ارزیابی اثر حفاظتی داروی پروپوفول بر اختلالات بافت کبد ناشی از تجویز متوترکسات در موش صحرایی نر نژاد ویستار

نویسندگان

DOI::

https://doi.org/10.22100/jkh.v17i3.2883

چکیده

مقدمه: متوترکسات (Methotrexate: MTX) یک داروی سیتوتوکسیک است که در برابر برخی بیماری‌ها و تومورها تجویز می‌شود که کاربرد آن به‌دلیل برخی عوارض جانبی محدود شده است. پروپوفول یک داروی با خاصیت آنتی‌اکسیدانی یکی از داروهای آرام‌بخشی و بیهوشی مطلوب می‌باشد. هدف این مطالعه ارزیابی اثر پروپوفول در برابر سمیت کبدی ناشی از متوترکسات می‌باشد.

مواد و روش‌ها: تعداد 24 رت به 4 گروه تقسیم شدند: گروه کنترل (گاواژ آب مقطر) گروه پروپوفول (10 mg/kg سه بار در هفته) گروه متوترکسات (20 mg/kg در روزهای17 و 18) و گروه پروپوفول-متوترکسات. تزریقات درون صفاقی و مدت مطالعه 21 روز بود. سپس تمام موش‌ها بیهوش شدند و پلاسما برای تخمین آسپارتات آمینوترانسفراز (Aspartate aminotransferase: AST)، آلانین آمینوترانسفراز (Alanine aminotransferase: ALT) و لاکتات دهیدروژناز (Lactate dehydrogenase: LDH) و همچنین بیلیروبین توتال جمع‌آوری شد. بافت کبد جهت مطالعه شاخص‌های هیستوپاتولوژیک جداسازی شد.

نتایج: در مقایسه گروه MTX با گروه pro-MTX مشاهده شد پروپوفول به‌طور معنی‌داری موجب کاهش سطح آنزیم‌های AST و ALT شد (0001/0P<) اما اثر آن بر کاهش ALP و LDH معنی‌دار نبود. تغییرات بیلیروبین توتال بر هیچ گروهی معنی‌دار نبود. در بررسی تغییرات هیستوپاتولوژیک کبدی، در گروه MTX، نکروز سلولی، دژنراسیون سلولی، ارتشاح لکوسیت‌ها، پرخونی ورید مرکزی و اتساع سینوزوئیدها دیده شد. آسیب در گروه pro-MTX در برابر گروه MTX به شکل معنی‌داری کاهش یافت (0001/0P<).

نتیجه‌گیری: نتایج تحقیق حاضر نشان داد که پروپوفول در برابر سمیت کبدی ناشی از متوترکسات اثرات محافظتی دارد، اما برای کاربرد بالینی، مطالعات بیشتری موردنیاز است.

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2022-09-28

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