皮质类固醇的长期治疗可能导致肝毒性和氧化损伤:一项病例对照研究
Priyanka Tiwari1, Nitika Singh1, Bechan Sharma1
1Department of Biochemistry, Faculty of Science, University of Allahabad, Allahabad, 211002 India.
Indian journal of clinical biochemistry : IJCB
|June 26, 2023
概括
用于关节炎治疗的皮质类固醇可能会增加氧化应激和肝毒性. 需要进一步研究更安全,无类固醇的关节炎药物和潜在的抗氧化剂补充剂.
科学领域:
- 生物化学 生物化学
- 药理学 药理学是指药理学的学科.
- 临床医学 临床医学
背景情况:
- 关节炎是一种导致疼痛和发病的关节疾病.
- 皮质类固醇通常用于治疗关节炎和其他炎症性疾病.
- 皮质类固醇的副作用取决于剂量,途径和持续时间,需要对生物化学后果进行调查.
研究的目的:
- 系统地研究在关节炎患者中使用皮质类固醇的生物化学后果.
- 分析与氧化应激,肝功能和能量代谢相关的参数.
- 为了确定甲基prednisolone和deflazacort的剂量和持续时间依赖的影响.
主要方法:
- 对接受皮质类固醇治疗 (长达168天) 的关节炎患者的血分析.
- 测量氧化应激标志物 (MDA),抗氧化酶活动 (SOD,CAT) 和乳酸脱酶 (LDH).
- 对肝功能酶 (AST,ALT) 的评估.
主要成果:
- 增加的马隆迪阿尔海德 (MDA) 水平,表明脂质过氧化.
- 超氧化物脱酶 (SOD),催化酶 (CAT) 和乳酸脱酶 (LDH) 的活性降低.
- 显著增强了阿斯巴酸氨基转移酶 (AST) 和氨基转移酶 (ALT) 的活性,表明肝毒性.
结论:
- 在关节炎患者中,皮质类固醇可能会诱导脂质过氧化,氧化应激和肝毒性,其剂量和持续时间取决于剂量和持续时间.
- 抗氧化剂补充剂可能会减轻类固醇诱导的氧化应激.
- 需要进一步的研究来开发更安全的,无类固醇的关节炎治疗方法.
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