Reactive oxygen species (ROS) have been implicated in the etiology of indomethacin-induced gastric mucosal damage. This study investigated amiodarone's protective effects against oxidative gastric mucosal damage induced by indomethacin. Amiodarone is a widely used antiarrhythmic agent. We have investigated alterations in the glutathione level, and the activities of antioxidative enzymes [superoxide dismutase, catalase, glutathione s-transferase glutathione reductase and myeloperoxidase], as markers for ulceration process following oral administration of amiodarone and ranitidine in rats with indomethacin-induced ulcers. In the present study we found that 1) amiodarone, lansoprazole and ranitidine reduced the development of indomethacin-induced gastric damages, at a greater magnitude for amiodarone and lansoprazole than for ranitidine; 2) amiodarone and ranitidine alleviated increases in the activities of catalase and glutathione s-transferase enzymes resulting from ulcers; 3) amiodarone and ranitidine ameliorated depressions in the glutathione level and the activities of superoxide dismutase and glutathione reductase enzymes caused by indomethacin administration; and 4) all doses of amiodarone amplified the myeloperoxidase activity resulting from indomethacin-induced gastric ulcers. The results indicate that the gastroprotective activity of amiodarone, which may be linked to its intrinsic antioxidant properties, cannot be attributed to its effect on myeloperoxidase activity.

译文

活性氧 (ROS) 与吲哚美辛诱导的胃粘膜损伤的病因有关。这项研究调查了胺碘酮对吲哚美辛引起的氧化胃黏膜损伤的保护作用。胺碘酮是一种广泛使用的抗心律失常药。我们已经研究了谷胱甘肽水平的变化以及抗氧化酶 [超氧化物歧化酶,过氧化氢酶,谷胱甘肽s-转移酶谷胱甘肽还原酶和髓过氧化物酶] 的活性,作为口服胺碘酮和雷尼替丁后溃疡过程的标志物消炎痛诱导的大鼠的溃疡。在本研究中,我们发现1) 胺碘酮,兰索拉唑和雷尼替丁减少了吲哚美辛诱导的胃损伤的发展,胺碘酮和兰索拉唑比雷尼替丁更大; 2) 胺碘酮和雷尼替丁减轻了溃疡引起的过氧化氢酶和谷胱甘肽s-转移酶活性的增加; 3) 胺碘酮和雷尼替丁改善了吲哚美辛给药引起的谷胱甘肽水平的降低以及超氧化物歧化酶和谷胱甘肽还原酶的活性; 4) 所有剂量的胺碘酮都增强了由吲哚美辛诱导的胃溃疡引起的髓过氧化物酶活性。结果表明,胺碘酮的胃保护活性可能与其固有的抗氧化特性有关,但不能归因于其对髓过氧化物酶活性的影响。

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