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乙醚或氟烷作用后滑面内质网的增殖及微粒体药物代谢酶的诱导

Proliferation of smooth endoplasmic reticulum and induction of microsomal drug-metabolizing enzymes after ether or halothane.

作者信息

Ross W T, Cardell R R

出版信息

Anesthesiology. 1978 May;48(5):325-31. doi: 10.1097/00000542-197805000-00005.

Abstract

Hepatic drug-metabolizing enzymes and hepatic ultrastructure were studied in rats after two hours of anesthesia with 1 MAC halothane or diethyl ether. Twelve hours after cessation of either anesthetic smooth endoplasmic reticulum was increased in centrilobular but not in periportal hepatocytes. This change persisted at 24- and 36-hour sampling times. Microsomal cytochrome P450 and cytochrome b5 decreased after halothane anesthesia (by 7 to 20 per cent of control). Diethyl ether caused increased cytochrome P450 and cytochrome b5 (27 and 18 per cent, respectively) at the 36-hour sampling time. NADPH cytochrome c reductase did not change significantly after either agent. The authors interpret these results to mean that both agents promote conversion of rough endoplasmic reticulum to smooth endoplasmic reticulum or, alternatively, that the anesthetics decrease degradation of smooth endoplasmic membranes. Since only ether caused an increase in the microsomal content of enzymes of the drug-metabolizing enzyme system, it is concluded that these two anesthetics act on hepatic cells by dissimilar mechanisms.

摘要

在用1个最低肺泡有效浓度的氟烷或乙醚麻醉大鼠两小时后,对其肝脏药物代谢酶和肝脏超微结构进行了研究。在停止使用任何一种麻醉剂12小时后,中央小叶肝细胞的滑面内质网增加,而门周肝细胞的滑面内质网未增加。这种变化在24小时和36小时取样时持续存在。氟烷麻醉后微粒体细胞色素P450和细胞色素b5减少(降至对照的7%至20%)。在36小时取样时,乙醚使细胞色素P450和细胞色素b5增加(分别增加27%和18%)。两种药物处理后,NADPH细胞色素c还原酶均无明显变化。作者将这些结果解释为两种药物均促进粗面内质网向滑面内质网的转化,或者麻醉剂降低了滑面内质网膜的降解。由于只有乙醚使药物代谢酶系统的微粒体酶含量增加,因此得出结论,这两种麻醉剂对肝细胞的作用机制不同。

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