb 27;24(1):104. doi: 10.1186/s12906-024-04406-4.

Abstract

BACKGROUND

Hepatocyte death and a systemic inflammatory response are the outcome of a complex chain of events mediated by numerous inflammatory cells and chemical mediators. The point of this study was to find out if tadalafil and/or Lepidium sativum (L. sativum) could help people who have been exposed to carbon tetrachloride (CCL) and are experiencing acute moderate liver failure. This was especially true when the two were used together.

METHOD AND MATERIALS

To cause mild liver failure 24 h before sacrifice, a single oral dosage of CCL (2.5 mL/kg b.w.) (50% in olive oil) was utilized. Furthermore, immunohistochemical expression of nuclear factor kappa B (NF-κB) as well as histological abnormalities were performed on liver tissue.

RESULTS

The results showed that tadalafil and/or L. sativum, especially in combination, performed well to cure acute mild liver failure caused by CCL. This was demonstrated by a decrease in NF-κB expression in the liver tissue and an improvement in organ damage markers observed in the blood and liver tissues. Furthermore, such therapy reduced interleukin1 beta (IL-1β) and tumor necrosis factor-alpha (TNF-α) levels in the liver tissue. It's worth noting that the tested combination resulted in greater liver improvement.

CONCLUSIONS

According to the findings, tadalafil and L. sativum, particularly in combination, have the ability to protect the liver from the negative effects of CCL exposure. Because of its capacity to improve liver function, restore redox equilibrium, and decrease inflammatory mediators, it is a prospective option for mitigating the negative effects of common environmental pollutants such as CCL.

摘要

背景

肝细胞死亡和全身炎症反应是由众多炎症细胞和化学介质介导的复杂连锁反应的结果。本研究的目的是探讨他达拉非和/或刺山柑(L. sativum)是否有助于接触四氯化碳(CCL)并发生急性中度肝衰竭的患者。当两者联合使用时,效果尤其明显。

方法和材料

为了在牺牲前 24 小时造成轻度肝衰竭,使用了单次口服 CCL(2.5 mL/kg b.w.)(50%橄榄油)。此外,还对肝组织进行了核因子 kappa B(NF-κB)的免疫组织化学表达和组织学异常检测。

结果

结果表明,他达拉非和/或刺山柑,尤其是联合使用,对治疗 CCL 引起的急性轻度肝衰竭效果良好。这表现在肝组织中 NF-κB 表达减少,以及在血液和肝组织中观察到的器官损伤标志物改善。此外,这种治疗还降低了肝组织中白细胞介素 1β(IL-1β)和肿瘤坏死因子-α(TNF-α)的水平。值得注意的是,经测试的联合疗法可使肝脏得到更大的改善。

结论

根据研究结果,他达拉非和刺山柑,特别是联合使用,具有保护肝脏免受 CCL 暴露负面影响的能力。由于其改善肝功能、恢复氧化还原平衡和降低炎症介质的能力,它是减轻常见环境污染物(如 CCL)负面影响的一种有前途的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e5f/10900715/855bf7055166/12906_2024_4406_Fig1_HTML.jpg

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