基于细菌脂多糖的药物在肝病学中的应用前景

S. A. Chernyak
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引用次数: 0

摘要

背景。细菌脂多糖(BLPS)与中毒活性无关的新性质的研究引起了人们的极大兴趣。目的:描述BLPS的作用机制并评价其疗效。材料和方法。我们对1962年至2020年期间发表的32篇文献进行了综述。结果。研究发现,BLPS除具有免疫调节作用外,还具有抗炎、抗肿瘤、防辐射、促进组织再生等作用。经实验和临床研究证实,BLPS在肝胆系统疾病中具有广泛的治疗作用。给药BLPS可缩短急性肝炎的表现期,促进肝功能检查的快速正常化和肝脏形态改变的恢复。结论。BLPS的肝保护和抗纤维化特性促使其在肝病学家的临床实践中得到更广泛的应用。
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PROSPECTS FOR THE USE OF DRUGS BASED ON BACTERIAL LIPOPOLYSACCHARIDES IN HEPATOLOGY
Background. The study of new properties of bacterial lipopolysaccharides (BLPS), not related to their intoxication activity, is of great interest. Objective – to describe the mechanisms of BLPS action and to assess their effcacy. Material and methods. We performed a literature review of 32 sources published during the period from 1962 to 2020. Results. It was found out that in addition to the immunomodulatory effect, BLPS are capable of exerting anti-inflammatory, antitumor, radioprotective effects and stimulating tissue regeneration as well. A wide range of BLPS therapeutic effects has been established in diseases of the hepatobiliary system, as evidenced by experimental and clinical studies. BLPS administration shortens the manifestation stage of acute hepatitis, promotes quick normalization of functional liver tests and restoration of morphological changes in the liver. Conclusion. The presence of hepatoprotective and antifbrotic properties in BLPS encourages their wider use in clinical practice of hepatologists.
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