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1. 重庆医科大学附属第二医院消化内科
2. 重庆医科大学附属第二医院消化内科,重庆,400010
纸质出版日期:2005,
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[1]杨朝霞,代东伶,沈薇.还原型谷胱甘肽对实验性大鼠非酒精性脂肪肝的疗效观察及其分子机制探讨[J].重庆医科大学学报,2005(06):803-807.
YANG Zhaoxia, et al. The Effect of Glutathione On Experimental Rat With Fatty liver And Its Possible Molecular Mechanism[J]. Journal of Chongqing Medical University, 2005,(6):803-807.
[1]杨朝霞,代东伶,沈薇.还原型谷胱甘肽对实验性大鼠非酒精性脂肪肝的疗效观察及其分子机制探讨[J].重庆医科大学学报,2005(06):803-807. DOI: 10.13406/j.cnki.cyxb.2005.06.008.
YANG Zhaoxia, et al. The Effect of Glutathione On Experimental Rat With Fatty liver And Its Possible Molecular Mechanism[J]. Journal of Chongqing Medical University, 2005,(6):803-807. DOI: 10.13406/j.cnki.cyxb.2005.06.008.
目的:探讨解偶联蛋白2(UCP2)在非酒精性脂肪性肝病(NAFLD)发病中的作用;观察还原型谷胱甘肽(GSH
商品名阿托莫兰)对实验性NAFLD的治疗效果
探讨其可能的分子机制。方法:高脂饮食建立大鼠NAFLD模型
同时没正常饮食对照组(Basic diet
B组)
模型对照组(单纯性非酒精性脂肪肝
NAFL组)
病理对照组(非酒精性脂肪性肝炎
NASH组)
阿托莫兰治疗组(GSH组)。肝组织匀浆测SOD
GSH
MDA;HE染色法观察肝脏病理改变;ELISA测定血清TNFα;免疫组织化学染色观察肝组织TNFα
UCP2蛋白表达情况;逆转录PCR检测肝组织UCP2mRNA。结果:(1)与B组相比
NAFL组大鼠的肝组织MDA、SOD、GSH均无明显变化;肝组织广泛脂肪变性
脂质沉积;UCP2mRNA表达水平显著上升
血清和肝组织TNFα无显著变化。(2)与NAFL组相比
NASH组大鼠的肝组织SOD、GSH显著下降
MDA显著升高;肝组织广泛弥漫肝细胞脂肪变性
炎性细胞浸润
坏死
局部纤维组织增生;血清和肝组织TNFα增多
UCP2阳性细胞数和UCP2mRNA表达水平进一步上升。(3)与NASH组相比
GSH组大鼠肝组织GSH、SOD显著增高;肝细胞广泛脂肪变性
炎症细胞浸润
灶性及点状坏死
但是未见纤维组织增生;血清和肝组织TNFα显著下降
UCP2水平略低
无统计学意义。结论:NAFLD时肝脏UCP2表达上调
可能是机体的一种适应性反应;而更晚期血清及肝脏TNFα水平显著升高
UCP2过度表达.则可能诱导或加剧脂肪性肝病向脂肪性肝炎
甚至向脂肪性肝纤维化进展。GSH通过减少ROS及其产物的形成
间接影响对TNFα、UCP2的表达诱导
发挥护肝作用。
Objective: To investigate the role of uncoupling protein -2 in development of nonalcoholic fatty liver diseases ( NAFLD)
and explore the effect of glutathione ( GSH) on NAFLD. Methods: 32 SD rats were randomly divided into basic diet - treated group ( B group)
model group( M group)
Pathology group( P group) and GSH treated group( G group). The following parameters were determined by biochemical analysis; superoxide dismutase( SOD)
glutathione(GSH)
malondialdehyde (MDA). Liver histopathologic e-valuation was performed by hematoxylin - eosin staining. Serum tumor necrosis factor alpha(TNFα) level was done by enzyme -linked immunoadsordent assay ( ELISA). Ucp2 and TNFaproteins expression in hepatocytes was examined by immunohistochemistry
and UCP2mRNA expression by semi - quantitative reverse transcription - polymerase chain reaction( RT - PCR). Results: ( 1 ) compared with B group
no evident increase in liver MDA
SOD and GSH of M group rats as well as serum TNFαlevel were observed. Neither marked change in number of hepatocytes with TNFαpositive was shown by immunohistochemistry staining
but an increase in UCP2 mRNA and UCP2 protein expression was seen in M group rats. (2) Compared with M group
a significant increase in serum TNFα and MDA levels was found in P group .while a significant decrease in liver homogenate SOD and GSH was observed . An apparent increase in number of hepatocytes with TNFαand UCP2 positive was shown by immunohistochemistry staining
as well as UCP2mRNA level by RT-PCR. (3) Compared with P group
a significant decrease in serum MDA and a significant increase in liver homogenate SOD
GSH levels was found in G group. A little lower level of UCP2 expression was shown in G group than in P group. Conclusion; High level of serum and tissue TNFaand UCP2 over - expression are concomitant with an extreme decrease even depletion in the liver ATP in NAFLED model rats
that cause oxidative stress and lipid super - oxidation in liver
and induce or exacerbate fatty liver disease progression to steatohepatitis even fibrosis. Glutathione seems to be effective to some extent for NAFLD by protection of liver function through replenishment of exogenous antioxidants.
非酒精性脂肪肝解偶联蛋白2肿瘤坏死因子αGSH
Fatty liver nonalcoholicUncoupling protein -2Serum tumor necrosis factor alpha (TNF/α)Glutathione
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