过量服用类醇 (ATOM-8) 的肠道损伤
Varan Perananthan1,2, Fathima Shihana1,2, Angela L Chiew2,3,4
1Edith Collins Centre, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Journal of gastroenterology and hepatology
|December 27, 2023
概括
过量服用青会引起肠道毒性,由肠道脂肪酸结合蛋白 (IFABP) 的升高表明. 这种毒性可能解释了早期的高乳糖血症,并影响药物吸收和肝损伤.
科学领域:
- 毒理学 毒理学 毒理学
- 胃肠病学 胃肠病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 已知过量服用类胺醇 (乙氨基) 会导致肝脏损伤.
- 在吸收过程中高水平的青对肠道有毒性的理解较少.
- 这项研究调查了类醇诱导的肠道损伤.
研究的目的:
- 为了确定是否过量服用青会导致肠道毒性.
- 为了将肠道损伤标志物与早期和晚期的偏醇毒性相关联.
- 探索肠道毒性和高乳糖血症之间的联系.
主要方法:
- 分析了30名过量患者的血肠脂肪酸结合蛋白 (IFABP) 和肠道微RNA.
- 测量了肠细胞损伤的标记物.
- 对患有早期高乳糖血症 (乳酸盐在12小时内超过2mmol/L) 的患者进行了分分析.
主要成果:
- 与对照组相比,在过量服用青的患者中,血IFABP显著升高.
- 患有早期高乳糖血症的患者表现出更高的IFABP水平.
- IFABP与白醇和乳酸盐度相关;miR-122和miR-215在早期的高乳酸血症下调.
结论:
- 过量服用青会引起度依赖的肠道毒性.
- 肠道毒性可能解释早期高乳糖血症综合征.
- 肠道毒性可能会影响药物吸收和肝毒性进展.
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