Tanaka K, Ohgami T, Nonaka S
Department of Dermatology, Nagasaki University School of Medicine, Japan.
J Dermatol. 1993 Sep;20(9):545-53. doi: 10.1111/j.1346-8138.1993.tb01336.x.
To investigate the hepatic abnormalities accompanying experimental protoporphyria due to griseofulvin (GF), liver function test values and porphyrin levels in mice were assayed at days 2, 4, 8, and 16 after starting the administration of 0.5% GF feed. Furthermore, in an attempt to elucidate the harmful effects of GF on liver functions, the above mentioned assay was also performed after the feed was discontinued in mice given 0.5% GF feed for 16 days. The hepatic protoporphyrin (PP) level had already risen by day 2, but the erythrocytic PP level was within normal limits at that time. Hepatic PP levels increased gradually, followed by an increase in erythrocytic PP levels. The variation in liver function test values roughly paralleled the porphyrin levels. Over the time span of the response to GF, the variations in the serum glutamate oxaloacetate transaminase (S-GOT) levels, serum glutamate pyruvate transaminase (S-GPT) levels, and leucine amino peptidase (LAP) levels resembled those in hepatic PP. On the other hand, the changes in alkaline phosphatase (ALP) levels paralleled those of the erythrocytic PP levels. Erythrocytic and fecal protoporphyrin levels decreased to the normal level one month after the discontinuation of GF administration, but the hepatic protoporphyrin level still was 53.6 times higher than the normal level two months after switching to normal feed. The values of liver function tests had returned to within the normal range after one month. By the fourth day after the administration of GF, a brown pigmented material could be observed around the hepatocytes and the Glisson sheath; the amount of this material increased day by day.(ABSTRACT TRUNCATED AT 250 WORDS)
为研究灰黄霉素(GF)所致实验性原卟啉病伴发的肝脏异常,在开始给予0.5% GF饲料后第2、4、8和16天,测定小鼠的肝功能测试值和卟啉水平。此外,为阐明GF对肝功能的有害影响,在给予0.5% GF饲料16天的小鼠停喂饲料后,也进行上述测定。肝原卟啉(PP)水平在第2天已升高,但此时红细胞PP水平在正常范围内。肝PP水平逐渐升高,随后红细胞PP水平升高。肝功能测试值的变化大致与卟啉水平平行。在对GF的反应时间段内,血清谷氨酸草酰乙酸转氨酶(S - GOT)水平、血清谷氨酸丙酮酸转氨酶(S - GPT)水平和亮氨酸氨基肽酶(LAP)水平的变化与肝PP的变化相似。另一方面,碱性磷酸酶(ALP)水平的变化与红细胞PP水平的变化平行。停用GF给药1个月后,红细胞和粪便原卟啉水平降至正常水平,但切换至正常饲料2个月后,肝原卟啉水平仍比正常水平高53.6倍。肝功能测试值在1个月后已恢复至正常范围内。给予GF后第4天,可在肝细胞和肝门管周围观察到一种棕色色素沉着物质;该物质的量逐日增加。(摘要截短至250字)