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目的探讨雷公藤多甙(GTW)对实验性肝衰竭的保护作用.方法雄性Wistar大鼠24只,随机分为对照组(n=8),急性肝衰竭(AHF)组(n=8)和GTW保护组(n=8).GTW组在实验前5dGTW25mg/(kg·d)经胃管灌胃,其余两组均以等量生理盐水溶液灌胃.从第6天开始,AHF组和GTW组均在空腹12h后ipDGalN16g/kg,注射后40h,以30g/L戊巴比妥钠(40mg/kg)ip麻醉,心脏抽血测定血清ALT,TB和T淋巴细胞亚群.同时,在光镜和电镜下观察各组肝组织病理变化.结果AHF组ALT(IU/L)和TB(μmol/L)分别为7828±5762和125627±67027;OX8水平为140%±3%.GTW组ALT和TB分别为359±54和47±35;OX8为43%±4%.两组比较有显著统计学差异(P<005或001).同时,前者电镜下线粒体和内质网肿胀、破损,核内染色质凝聚,后者细胞器受损明显减轻.结论雷公藤多甙对实验性急性肝衰竭具有保护作用.
Objective To investigate the protective effects of tripterygium glycosides (GTW) on experimental liver failure. Methods Twenty - four male Wistar rats were randomly divided into control group (n = 8), acute liver failure group (n = 8) and GTW protection group (n = 8). The rats in GTW group were given gTW25mg / (kg · d) by gavage before the experiment, and the other two groups were given gavage with saline. From the 6th day, AHF group and GTW group were ipD GalN1.6g / kg 12h after fasting, anesthetized with 30g / L sodium pentobarbital (40mg / kg) ip 40h after injection, ALT, TB and T lymphocyte subsets. At the same time, pathological changes of liver in each group were observed under light microscope and electron microscope. Results The ALT (IU / L) and TB (μmol / L) in AHF group were 7828 ± 5762 and 125627 ± 67027, respectively. The OX8 level was 140% ± 3%. ALT and TB in the GTW group were 359 ± 54 and 47 ± 35, respectively; OX8 was 43% ± 4%. There was significant difference between the two groups (P <005 or 001). At the same time, the former under electron microscope, mitochondria and endoplasmic reticulum swelling, damage, condensation of nuclear chromatin, which was significantly reduced organelle damage. Conclusion Tripterygium glycosides have a protective effect on experimental acute liver failure.