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Effects of reduced glutathione therapy on chronic hepatitis B
Li Qian1, Wenjun Wang1, Yan Zhou1
1Department of Clinical Laboratory, The Second People's Hospital of Lianyungang, Haizhou, China.
Insights
Glutathione treatment shows promise for chronic hepatitis B (CHB). This natural compound improved liver function and reduced inflammation and fibrosis in CHB patients, offering a potential new therapeutic avenue.
Area of Science:
- Hepatology
- Pharmacology
- Biochemistry
Background:
- Chronic hepatitis B (CHB) is a significant global health issue, causing substantial mortality.
- There is a critical need for effective and safe treatments for CHB, particularly natural compounds.
- Investigating novel therapeutic agents is essential for managing CHB progression and improving patient outcomes.
Purpose of the Study:
- To evaluate the therapeutic efficacy of glutathione in patients with chronic hepatitis B.
- To determine the impact of glutathione on liver function markers, inflammation, and hepatic fibrosis in CHB.
- To assess glutathione as a potential natural drug for CHB treatment.
Main Methods:
- A randomized controlled trial involving 104 CHB patients.
- The treatment group received intravenous glutathione (1200 mg/day) alongside standard care (inosine).
- The control group received only standard care (inosine). Both groups were treated for eight weeks.
Main Results:
- Glutathione treatment significantly decreased serum levels of liver enzymes (AST, ALT), bilirubin, and bile acids.
- It also reduced markers of hepatic fibrosis (hyaluronic acid, collagen IV, laminin) and inflammation (TGF-β1, TNF-α, IL-6, IL-8).
- Compared to the control group, glutathione demonstrated a marked improvement in liver function and reduced pathological markers.
Conclusions:
- Glutathione treatment effectively improves liver function in CHB patients.
- Glutathione demonstrates anti-inflammatory and anti-fibrotic properties in the context of CHB.
- Glutathione represents a promising natural therapeutic agent for managing chronic hepatitis B.
Abstract:
Developed chronic hepatitis B (CHB) causes death in approximately one million patients every year. Therefore, natural drugs with high therapeutic efficacy and minimal side effects must be developed for CHB treatment. This study aimed to relate the therapeutic effects of glutathione on CHB. A total of 104 CHB patients were randomly divided into two groups: the control group, which received an intravenous drip of 0.4 g of inosine injection with 250 ml of 5% glucose once a day for eight weeks, and the treatment group, which received an intravenous drip of 1200 mg of glutathione on the basis of the treatment of the control group. Glutathione treatment decreased the serum levels of asparaginic acid transaminase, alanine aminotransferase, total bilirubin, total bile acids, haluronic acid, collagen IV, laminin, transforming growth factor-β1, tumour necrosis factor-α, interleukin-6, and interleukin-8, compared with the control group. The results indicate that glutathione treatment can improve liver function and inhibit inflammation and hepatic fibrosis in CHB patients.
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