卡马西平诱导的雌性白化小鼠损伤导致的肝脏形态学和组织病理学异常

Nawar R. Jaber, Nahla A. Al-Bakri
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摘要

背景:药物的不良反应会损害各种器官,尤其是肝脏,导致肝损伤,即肝毒性。由于使用的药物种类繁多,药物性肝损伤(DILI)是当今面临的一项挑战,卡马西平(CBZ)是导致药物性肝损伤的主要药物之一,由于肝脏具有包括解毒在内的一系列功能,它将处理药物暴露造成的多种损害。目的:研究(CBZ)20 毫克/千克/天对雌性小鼠肝脏在治疗 14 天和 30 天后在形态学和组织病理学水平上的影响。材料和方法:给 10 只雌性小鼠口服 20 毫克/千克/天的 CBZ 14 天,另给 10 只小鼠口服相同浓度的 CBZ 30 天,对照组给自来水。结果显示研究结果表明,CBZ 可导致肝脏肿大、肝脏外观改变、格利森氏囊变形、细胞学改变、肝细胞肥大、气球变性、脓毒血症、核溶解、核变性、窦扩张、Kupffer 细胞数量和大小增加、纤维化、糖原耗竭和肝硬化。结论这些研究结果表明,卡马西平(CBZ)可导致肝中毒,并可表现为形态学和组织病理学变化。
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Morphological and Histopathological Liver Abnormalities Caused by Carbamazepine-Induced Injury in Female Albino Mice
Background: The adverse effects of drugs can damage various organs, especially the liver, leading to a hepatic injury known as hepatotoxicity. Drug-induced liver injury (DILI) is challenging nowadays because of the large number of different drugs used, one of the offending medications that cause DILI is carbamazepine (CBZ), since the liver has an array of functions including detoxification, it will deal with several damages caused by exposure to the drugs. Objective: investigate the effect of (CBZ) 20mg/kg/day on female mice liver after 14 and 30 days of treatment on morphological and histopathological levels. Materials and methods: 20mg/kg/day of CBZ was administered orally for (14) days to (10) female mice, another (10) mice were taking the same concentration for 30 days, and control groups were administered tap water. Results: The findings showed that CBZ can cause liver enlargement, changes in liver appearance, distortion in Glisson’s capsule, cytologic alterations, hepatocyte hypertrophy, ballooning degeneration, pyknosis, karyolysis, karyomegaly, sinusoids dilation, increase in the number and sizes of Kupffer cells, fibrosis, glycogen depletion, and cirrhosis. Conclusion: These findings have shown that carbamazepine (CBZ) can cause hepatotoxicity that can manifest into morphological and histopathological changes.
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