茴三硫对利福平致药物性肝损伤的保护作用及机制
Protective effects and mechanism of Anethole trithione on the rats with drug-induced liver injury caused by Rifampicin
作者:叶晓莉;王凌;蒋学华;
Author:
收稿日期: 年卷(期)页码:2018,33(05):-501-503
期刊名称:华西药学杂志
Journal Name:WEST CHINA JOURNAL OF PHARMACEUTICAL SCIENCES
关键字:利福平;茴三硫;药物性肝损伤;胆汁淤积;多药耐药相关蛋白2;碱性磷酸酶;总胆红素;胆汁酸;作用机制
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基金项目:
中文摘要
目的研究茴三硫对利福平所致药物性肝损伤的保护作用,并初步研究其机制。方法将♂SD大鼠随机均分为对照组、模型组、茴三硫低、中、高剂量(5、10、25 mg·kg~(-1))组;观察大鼠肝脏组织的病理切片,测定肝功能生化指标和血清中胆汁酸的水平;采用q PCR实验检测大鼠肝脏组织中多药耐药相关蛋白2(Mrp2)mRNA的表达水平。结果与模型组比较,茴三硫显著地减少了大鼠肝脏组织中变性或坏死的肝细胞,未见明显肝脏病变;显著地降低了血清中碱性磷酸酶(ALP)、总胆红素(TBIL)、胆汁酸的水平;显著地提高了肝脏组织中Mrp2 mRNA的表达水平,且呈剂量依赖性。结论茴三硫对利福平所致药物性肝损伤具有保护作用,其保肝、利胆作用的机制可能与上调肝脏组织中Mrp2的表达水平,减少胆汁淤积有关。
参考文献
[1] Baskaran UL,Sabina EP. Clinical and experimental research in antituberculosis drug-induced hepatotoxicity:A review[J]. J Integr Med,2017,15(1):27-36.
[2]邓立东,蒋学华,邓航,等.利福平和异烟肼联用的药物动力学研究[J].华西药学杂志,2002,18(1):16-19.
[3] Wu S,Xia Y,Lv T,et al. Preventive use of hepatoprotectors yields limited efficacy on the liver toxicity of anti-tuberculosis agents in a large cohort of Chinese patients[J]. J Gastroenterol Hepatol,2015,30(3):540-545.
[4] Warnet JM,Christen MO,Thevenin M,et al. Study of glutathione and glutathione related enzymes in acetaminophen-poisoned mice. Prevention by anethole trithione pretreatment[J]. Arch Toxicol Suppl,1989,13:322-325.
[5] Chen P,Luo Y,Hai L,et al. Design,synthesis,and pharmacological evaluation of the aqueous prodrugs of desmethyl anethole trithione with hepatoprotective activityt[J]. Eur J Med Chem,2010,45(7):3005-3010.
[6] Ren XF,Wang W,Cai Y,et al. Regulation of hepatobiliary transporters during cholestasis may mediate the phenomenon of adaptation to cholestasis induced by rifampicin in rats[J]. Int J Clin Exp Patho,2016,9(4):4473-4481.
[7] Dzierlenga AL,Clarke JD,Klein DM,et al. Biliary elimination of pemetrexed is dependent on Mrp2 in rats:Potential mechanism of variable response in nonalcoholic steatohepatitis[J]. J Pharmacol Exp Ther,2016,358(2):246-253.
[8] Li L,Yi T,Lam CW. Inhibition of human efflux transporter ABCC2(MRP2)by self-emulsifying drug delivery system:Influences of concentration and combination of excipients[J]. J Pharm Pharm Sci,2014,17(4):447-460.
[9] Chen CY,Kao CY,Lin PJ,et al. Carbon monoxide may enhance bile secretion by increasing glutathione excretion and Mrp2expression in rats[J]. J Chin Med Assoc,2013,76(5):258-264.
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