肝脏铁负荷过重的药理模型

T. E. Bogacheva, I. Torshin, O. Gromova, T. R. Grishina
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摘要

组织中的铁沉积(血色素沉着症)伴随着各种肝脏和胰腺疾病。肝脏铁负荷过重的原因包括:(1) 饮食中饱和脂肪过多,引发肝脏炎症;(2) 门静脉血流速度减慢和停滞(缺乏运动、肥胖、酗酒等);(3) 无节制地长期服用铁补充剂(主要是无机铁--硫酸盐、氧化物、氢氧化物等);(4) 遗传性疾病(血色病)。肝脏铁超载患者不仅需要纠正饮食和生活方式(包括体育锻炼),还需要使用有效、安全的药物进行特殊治疗。为了研究过量铁元素对人体的影响,寻找最适合血色素沉着病的治疗方法,药理学界开发出了肝脏铁负荷过重的特殊模型。通过在饮食中添加具有保肝作用的微量营养素(维生素 A、C),可以减缓模型中铁过量的程度和血色素沉着病的形成速度,而通过添加饱和脂肪和/或果糖,则可以加速模型中铁过量的程度和血色素沉着病的形成速度。
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Pharmacological models of liver iron overload
Iron deposits in tissues (hemosiderosis) accompany various diseases of the liver and pancreas. Overload of the liver with iron occurs due to (1) a diet with excess saturated fats, which provoke inflammation of the liver, (2) slowdown and stagnation of blood flow in the area of the portal vein (physical inactivity, obesity, alcoholism, etc), (3) uncontrolled and long-term use of iron supplements (primarily based on inorganic forms - sulfates, oxides, hydroxides of iron, etc.), (4) hereditary diseases (hemochromatosis). Patients with liver overload with iron require not only correction of diet and lifestyle (including physical activity), but also special therapy using effective and safe drugs. To study the effect of excess iron on the body and search for the most appropriate therapy for hemosiderosis, special models of liver overload with iron have been developed in pharmacology. The degree of iron overload and the rate of hemosiderosis formation in models can be slowed down by the addition of micronutrients with hepatoprotective properties (vitamins A, C) and accelerated by the addition of saturated fat and/or fructose to the diet.
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