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Persistent diazinon induced neurotoxicity: The effect on inhibitory avoidance memory performance, amyloid precursor proteins, and TNF-α levels in the prefrontal cortex of rats. 持续性二嗪农诱导的神经毒性:对大鼠前额叶皮层抑制性回避记忆能力、淀粉样前体蛋白和 TNF-α 水平的影响
Pub Date : 2024-01-01 DOI: 10.1177/09603271241235408
Salva Afshari, Mehdi Sarailoo, Vahid Asghariazar, Elham Safarzadeh, Masoomeh Dadkhah

Introduction: Organophosphate pesticides (Ops) like diazinon (DZN) have well-known neurotoxic effects and low-level chronic exposure has been linked to detrimental neurobehavioral impairments and memory deficits. However, it's not entirely clear how DZN-induced biological changes, particularly in the prefrontal cortex (PFC) contribute to these effects. The purpose of this study is to investigate the impact of DZN exposure on inhibitory avoidance (IA) memory function, amyloid precursor expression (APP), and proinflammatory tumor necrosis factor-α (TNF-α) levels in the rat cortex.

Materials and methods: Rats were divided into 4 groups and recived 2 mg/kg DZN for 5-days or 12-weeks and two control groups recived the same volume of vehicle. IA memory was assesed using the shuttle box apparatus. Rats were sacrificed and the prefrontal cortex PFC were removed. Real-time PCR and Western blotting were used to messure TNF-α, and amyloid protein precursors gene expression and protein levels.

Results: Our findings indicated that DZN caused body weight loss and a notable decline in performance on the IA memory. Additionally, 5-days exposure increased APP and APLP2 protein levels in the PFC, while 12-weeks exposure decreased these levels. Furthermore, expression of APP and APLP2 gens were decreased in PFC. TNF-α levels increased as a result of 5-days exposure to DZN, but these levels dropped to normal after 12-weeks administration, and this observation was significant.

Conclusion: Taken together, exposure to low doses of DZN leads to disturbances in IA memory performance and also alternations in amyloid beta precursors that can be related to increased risk of Alzheimer's disease.

简介:有机磷农药(Ops),如二嗪农(DZN),具有众所周知的神经毒性作用,低水平的慢性接触与有害的神经行为障碍和记忆缺陷有关。然而,目前还不完全清楚 DZN 引起的生物变化,尤其是前额叶皮层(PFC)的生物变化是如何导致这些影响的。本研究的目的是调查DZN暴露对大鼠大脑皮层抑制性回避(IA)记忆功能、淀粉样前体表达(APP)和促炎性肿瘤坏死因子-α(TNF-α)水平的影响:将大鼠分为 4 组,每组 2 毫克/千克 DZN,连续注射 5 天或 12 周。使用穿梭箱装置检测大鼠的 IA 记忆。大鼠被处死并切除前额叶皮层。采用实时 PCR 和 Western 印迹技术检测 TNF-α 和淀粉样蛋白前体的基因表达和蛋白水平:结果:我们的研究结果表明,DZN会导致体重减轻和IA记忆能力明显下降。此外,暴露5天会增加前脑功能区的APP和APLP2蛋白水平,而暴露12周则会降低这些水平。此外,APP和APLP2基因在PFC中的表达也有所下降。暴露于DZN 5天后,TNF-α水平升高,但在用药12周后,这些水平降至正常,且这一观察结果具有显著意义:综上所述,暴露于低剂量的DZN会导致IA记忆能力的紊乱,以及淀粉样β前体的交替,这可能与阿尔茨海默病风险的增加有关。
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引用次数: 0
Unveiling thioacetamide-induced toxicity: Multi-organ damage and omitted bone toxicity. 揭示硫代乙酰胺诱导的毒性:多器官损伤和遗漏的骨毒性。
Pub Date : 2024-01-01 DOI: 10.1177/09603271241241807
Haodong Zhang, Jian Xu

Thioacetamide (TAA), a widely employed hepatotoxic substance, has gained significant traction in the induction of liver failure disease models. Upon administration of TAA to experimental animals, the production of potent oxidative derivatives ensues, culminating in the activation of oxidative stress and subsequent infliction of severe damage upon multiple organs via dissemination through the bloodstream. This review summarized the various organ damages and corresponding mechanistic explanations observed in previous studies using TAA in toxicological animal experiments. The principal pathological consequences arising from TAA exposure encompass oxidative stress, inflammation, lipid peroxidation, fibrosis, apoptosis induction, DNA damage, and osteoclast formation. Recent in vivo and in vitro studies on TAA bone toxicity have confirmed that long-term high-dose use of TAA not only induces liver damage in experimental animals but also accompanies bone damage, which was neglected for a long time. By using TAA to model diseases in experimental animals and controlling TAA dosage, duration of use, and animal exposure environment, we can induce various organ injury models. It should be noted that TAA-induced injuries have a time-dependent effect. Finally, in our daily lives, especially for researchers, we should take precautions to minimize TAA exposure and reduce the probability of related organ injuries.

硫代乙酰胺(TAA)是一种被广泛使用的肝毒性物质,在诱导肝衰竭疾病模型方面具有显著的优势。给实验动物施用 TAA 后,会产生强效氧化衍生物,最终激活氧化应激,并通过血液传播对多个器官造成严重损害。本综述总结了以往在毒理学动物实验中使用 TAA 的研究中观察到的各种器官损伤和相应的机理解释。暴露于 TAA 引起的主要病理后果包括氧化应激、炎症、脂质过氧化、纤维化、细胞凋亡诱导、DNA 损伤和破骨细胞形成。最近关于 TAA 骨毒性的体内和体外研究证实,长期大剂量使用 TAA 不仅会诱发实验动物的肝损伤,还会伴随骨损伤,而这一点长期以来一直被忽视。利用 TAA 建立实验动物疾病模型,通过控制 TAA 剂量、使用时间和动物暴露环境,可以诱导多种器官损伤模型。值得注意的是,TAA 诱导的损伤具有时间依赖性。最后,在日常生活中,尤其是对于研究人员来说,我们应该采取预防措施,尽量减少 TAA 暴露,降低相关器官损伤的概率。
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引用次数: 0
Development and validation of a nomogram for predicting mechanical ventilation need among acutely intoxicated patients with impaired consciousness. 开发并验证用于预测意识受损的急性中毒患者机械通气需求的提名图。
Pub Date : 2024-01-01 DOI: 10.1177/09603271241267214
Heba Ibrahim Lashin, Fatma Gaber Sobeeh, Zahraa Khalifa Sobh

Background: A considerable portion of acutely intoxicated patients is presented with impaired consciousness. Early identification of those patients who require advanced medical care, such as mechanical ventilation (MV), can improve their prognosis.

Methods: This study included 330 acutely intoxicated patients who were presented with impaired consciousness and admitted to Tanta University Poison Control Center, Egypt, in the period from January 2021 to December 2023. Patients were enrolled in derivation (257 patients) and validation (73 patients) cohorts. Patients' data were analyzed to develop and validate a predictive nomogram to determine the probability of MV need in acutely intoxicated patients.

Results: Significant predictors for MV need were mean arterial blood pressure (OR = 0.96, p = .014), PaO2 (OR = 0.96, p = .001), pH (OR = 0.00, p < . 001), and glucose/potassium ratio (OR = 1.59, p = .030). These four parameters were used to formulate a bedside nomogram. Receiver-operating characteristic (ROC) analysis for the proposed nomogram shows that area under the curve (AUC) = 95.7%, accuracy = 93.4%, sensitivity = 88.9%, and specificity = 95.1%. The internal validation for the developed nomogram was assessed using a bootstrapping method and calibration curve. Regarding external validation, AUCs for the developed nomogram probability was 96.5%, and for predicted probability using the developed nomogram was 97.8%.

Conclusion: The current study provides a validated nomogram that could be used as a reliable tool for the accurate prediction of MV need among acutely intoxicated patients with impaired consciousness. It could assist in the early identification of patients who will require MV, especially in low-income countries with limited resources.

背景:相当一部分急性中毒患者会出现意识障碍。及早发现需要机械通气(MV)等高级医疗护理的患者可以改善他们的预后:本研究包括 2021 年 1 月至 2023 年 12 月期间,埃及坦塔大学中毒控制中心收治的 330 名意识受损的急性中毒患者。患者分为衍生组(257 名)和验证组(73 名)。对患者的数据进行了分析,以开发和验证一个预测提名图,确定急性中毒患者需要进行中压治疗的概率:结果:平均动脉血压(OR = 0.96,p = .014)、PaO2(OR = 0.96,p = .001)、pH 值(OR = 0.00,p < .001)和葡萄糖/钾比率(OR = 1.59,p = .030)是需要使用 MV 的重要预测指标。这四个参数被用于制定床旁提名图。对所提出的提名图进行的接收方操作特征(ROC)分析表明,曲线下面积(AUC)= 95.7%,准确性= 93.4%,灵敏度= 88.9%,特异性= 95.1%。使用引导法和校准曲线对所开发的提名图进行了内部验证。在外部验证方面,已开发提名图概率的 AUC 为 96.5%,使用已开发提名图预测概率的 AUC 为 97.8%:本研究提供了一个经过验证的提名图,可作为准确预测意识受损的急性中毒患者是否需要使用 MV 的可靠工具。它有助于及早发现需要接受 MV 治疗的患者,尤其是在资源有限的低收入国家。
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引用次数: 0
Potential induction of hyperkeratosis in rats' cervi by gentamicin via induction of oxidative stress, inflammation and apoptosis. 庆大霉素通过诱导氧化应激、炎症和细胞凋亡可能诱导大鼠宫颈角化过度。
Pub Date : 2024-01-01 DOI: 10.1177/09603271231225744
Walaa Yehia Abdelzaher, Mina Ezzat Attya, Mohamed Ahmed Zeen El-Din, Alaa Gamal El Satae, Hatem A Mohamed, Remon R Rofaeil

The present study aimed to identify the possible effect of gentamicin (GEN) in Rats' Cervi. Estradiol Valerate (EV) was used to induce cervical hyperkeratosis. GEN was administered in absence of EV. Serum and cervical GEN concentration were determined. Levels of malondialdehyde (MDA), total nitrites/nitrate (NOx), reduced glutathione (GSH), tumor necrosis factor-α (TNF-α), sirtuin type 1 (Sirt1) and nuclear factor (erythroid-derived 2)-like-2 factors (Nrf2) were measured in cervix tissue. Expression of BAX and Bcl2 were determined. Cervical histopathological examination was done. EV and GEN significantly increased MDA, NOx, TNF-α and BAX/Bcl2 ratio with decrease in GSH, Nrf2 and Sirt1 levels in cervical tissue. Histopathological picture of diffuse and marked hyperkeratosis was detected in EV and GEN groups. In conclusion, GEN-induced cervical hyperkeratosis via induction of oxidative stress, inflammation and apoptosis.

本研究旨在确定庆大霉素(GEN)对大鼠宫颈可能产生的影响。戊酸雌二醇(EV)用于诱导宫颈角化过度。在没有使用 EV 的情况下使用 GEN。测定血清和宫颈的 GEN 浓度。测量宫颈组织中丙二醛(MDA)、总亚硝酸盐/硝酸盐(NOx)、还原型谷胱甘肽(GSH)、肿瘤坏死因子-α(TNF-α)、sirtuin 1 型(Sirt1)和核因子(红细胞衍生 2)-类-2 因子(Nrf2)的水平。还测定了 BAX 和 Bcl2 的表达。进行了宫颈组织病理学检查。EV 和 GEN 能明显增加宫颈组织中的 MDA、NOx、TNF-α 和 BAX/Bcl2 比率,同时降低 GSH、Nrf2 和 Sirt1 水平。在 EV 组和 GEN 组中发现了弥漫性和明显的角化过度的组织病理学图像。总之,GEN 通过诱导氧化应激、炎症和细胞凋亡诱导宫颈过度角化。
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引用次数: 0
Nomogram for predicting mechanical ventilation need among acutely intoxicated patients with impaired consciousness: Correspondence. 预测意识障碍的急性中毒患者机械通气需求的提名图:通讯。
Pub Date : 2024-01-01 DOI: 10.1177/09603271241285992
Hineptch Daungsupawong, Viroj Wiwanitkit
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引用次数: 0
Hepatic P53 upregulation and the genotoxic potential of acesulfame-K treatment in rats with a special emphasis on in vitro lymphocyte and macrophage activity testing. 大鼠肝脏 P53 上调和安赛蜜-K 处理的遗传毒性潜力,特别强调体外淋巴细胞和巨噬细胞活性测试。
Pub Date : 2024-01-01 DOI: 10.1177/09603271241236900
Faten F Mohammed, Eman G Abdelrazik, Abeer Anwar, Sherein S Abdelgayed

Acesulfame-k (Ace-k) is a widely used artificial sweetener in various products, and long-term cumulative and multisource exposure is possible despite inadequate toxicological data confirming its safety. Ninety male rats were divided into two main groups according to their body weight into immature and mature rats. Each group was subdivided into 3 subgroups: control untreated, 30 and 90 mg/kg b. w of Ace-k via gastric intubation. The treatment was performed daily 5 days per week for 12 weeks. At the end of the experimental period, blood samples were collected for in vitro testing of lymphocyte proliferation rate, comet assay, and macrophage activity about nitric oxide (NO) production. In addition, the collection of liver specimens was performed for P53 gene expression and histopathological evaluation. The results revealed that Ace-k induced modulation in lymphocyte proliferation rate and affected the production of NO by macrophages while increasing in tail moment in a dose-dependent manner that varied among different age groups. The upregulation of P53 in the liver was correlated with increased polyploidization and necro apoptotic reaction and various histopathological hepatic alterations. The present data revealed that chronic treatment of rats with Ace-k affects lymphocyte proliferation and macrophage activity in a dose-dependent manner. In addition, the genotoxic and hepatotoxic potential of Ace-k were confirmed.

安赛蜜-k(Ace-k)是一种广泛应用于各种产品的人工甜味剂,尽管没有足够的毒理学数据证实其安全性,但长期累积和多来源的接触是可能的。90 只雄性大鼠按体重分为未成熟大鼠和成熟大鼠两大组。每组又分为 3 个子组:未经处理的对照组、经胃插管注射 30 和 90 毫克/千克体重的 Ace-k。治疗每天进行,每周 5 天,持续 12 周。实验结束后,收集血液样本,用于体外检测淋巴细胞增殖率、彗星试验和一氧化氮(NO)产生的巨噬细胞活性。此外,还采集了肝脏标本进行 P53 基因表达和组织病理学评估。结果表明,Ace-k诱导淋巴细胞增殖率的改变,并影响巨噬细胞产生一氧化氮,同时尾矩的增加呈剂量依赖性,且在不同年龄组间存在差异。肝脏中 P53 的上调与多倍体化和坏死凋亡反应的增加以及各种肝脏组织病理学改变有关。本研究数据显示,用 Ace-k 对大鼠进行慢性处理会影响淋巴细胞的增殖和巨噬细胞的活性,且呈剂量依赖性。此外,还证实了 Ace-k 的遗传毒性和肝毒性潜力。
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引用次数: 0
Risk factors for glioblastoma are shared by other brain tumor types. 胶质母细胞瘤的风险因素与其他脑肿瘤类型相同。
Pub Date : 2024-01-01 DOI: 10.1177/09603271241241796
Carr J Smith, Thomas A Perfetti, Chirayu Chokshi, Chitra Venugopal, J Wesson Ashford, Sheila K Singh

The reported risk factors for glioblastoma (GBM), i.e., ionizing radiation, Li-Fraumeni syndrome, Neurofibromatosis I, and Turcot syndrome, also increase the risk of other brain tumor types. Risk factors for human GBM are associated with different oncogenic mutation profiles. Pedigreed domestic dogs with a shorter nose and flatter face (brachycephalic dogs) display relatively high rates of glioma formation. The genetic profiles of canine gliomas are also idiosyncratic. The association of putatively different mutational patterns in humans and canines with GBM suggests that different oncogenic pathways can result in GBM formation. Strong epidemiological evidence for an association between exposure to chemical carcinogens and an increased risk for development of GBM is currently lacking. Ionizing radiation induces point mutations, frameshift mutations, double-strand breaks, and chromosomal insertions or deletions. Mutational profiles associated with chemical exposures overlap with the broad mutational patterns seen with ionizing radiation. Weak statistical associations between chemical exposures and GBM reported in epidemiology studies are biologically plausible. Molecular approaches comparing reproducible patterns seen in spontaneous GBM with analogous patterns found in GBMs resected from patients with known significant exposures to potentially carcinogenic chemicals can address difficulties presented by traditional exposure assessment.

已报道的胶质母细胞瘤(GBM)风险因素,即电离辐射、Li-Fraumeni 综合征、神经纤维瘤病 I 和 Turcot 综合征,也会增加其他类型脑肿瘤的风险。人类 GBM 的风险因素与不同的致癌突变特征有关。鼻子较短、面部较平的纯种家犬(肱骨犬)的胶质瘤形成率相对较高。犬类胶质瘤的遗传特征也具有特异性。人类和犬类胶质瘤的基因突变模式可能不同,这表明不同的致癌途径可能导致胶质瘤的形成。目前尚缺乏流行病学证据证明接触化学致癌物质与 GBM 发病风险增加之间存在关联。电离辐射会诱发点突变、框架转换突变、双链断裂以及染色体插入或缺失。与化学物质暴露相关的突变特征与电离辐射的广泛突变模式重叠。流行病学研究中报告的化学物质暴露与 GBM 之间的微弱统计学关联在生物学上是可信的。将自发性 GBM 的可重现模式与从已知大量接触潜在致癌化学品的患者身上切除的 GBM 中发现的类似模式进行比较的分子方法,可以解决传统接触评估所带来的困难。
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引用次数: 0
Milestone for hormesis and human and experimental toxicology. 激素学与人类和实验毒理学的里程碑。
Pub Date : 2024-01-01 DOI: 10.1177/09603271241236274
A Wallace Hayes, Kai Savolainen
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引用次数: 0
Evaluation of the effectiveness of fresh frozen plasma transfusion as adjuvant treatment in acute organophosphate-poisoned patients: A randomized clinical trial. 评估新鲜冰冻血浆输注作为急性有机磷中毒患者辅助治疗的有效性:随机临床试验。
Pub Date : 2024-01-01 DOI: 10.1177/09603271241260655
Somaia Abdelhamid, Manal Abel Kareem, Soha Ashry, Sara Saeed

Organophosphorus (OP) poisoning is a significant cause of morbidity and mortality worldwide. Recent research has explored new approaches to improving treatment options, which present several challenges. This study aimed to evaluate the role of fresh frozen plasma (FFP) as an adjunctive therapy for acute OP intoxication. A prospective single-blinded randomized clinical trial was conducted on patients of both sexes admitted to the Intensive Care Unit (ICU) of the Poison Control Center at Ain Shams University Hospital (PCC-ASUH) with acute OP toxicity during the period from the beginning of August 2022 to the end of July 2023. According to the Peradeniya score, Group I consisted of 48 patients (52%) with moderate OP poisoning, and Group II consisted of 44 patients (48%) with severe OP poisoning. Patients in the moderate group were assigned to receive either standard treatment (Group Ia, n = 24) or standard treatment plus FFP (Group Ib, n = 24). In addition, patients in the severe group were assigned to receive either standard treatment (Group IIa, n = 22) or standard treatment plus FFP (Group IIb, n = 22). A total of 46 patients received FFP transfusion. The authors demonstrated that the early use of a total of nine packs of FFP (250 mL each) over three consecutive days significantly reduced the total doses of atropine and oximes, the total hospitalization period, and the requirement for mechanical ventilation in patients with OP poisoning, both in the moderate and severe groups.

有机磷(OP)中毒是全球发病和死亡的一个重要原因。最近的研究探索了改进治疗方案的新方法,但也提出了一些挑战。本研究旨在评估新鲜冰冻血浆(FFP)作为急性 OP 中毒辅助疗法的作用。在 2022 年 8 月初至 2023 年 7 月底期间,艾因夏姆斯大学医院(PCC-ASUH)毒物控制中心重症监护室(ICU)收治了急性 OP 中毒的男女患者,并进行了前瞻性单盲随机临床试验。根据佩拉德尼亚评分,I 组包括 48 名 OP 中度中毒患者(52%),II 组包括 44 名 OP 重度中毒患者(48%)。中度组患者被分配接受标准治疗(Ia 组,n = 24)或标准治疗加 FFP(Ib 组,n = 24)。此外,重度组患者被分配接受标准治疗(IIa 组,n = 22)或标准治疗加 FFP(IIb 组,n = 22)。共有 46 名患者接受了 FFP 输血。作者的研究表明,在中度组和重度组中,连续三天尽早使用总共九包 FFP(每包 250 毫升)可显著减少阿托品和肟的总剂量、总住院时间以及 OP 中毒患者对机械通气的需求。
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引用次数: 0
Carvedilol alleviates the detrimental effects of azathioprine on hepatic tissues in experimental rats: Focusing on redox system, inflammatory and apoptosis pathways. 卡维地洛减轻硫唑嘌呤对实验大鼠肝组织的有害影响关注氧化还原系统、炎症和细胞凋亡途径
Pub Date : 2024-01-01 DOI: 10.1177/09603271241269003
Abdel-Gawad S Shalkami, Ehab A M El-Shoura, Mohammed I A Hassan

Purpose: Drug-induced liver injury is becoming an increasingly important topic in drug research and clinical practice. Due to a lack of experimental animal models, predicting drug-induced liver injury in humans is challenging. Azathioprine (AZA) is a classical immunosuppressant with hepatotoxic adverse effects. The present study aimed to address the hepatoprotective effect of carvedilol (CAR) against AZA-induced hepatocellular injury via assessing redox-sensitive signals.

Method: To achieve this purpose, rats were allocated into four groups: control, CAR only, AZA only, and CAR plus AZA groups. The induction of hepatic injury was induced by a single intraperitoneal injection of AZA at a dose of 50 mg/kg on the 6th day of the experiment. Each experimental protocol was approved and supervised by the Ethics Committee for Animal Experiments.

Results: The results of the present study revealed that CAR administration significantly diminished AZA-induced hepatic dysfunction, as evidenced by relief of hepatic function biomarkers and histopathological aberration induced by AZA injection. Besides, CAR restored oxidant/antioxidant balance as well as NRF2 expression. In addition, CAR suppressed inflammatory response induced by AZA challenge as evidenced by downregulation of TLR4, TNF-α, MPO, and eNOS/iNOS levels in hepatic tissue. Moreover, CAR recovered apoptotic/anti-apoptotic status by modulation of caspase-3/Bcl2 expression.

Conclusion: Taken together, CAR protects against AZA-induced hepatic injury via antioxidant, anti-inflammatory, and anti-apoptotic activities. These findings revealed that CAR could be a good candidate for hepatic injury protection and can be added to AZA therapeutic regimen to reduce their adverse effect.

目的:药物引起的肝损伤正成为药物研究和临床实践中一个日益重要的课题。由于缺乏实验动物模型,预测药物诱导的人体肝损伤具有挑战性。硫唑嘌呤(AZA)是一种经典的免疫抑制剂,具有肝毒性不良反应。本研究旨在通过评估氧化还原敏感信号,探讨卡维地洛(CAR)对 AZA 诱导的肝细胞损伤的保肝作用:为此,将大鼠分为四组:对照组、仅 CAR 组、仅 AZA 组和 CAR 加 AZA 组。在实验的第 6 天,大鼠腹腔注射一次剂量为 50 毫克/千克的 AZA,诱导肝损伤。每个实验方案都经过了动物实验伦理委员会的批准和监督:本研究结果显示,CAR能显著减轻AZA诱导的肝功能障碍,这体现在AZA注射诱导的肝功能生物标志物和组织病理学畸变得到缓解。此外,CAR还能恢复氧化剂/抗氧化剂平衡以及NRF2的表达。此外,CAR 还抑制了 AZA 挑战引起的炎症反应,肝组织中 TLR4、TNF-α、MPO 和 eNOS/iNOS 水平的下调就是证明。此外,CAR 还通过调节 caspase-3/Bcl2 的表达来恢复凋亡/抗凋亡状态:综上所述,CAR 可通过抗氧化、抗炎和抗凋亡活性保护 AZA 诱导的肝损伤。这些研究结果表明,CAR 是保护肝损伤的良好候选药物,可添加到 AZA 治疗方案中以减少其不良反应。
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引用次数: 0
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Human & experimental toxicology
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