RESUMO
Heparins have been reported to cause elevations in serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) but have not been associated with clinically significant liver injury. The mechanisms underlying these benign laboratory abnormalities are unknown. Forty-eight healthy men were randomized to receive subcutaneous injections of unfractionated heparin (UFH; 150 U/kg), enoxaparin sodium (1 mg/kg), dalteparin sodium (120 IU/kg), or adomiparin sodium (125 IU/kg; a novel heparin) every 12 h for 4.5 days. Asymptomatic elevations in serum ALT or AST were observed in >90% of the subjects. Elevations were also observed in the levels of serum sorbitol dehydrogenase (SDH), glutamate dehydrogenase (GLDH), miR-122, high-mobility group box-1 protein (including the acetylated form), full-length keratin 18, and DNA. Keratin 18 fragments, which are apoptosis biomarkers, were not detected. Biomarker profiles did not differ significantly across heparin treatments. We conclude that heparins as a class cause self-limited and mild hepatocyte necrosis with secondary activation of an innate immune response.
Assuntos
Anticoagulantes/farmacocinética , Biomarcadores/sangue , Heparina/farmacologia , Fígado/efeitos dos fármacos , Adulto , Alanina Transaminase/sangue , Anticoagulantes/farmacologia , Aspartato Aminotransferases/sangue , Dalteparina/farmacologia , Enoxaparina/farmacologia , Glutamato Desidrogenase/sangue , Proteína HMGB1/sangue , Heparina/farmacocinética , Humanos , Queratina-18/sangue , L-Iditol 2-Desidrogenase/sangue , Masculino , MicroRNAs/sangue , Pessoa de Meia-Idade , Adulto JovemRESUMO
Specific heat, magnetization and electron spin resonance (ESR) data obtained from a self-standing film of the doped plasticized polyaniline (PANI-DB3EPSA)(0.5) are shown. No long range magnetic order has been observed at zero magnetic field, above 2 K. For a magnetic field of 3.3 kOe applied perpendicular to the plane of the film, a clear signature of an induced ordered state can be seen in the specific heat data and ESR also reveals this antiferromagnetic order. An electronic contribution is detected from ESR, magnetization and specific heat; however, for T ≤ 5 K, the specific heat data show the existence of a gap. Magnetization data also show a low temperature dominant Curie behaviour which cannot be seen from ESR, probably due to a very large linewidth, suggesting short range correlations among spin 1/2 polarons.
