缺血性肝损伤的可能药物矫正方法

Dovganiuk Ap, Tarasova Ap, Pokrovskiy Mv
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摘要

我们很高兴地介绍三种不同类型的药物对缺血性肝损伤的几种药理学纠正,它们是:促胰岛素抑制剂、咪唑啉受体激动剂和双胍类药物。这项研究是在别尔哥罗德国立研究大学临床前研究中心进行的。实验采用雌雄大鼠,分为7组(n = 10):完整组、假手术组(解剖腹壁,不结扎肝血管)、缺血/再灌注组、缺血/肝再灌注组+二甲双胍(50 mg/kg)、缺血/肝再灌注组+莫onidine (1 ?g/kg)、缺血/肝再灌注组+ C7070 (10 mg/kg)。评估时,根据组织学检查,采用肝转氨酶(ALT、AST)水平计算的系数,以及肝脏坏死面积和深度缺血面积的形态计量学比值进行评估。实验用50只雌雄大鼠进行,分为以下组(n = 10):完整组;假手术动物(解剖腹壁,不结扎肝血管),缺血/再灌注组,不进行药物校正,缺血/肝再灌注组+二甲双胍(50 mg/kg),缺血/肝再灌注组+莫硝定(1 ?g/kg),缺血/肝再灌注组+ C7070 (10 mg/kg),缺血/肝再灌注组+维格列汀(0.2 mg/kg),缺血/肝再灌注组+艾塞那肽(10 ?g/kg)。评价时,根据组织学检查,采用肝转氨酶(ALT、AST)水平计算的系数,以及肝脏坏死面积和深度缺血面积的形态计量学比值进行评价。结论咪唑啉受体激动剂能显著降低肝脏缺血再灌注的功能和形态学表现。
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Possible Ways of Pharmacological Correction of Ischemic Liver Damage
We are glad to introduce several variants of pharmacological correction of ischemic hepatic injury by three different types of medicines—incretinomimetics, imidazoline receptor’s agonists and biguanides. The study was conducted at the center for preclinical studies, Belgorod National Research University. The experiment was performed on both sex rats, divided into seven groups (n = 10): An intact group, pseudo-operated animals (autopsy of the abdominal wall without ligation of the liver vessels), ischemia/reperfusion group without drug correction, animals undergoing ischemia/liver reperfusion + metformin (50 mg/kg), animals undergoing ischemia/liver reperfusion + moxonidine (1 ?g/kg), animals undergoing ischemia/liver reperfusion + C7070 (10 mg/kg). For the evaluation, the coefficients calculated from the level of hepatic transaminases (ALT, AST), as well as morphometric ratios of the area of necrosis and deep ischemia of the liver, were used for evaluation according to the histological examination. The experiment was performed on 50 rats of both sexes, divided into the next groups (n = 10): An intact group; pseudo-operated animals (autopsy of the abdominal wall without ligation of the liver vessels), ischemia/reperfusion group without drug correction, animals undergoing ischemia/liver reperfusion + metformin (50 mg/kg), animals undergoing ischemia/liver reperfusion + moxonidine (1 ?g/kg), animals undergoing ischemia/liver reperfusion + C7070 (10 mg/kg), animals undergoing ischemia/liver reperfusion + vildagliptine (0.2 mg/kg), animals undergoing ischemia/liver reperfusion + exenatide (10 ?g/kg). For the evaluation, the coefficients calculated from the level of hepatic transaminases (ALT, AST), as well as morphometric ratios of the area of necrosis and deep ischemia of the liver, were used for the evaluation according to the histological examination. Conclusion The imidazoline receptor agonists significantly and significantly reduce the functional and morphological manifestations of liver ischemia/reperfusion.
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