ABSTRACT
Hepatic ischemia reperfusion injury [IRI] is a common pathological process of traumatic surgical diseases in the liver, liver transplantation, shock and infection. Inflammatory mediators are implicated in the pathogenesis of IRI. Pentoxifylline [PTX] is a derivative of methylxanthine, acts as a phosphodiesterase inhibitor and therapy elevares the levels of cAMP. Interest in PTX has been recently reawakened because of its reported suppressive action on immune functions, particularly on cytokine production. It has been shown to be beneficial in organ transplantation. Pentoxifyllin probably acts primarily by inhibiting tumor necrosis factor-alpha [TNF-alpha]. We hypothesized that PTX treatment would attenuate hypoxic ischemic liver injury. Thirty-six male albino rats were used throughout this experiment. Animals were divided into 2 main groups; each comprised 18 rats [sham-operated and IRI groups]. Group [1] sham-operated [exposed to anesthesia and laparotomy], this group is subdivided into 3 equal subgroups. Subgroup 1A: Sham-operated received daily intra-gastric saline, subgroup IB: sham-operated +PTX [8mg/kg/day] for 6 successive weeks before exposure to anesthesia and laparotomy, subgroup IC: as IB but received PTX [16mg/kg/day]. Group [II]: IRI group, divided into 3 equal subgroups, sub- group llA received intra-gastric saline for 6 weeks before the induction of IRI ,subgroup 116, received 8mg/kg/day PTX intra-gastrically for 6 weeks before induction of IRI, subgroup IIB, recieved 8mg/kg/day PTX intra-gastrically for 6 weeks before induction of IRI, subgroup IIC, received PTX [16 mg/kg/day] before induction of IRI. It was found that IRI produced significant increase in plasma alanine transaminase [ALT], malondialdehyde [MDA], TNF-alpha and hepatic tissue calcium content as compared to sham-operated animal groups. Intra- gastric administration of PTX in the small or large doses for 6 weeks before induction of IRI produced no significant change in the hepatic tissue calcium, plasma MDA, ALT and plasma TNF-alpha as compared to sham control group, but it produced significant decrease as compared to IRI control group. On the light of the present study, these preliminary results with PTX are encouraging to recommend further human studies in hepatic patients especially whom are given PTX for associated cardiovascular problems
Subject(s)
Male , Animals, Laboratory , Pentoxifylline , Chemical and Drug Induced Liver Injury , Cytokines/blood , Tumor Necrosis Factor-alpha , Xanthines/adverse effects , RatsABSTRACT
La autora menciona algunos de los medicamentos utilizados habitualmente para el tratamiento de la Enfermedad Pulmonar Obstructiva Crónica. describe la acción de los broncodilatadores y sus principales efectos
Subject(s)
Humans , Bronchodilator Agents/pharmacology , Lung Diseases, Obstructive/drug therapy , Xanthines/adverse effects , Xanthines/therapeutic use , Bronchodilator Agents/classification , Bronchodilator Agents/adverse effects , Ipratropium/adverse effects , Ipratropium/therapeutic use , Adrenergic beta-Agonists/therapeutic use , Lung Diseases, Obstructive/nursingSubject(s)
Humans , Male , Female , Lung Diseases, Obstructive/drug therapy , Adrenal Cortex Hormones/adverse effects , Adrenal Cortex Hormones/therapeutic use , Asthma/prevention & control , Asthma/therapy , Bronchodilator Agents/administration & dosage , Bronchodilator Agents/classification , Parasympatholytics/therapeutic use , Xanthines/adverse effects , Xanthines/therapeutic useABSTRACT
O autor e cols. fizeram a revisäo da literatura dos anos de 1984, 85 e 86, tendo constatado que esta é bastante reduzida no que concerne ao tópico em questäo. Por outro lado, a diversidade de conclusöes sobre o mesmo assunto é enorme, dando bem a dimensäo do desconhecimento etiológico desta patologia mamária. Assim sendo, näo nos cabe culpa se conclusöes näo foram tiradas, pois quanto mais estudamos mais opiniöes conflitantes encontramos. Apesar do tempo que se passou desde de que foram escritos os primeiros artigos sobre etiologia das displasias mamárias até hoje, nada foi definido realmente. Apesar do grande número de revistas consultadas preferimos nos restringir a apenas três referências para näo complicarmos ainda mais o que já é complicado