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抗结核药物的临床研究 被引量:5
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作者 周新 《世界临床药物》 CAS 2003年第3期160-162,166,共4页
概况 结核病是由结核分支杆菌引起的慢性传染病,可侵及许多脏器,以肺部受累形成肺结核最为常见.肺结核也是人类疾病中最古老的传染病之一,人类与之斗争了数千年,但至今结核病仍在全球流行,对人类健康乃至生命构成严重威胁.
关键词 抗结核药物 异烟肝 利福平 链霉素 吡嗪酰胺 乙胺丁醇 利福喷汀 利福布汀
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Effect of garlic on isoniazid and rifampicin-induced hepatic injury in rats 被引量:23
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作者 RavinderPal ArbabSikander +2 位作者 KartarSingh SatyaVRana Kim Vaiphei 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第4期636-639,共4页
AIM: To evaluate the hepatoprotective effect of garlic on liver injury induced by isoniazid (INH) and rifarnpicin (RIF). METHODS: Wistar rats weighing 150-200 g were treated orally with 50 mg/kg of INH and RIF d... AIM: To evaluate the hepatoprotective effect of garlic on liver injury induced by isoniazid (INH) and rifarnpicin (RIF). METHODS: Wistar rats weighing 150-200 g were treated orally with 50 mg/kg of INH and RIF daily each for 28 d. For hepatoprotective studies, 0.25 g/kg per day of freshly prepared garlic hornogenate was administered orally half an hour before the INH+RIF doses. Serum alanine arninotransferase (AIT), aspartate aminotransferase (AST) and bilirubin were estimated on d 0, 14, 21, and 28 in all the rats. Histological analysis was carried out to assess the injury to the liver. Lipid peroxidation (1PO) as a marker of oxidative stress and non-protein thiols (glutathione) for antioxidant levels were measured in liver hornogenate. RESULTS: The treatment of rats with INH+RIF (50 mg/kg per day each) induced hepatotoxicity in all the treated animals as judged by elevated serum ALT, AST, and bilirubin levels, presence of focal hepatocytic necrosis (6/8) and portal triaditis (8/8). Garlic simultaneously administered at a dose of 0.25 g/kg per day prevented the induction of histopathological injuries in INH+RIF co-treated animals, except in 4 animals, which showed only moderate portal triaditis. The histological changes correlated with oxidative stress in INH+RIF treated animals. The group which received 0.25 g/kg per day garlic hornogenate along with INH+RIF showed higher levels of glutathione (P〈0.05) and low levels of 1PO (P〈 0.05) as compared to INH+RIF treated group. CONCLUSION: Freshly prepared garlic homogenate protects against INH+RIF-induced liver injury in experimental animal model. 展开更多
关键词 GARLIC ISONIAZID RIFAMPICIN Liver injury
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Effects of four Indian medicinal herbs on Isoniazid-, Rifampicin- and Pyrazinamide-induced hepatic injury and immunosuppression in guinea pigs 被引量:2
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作者 Meghna R Adhvaryu Narsimha Reddy Minoo H Parabia 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第23期3199-3205,共7页
AIM: To evaluate and compare the hepatoprotective and immunomodulatory effects of Curcuma longa (CL), Ocimum sanctum (OS), Tinospora cordifolia (TC) and Zizyphus mauritiana (ZM) on liver injury and immunosuppression i... AIM: To evaluate and compare the hepatoprotective and immunomodulatory effects of Curcuma longa (CL), Ocimum sanctum (OS), Tinospora cordifolia (TC) and Zizyphus mauritiana (ZM) on liver injury and immunosuppression induced by Isoniazid (INH), Rifampicin (RIF) and Pyrazinamide (PZA). METHODS: Duncan Hartley guinea pigs, weighing 700-1050 g, were treated orally with 50 mg/kg of INH, 100 mg/kg of RIF and 300 mg/Kg of PZA for 21-d. 200 mg/kg (bw) of each herb crude extract was administered to the herb control group and 2-h previous to INH + RIF + PZA (AKT) doses to the Herb + AKT groups. Serum alanine aminotransferase (ALT), aspertate aminotransferase (AST) bilirubin and Alkaline Phosphatase (ALP) were assessed on d 0 and 21 in all the groups. Phagocytic % (P%), Phagocytic Index (PI) and Chemotactic Index (CI) were also measured as immunologic parameters. Histological analysis was carried out to assess injury to the liver. RESULTS: The AKT treated control group showed hepatotoxicity as judged by elevated serum AST 5-fold, AST/ALT ratio 4-fold, ALP 2-fold and hepatological changes, such as focal necrosis, portal triaditis and steatosis. Immune function was suppressed as judged by decreased P% (51.67 ?1.68 vs 40.61 ?1.28, P < 0.01), PI (2.0725±0.05 vs 0.61±0.05, P < 0.001) and CI (1.8525±0.04 vs 0.695±0.07, P < 0.001). All four herb treated groups showed normal liver histology, enzyme levels and increased P%, while PI and CI were enhanced in the TC and ZM treated groups, respectively. CL + AKT, TC + AKT and ZM + AKT showed nearly normal histology with minimal inflammation and microvesicular steatosis, while OS + AKT showed partial protection. Hepatotoxicity was prevented by restricting the rise of AST by 2-fold in CL + AKT and TC + AKT groups and by 3-fold in OS + AKT and ZM + AKT groups, AST/ALT by 2-fold and ALP to normal levels in all four groups. All four herb + AKT groups showed normal to enhanced neutrophil function. CONCLUSION: All four herbs showed hepatoprotective potential and prevented immunosuppression. CL and TC showed the highest hepatoprotective activity, while TC and ZM showed strong immunostimulatory activity. 展开更多
关键词 ISONIAZID RIFAMPICIN PYRAZINAMIDE HEPATOTOXICITY Curcuma longa Ocimum sanctum Tinospora cordifolia Zizyphus mauritiana HEPATOPROTECTIVE IMMUNOMODULATORY
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