利福平和异烟肼肝脏毒性作用及部分机理-hepatotoxic effects of rifampin and isoniazid and some mechanisms.docxVIP

利福平和异烟肼肝脏毒性作用及部分机理-hepatotoxic effects of rifampin and isoniazid and some mechanisms.docx

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利福平和异烟肼肝脏毒性作用及部分机理-hepatotoxic effects of rifampin and isoniazid and some mechanisms

Isoniazid-andrifampicin-inducedhepatotoxicityanditsmechanismAbstractsBackgroundandobjective:Bothisoniazid(INH)andrifampicin(RIF)arewidelyuseddrugsinantituberculosistherapyrecommendedbyWorldHealthOrganization(WHO)andthemainreasonofacutedrug-inducedliverinjuryinChina.INHandRIFhasbeenknowntobehepatotoxicbuttheinteractionbetweenINHandRIFisstillnotentirelyclear.INH-inducedhepatotoxicitywasassociatedwithINH-inducedhepaticoxidativestressviahepaticCYP2E1metabolism.StarvationupregulatestheexpressionofCYP2E1inliver.However,whetherstarvationaggravateINH-inducedhepatotoxicityisstillnotentirelyclear.ThetreatmentofRIFcombinedINHsignificantlyincreasedhepaticTGandTCH.However,whetherRIForINHaloneaffectslipidmetabolismneedstobefurtherstudied.Thepurposeofthepresentstudywasto(1)theeffectsofstarvationonINH-inducedhepatotoxicity,(2)theeffectsofRIFaloneonhepaticlipidmetabolism,and(3)theefffectsofRIFonINH-inducedoxidativestressinliver.Methods:Thepresentstudyincludesthreeseparateexperiments.(1)TostudyINH-inducedliverinjury,ICRfemalemiceweredividedintotwogroups:thecontrolgroupandtheINHgroup.MicewereorallyadministeredwithsalineorINH(100mg/kg,dissolvedinsaline)dailyforsevenconsecutivedaysandsacrificedat6hafterthelastINHadministration.ToinvestigatetheeffectsofstarvationonINH-inducedliveroxidativestressinmouseliver,miceweredividedintofourgroups:controlgroup,starvationgroup,INHalonegroupandINHplusstarvationgroup.InINHalonegroup,micewereadministeredwithINH(100mg/kg,dissolvedinsaline)dailybygavageforfourconsecutivedays.InINHplusstarvationgroup,micewerestarvedfor12hbeforeINHand6hafterINH.Controlmicereceivedsalineonly.Atsacrifice,themicewerefastedfor6hafterthelastINHadministration.Serumalanineaminotransferase(ALT),aspartateaminotransferase(AST),alkalinephosphatase(AKP)weremeasuredusingstandardclinicalmethods.Liversectionswerestainedwithhematoxylinandeosintoevaluatethehepatichistology.Theglutathione(GSH)wasdeterminedbythemethodofGriffith.Lipidperoxidationwasquantifiedbymeasuringthiobarbituricacid-reac

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