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Hepatoprotective effects of silybin in liver fibrosis
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作者 Xiao-Xin Liu Waseem Hassan +1 位作者 Hammad Ahmed Shao-Zheng Song 《World Journal of Gastroenterology》 2025年第42期48-57,共10页
Chronic liver disease results in a response resembling"wound healing",also known as fibrosis,resulting in the progressive accumulation of connective tissue.Excessive fibrogenesis that results in the disrupti... Chronic liver disease results in a response resembling"wound healing",also known as fibrosis,resulting in the progressive accumulation of connective tissue.Excessive fibrogenesis that results in the disruption of intercellular connections,interactions,and extracellular matrix composition are features of the fibrotic pro-cess mediated by various cell types and chemical mediators such as transforming growth factor-β.Redox-sensitive processes are major contributors to controlling this inflammatory and pro-fibrogenic cytokine's production and synthesis.Other essential hepatic fibrogenesis activities,such as the activation of stellate cells,the expression of metalloproteinases and their inhibitors can also be linked to ge-neration of reactive oxygen species and lipid peroxidation products,which are implicated in development and progression of fibrosis.The herb Silybum maria-num,also known as milk thistle,is widely studied for its potential to treat liver illnesses.Silymarin contains 50%to 70%silybin,which has the highest level of biological activity.In comparison,silybin seems to be relatively safer and the avai-lable evidence on its potential mechanisms of action is encouraging.The aim of this article is to analyze the increasing evidences linking biochemical oxidative events to excessive fibrogenesis and silybin's inhibitory mechanisms that aid in the reversal of fibrosis and fibrotic lesions. 展开更多
关键词 FIBROSIS INFLAMMATION Kupffer cells LIVER silybin
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Preparation of Sustained-release Silybin Microspheres by Spherical Crystallization Technique 被引量:1
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作者 胡容峰 朱家壁 +4 位作者 马凤余 许向阳 孙玉亮 梅康康 李 师 《Journal of Chinese Pharmaceutical Sciences》 CAS 2006年第2期83-91,共9页
Aim To improve the dissolution rate and bioavailability of silybin. Methods Sustained-release silybin microspheres were prepared by the spherical crystallization technique with soliddispersing and release-retarding po... Aim To improve the dissolution rate and bioavailability of silybin. Methods Sustained-release silybin microspheres were prepared by the spherical crystallization technique with soliddispersing and release-retarding polymers. A differential scanning calorimeter and an X-ray diffractometer were used to investigate the dispersion state of silybin in the microspheres. The shape, surface morphology, and internal structure of the microspheres were observed using a scanning electron microscope. Characterization of the microspheres, such as average diameter, size distribution and bulk density of the microspheres was investigated. Results The particle size of the microspheres was determined mainly by the agitation speed. The dissolution rate of silybin from microspheres was enhanced by increasing the amount of the dispersing agents, and sustained by the retarding agents. The release rate of microspheres was controlled by adjusting the combination ratio of the dispersing agents to the retarding agents. The resuits of X-ray diffraction and differential scanning calorimetry analysis indicated that silybin was highly dispersed in the microspheres in amorphous state. The release profiles and content did not change after a three-month accelerated stability test at 40 ℃ and 75% relative humidity. Conclusion Sustained-release silybin microspheres with a solid dispersion structure were prepared successfully in one step by a spherical crystallization technique combined with solid dispersion technique. The preparation process is simple, reproducible and inexpensive. The method is efficient for designing sustained-release microspheres with water-insoluble drugs. 展开更多
关键词 silybin sustained-release microsphere solid dispersion spherical crystallization technique
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In vitro and in vivo evaluation of a self-microemulsifying drug delivery system for silybin
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作者 李馨儒 裴宇盛 +3 位作者 黄燕清 周艳霞 张雨辰 刘艳 《Journal of Chinese Pharmaceutical Sciences》 CAS 2009年第4期342-347,共6页
To enhance the oral absorption of the poorly water-soluble drug silybin, a self-microemulsifying drug delivery system (SMEDDS) composed of ethyl linoleate, Cremophor EL and PEG 400 for oral administration of silybin... To enhance the oral absorption of the poorly water-soluble drug silybin, a self-microemulsifying drug delivery system (SMEDDS) composed of ethyl linoleate, Cremophor EL and PEG 400 for oral administration of silybin was formulated, and its physicochemical properties and bioavailability of silybin were evaluated. The in vitro release of silybin from microemulsion and dispersion of silybin from SMEDDS were significantly faster than those from the commercial silybin hard capsule, respectively. The area under the drug concentration-time curve (AUC) and the mean maximum plasma level (Cmax) of the SMEDDS were remarkably greater than those of the hard capsule after oral administration to rats. The absorption of silybin formulated in SMEDDS exhibited a 2.3-fold increase in bioavailability as compared with the hard capsule. These results demonstrated that SMESDDS might be a useful drug delivery system for the oral delivery of the poorly water-soluble drug silybin. 展开更多
关键词 Self-microemulsifying drug delivery system silybin MICROEMULSION BIOAVAILABILITY
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Preparation and evaluation of the solid dispersions of poorly soluble silybin
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作者 马燕 李卫中 古锦辉 《Journal of Chinese Pharmaceutical Sciences》 CAS 2011年第6期604-608,共5页
To improve its solubility and dissolution,solid dispersions of silybin in PVP K30 were prepared by the conventional solvent evaporation method and characterized by equilibrium solubility and dissolution studies,differ... To improve its solubility and dissolution,solid dispersions of silybin in PVP K30 were prepared by the conventional solvent evaporation method and characterized by equilibrium solubility and dissolution studies,differential scanning calorimetry (DSC) and Fourier transform infrared spectroscopy(FTIR).Silybin solid dispersions showed increased solubility and rates of dissolution compared with pure drug and corresponding physical mixtures of silybin and PVP K30.Thermograms of various solid dispersions did not show the melting peak of pure silybin,indicating that silybin was in amorphous form inside the polymer carrier.FTIR studies demonstrated the presence of interactions between hydroxyl groups of silybin and carbonyl groups of PVP K30 in solid dispersions.Solid dispersion techniques can be used to formulate water insoluble drugs to improve their dissolution in vitro and absorption in vivo. 展开更多
关键词 silybin Solid dispersions PVP K30 DSC FTIR
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Silybin counteracts lipid excess and oxidative stress in cultured steatotic hepatic cells 被引量:13
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作者 Giulia Vecchione Elena Grasselli +5 位作者 Adriana Voci Francesca Baldini Ignazio Grattagliano David QH Wang Piero Portincasa Laura Vergani 《World Journal of Gastroenterology》 SCIE CAS 2016年第26期6016-6026,共11页
AIM: To investigate in vitro the therapeutic effect and mechanisms of silybin in a cellular model of hepatic steatosis.METHODS: Rat hepatoma FaO cells were loaded with lipids by exposure to 0.75 mmol/L oleate/palmitat... AIM: To investigate in vitro the therapeutic effect and mechanisms of silybin in a cellular model of hepatic steatosis.METHODS: Rat hepatoma FaO cells were loaded with lipids by exposure to 0.75 mmol/L oleate/palmitate for 3 h to mimic liver steatosis. Then, the steatotic cells were incubated for 24 h with different concentrations (25 to 100 &#x003bc;mol/L) of silybin as phytosome complex with vitamin E. The effects of silybin on lipid accumulation and metabolism, and on indices of oxidative stress were evaluated by absorption and fluorescence microscopy, quantitative real-time PCR, Western blot, spectrophotometric and fluorimetric assays.RESULTS: Lipid-loading resulted in intracellular triglyceride (TG) accumulation inside lipid droplets, whose number and size increased. TG accumulation was mediated by increased levels of peroxisome proliferator-activated receptors (PPARs) and sterol regulatory element-binding protein-1c (SREBP-1c). The lipid imbalance was associated with higher production of reactive oxygen species (ROS) resulting in increased lipid peroxidation, stimulation of catalase activity and activation of nuclear factor kappa-B (NF-&#x003ba;B). Incubation of steatotic cells with silybin 50 &#x003bc;mol/L significantly reduced TG accumulation likely by promoting lipid catabolism and by inhibiting lipogenic pathways, as suggested by the changes in carnitine palmitoyltransferase 1 (CPT-1), PPAR and SREBP-1c levels. The reduction in fat accumulation exerted by silybin in the steatotic cells was associated with the improvement of the oxidative imbalance caused by lipid excess as demonstrated by the reduction in ROS content, lipid peroxidation, catalase activity and NF-&#x003ba;B activation.CONCLUSION: We demonstrated the direct anti-steatotic and anti-oxidant effects of silybin in steatotic cells, thus elucidating at a cellular level the encouraging results demonstrated in clinical and animal studies. 展开更多
关键词 Non-alcoholic fatty liver disease Steatotic hepatocytes silybin Lipid metabolism Oxidative stress Lipid droplets Mitochondrial β -OXIDATION
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Silybin alleviates hepatic lipid accumulation in methionine-choline deficient diet-induced nonalcoholic fatty liver disease in mice via peroxisome proliferator-activated receptorα 被引量:7
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作者 CUI Shuang PAN Xiao-Jie +9 位作者 GE Chao-Liang GUO Yi-Tong ZHANG Peng-Fei YAN Ting-Ting ZHOU Ji-Yu HE Qing-Xian CHENG Long-Hao WANG Guang-Ji HAO Hai-Ping WANG Hong 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2021年第6期401-411,共11页
Nonalcoholic fatty liver disease(NAFLD)is regarded as the most common liver disease with no approved therapeutic drug currently.Silymarin,an extract from the seeds of Silybum marianum,has been used for centuries for t... Nonalcoholic fatty liver disease(NAFLD)is regarded as the most common liver disease with no approved therapeutic drug currently.Silymarin,an extract from the seeds of Silybum marianum,has been used for centuries for the treatment of various liver diseases.Although the hepatoprotective effect of silybin against NAFLD is widely accepted,the underlying mechanism and therapeutic target remain unclear.In this study,NAFLD mice caused by methionine-choline deficient(MCD)diet were orally administrated with silybin to explore the possible mechanism and target.To clarify the contribution of peroxisome proliferator-activated receptorα(PPARα),PPARαantagonist GW6471 was co-administrated with silybin to NAFLD mice.Since silybin was proven as a PPARαpartial agonist,the combined effect of silybin with PPARαagonist,fenofibrate,was then evaluated in NAFLD mice.Serum and liver samples were collected to analyze the pharmacological efficacy and expression of PPARαand its targets.As expected,silybin significantly protected mice from MCD-induced NAFLD.Furthermore,silybin reduced lipid accumulation via activating PPARα,inducing the expression of liver cytosolic fatty acid-binding protein,carnitine palmitoyltransferase(Cpt)-1a,Cpt-2,medium chain acyl-CoA dehydrogenase and stearoyl-CoA desaturase-1,and suppressing fatty acid synthase and acetyl-CoA carboxylaseα.GW6471 abolished the effect of silybin on PPARαsignal and hepatoprotective effect against NAFLD.Moreover,as a partial agonist for PPARα,silybin impaired the powerful lipid-lowering effect of fenofibrate when used together.Taken together,silybin protected mice against NAFLD via activating PPARαto diminish lipid accumulation and it is not suggested to simultaneously take silybin and classical PPARαagonists for NAFLD therapy. 展开更多
关键词 silybin NAFLD PPARa Lipid metabolism FENOFIBRATE
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Establishment and application of experimental model of human fetal hepatocytes: protective effects of silybin and polyporus umbellalus polysaccharides on human fetal hepatocytes 被引量:2
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作者 WANG MaoRong, LE MeiZhao, XU JiaZhang and HE ChangLun 《World Journal of Gastroenterology》 SCIE CAS CSCD 1997年第4期30-32,共3页
IM To establish a new experimental model system with human fetal hepatocytes to study the mechanisms of protective effect of silybin and polyporus umbellalus polysaccharides (PSP) on the ultrastructure of human fetal... IM To establish a new experimental model system with human fetal hepatocytes to study the mechanisms of protective effect of silybin and polyporus umbellalus polysaccharides (PSP) on the ultrastructure of human fetal hepatocytes.METHODS The hepatocytes were obtained from the liver of human fetus from induced labor with written consent. The primarily cultured hepatocytes were pretreated with silybin and PSP and exposed to CCl4 for 4 hours. The ultrastructural changes of hepatocytes were observed under scanning electronmicroscopy (SEM) and transmission electronmicroscope (TEM). Transaminase and SOD were also assayed at the end of culture.RESULT The levels of ALT and AST were significantly decreased and the SOD level elevated in two pretreated groups as compared with that in the control group. The cellular integrity and ultrastructure of hepatocytes were well preserved in the two drugs pretreated groups while they were seriously damaged in the control group.CONCLUSION The experimental model system with human fetal hepatocytes pretreated with CCl4 could act as an effective method for studying the protective effect of drugs on human hepatocytes, and could be used for screening the medicines for treatment of hepatitis. 展开更多
关键词 FETAL HEPATOCYTES EXPERIMENTAL model silybin polyporus umbellalus POLYSACCHARIDES
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Preparation of silybin 23-esters and evaluation of their inhibitory ability against LPO and DNA protective properties 被引量:2
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作者 Ke Xin Huang Jing Xu Gong +8 位作者 Wei Xiong Lei Xiang Yang Feng Wang Qiao Feng Tao Yi Hang Wu Xiao Kun Li Joachim Stockigt Yu Zhao Jia Qu 《Chinese Chemical Letters》 SCIE CAS CSCD 2009年第9期1030-1033,共4页
Twelve 23-esterified silybin derivatives with different patterns of substituents such as aromatic and aliphatic groups (1-12) were designed and synthesized. The antioxidative properties of these compounds were evalu... Twelve 23-esterified silybin derivatives with different patterns of substituents such as aromatic and aliphatic groups (1-12) were designed and synthesized. The antioxidative properties of these compounds were evaluated. The modifed silybin analogues exhibited improved inhibitory effects against rat liver homogenate lipid peroxidation compared to silybin, with exception of the trimethoxylated ester (5) and the aliphatic one (9). Compounds 3, 5, 7, 8 and 11 displayed their protective properties on DNA cleavage in a dose-dependent manner. 2009 Xiao Kun Li. Published by Elsevier B.V. on behalf of Chinese Chemical Society. All rights reserved. 展开更多
关键词 silybin derivatives ANTIOXIDANT Lipid peroxidation DNA cleavage
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Synthesis and Antioxidant Properties of Novel Silybin Analogues 被引量:2
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作者 Jing Xu GONG Lin Jia WENG +9 位作者 Feng WANG Yu Bin FENG Chang Xin ZHOU Hai Bo LI Yi Hang WU Xiao Jiang HAO Xiu Mei WU Hua BAI Joachim STOECKIGT Yu ZHAO 《Chinese Chemical Letters》 SCIE CAS CSCD 2006年第4期465-468,共4页
Eight novel silybin analogues(7a-h)were synthesized and their antioxidant properties including the capability of scavenging superoxide anion free radicals and the inhibitory effect on DPPH free radicals were determine... Eight novel silybin analogues(7a-h)were synthesized and their antioxidant properties including the capability of scavenging superoxide anion free radicals and the inhibitory effect on DPPH free radicals were determined.Several synthetic compounds showed comparable antioxidative effect to that of quercetin. 展开更多
关键词 silybin analogues SYNTHESIS ANTIOXIDANT DPPH inhibition superoxide anion free radical scavenging.
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Curative effect of silybin combined with pituitrin-phentolamine for pulmonary tuberculosis complicated by acute hemoptysis
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作者 Shu-Hua Li Li-Jun Zou 《Journal of Hainan Medical University》 2017年第24期37-40,共4页
Objective: To study the curative effect of silybin combined with pituitrin-phentolamine for pulmonary tuberculosis complicated by acute hemoptysis. Methods: A total of 78 patients with pulmonary tuberculosis complicat... Objective: To study the curative effect of silybin combined with pituitrin-phentolamine for pulmonary tuberculosis complicated by acute hemoptysis. Methods: A total of 78 patients with pulmonary tuberculosis complicated by acute hemoptysis who were treated in this hospital between December 2013 and April 2017 were divided into control group (n=39) and silybin group (n=39) by random number table. Control group received pituitrin-phentolamine hemostasis therapy, silybin group received pituitrin-phentolamine combined with silybin therapy, both were treated for 1 week. The differences in peripheral blood liver function and coagulation index levels as well as serum oxidative stress index contents were compared between the two groups of patients before treatment and after 1 week of treatment. Results:Before treatment, the differences in peripheral blood liver function and coagulation index levels as well as serum oxidative stress index contents were not statistically significant between the two groups. After 1 week of treatment, peripheral blood liver function indexes ALT, AST, ALP and STB contents of silybin group were lower than those of control group;peripheral blood coagulation indexes PT, APTT and TT levels were lower than those of control group whereas Fib level was higher than that of control group;serum oxidative stress indexes AOPPs and LHP contents were lower than those of control group whereas GSH-Px and T-AOC contents were higher than those of control group. Conclusion: pituitrin-phentolamine combined with silybin therapy can effectively protect the liver function, optimize the coagulation function and reduce the oxidative stress response in patients with pulmonary tuberculosis complicated by acute hemoptysis. 展开更多
关键词 Pulmonary tuberculosis Cute HEMOPTYSIS silybin PITUITRIN PHENTOLAMINE
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水飞蓟宾纳米递送系统的研究进展
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作者 杨硕 吕江维 《化学与生物工程》 北大核心 2026年第3期7-14,共8页
水飞蓟宾是天然植物水飞蓟的种子提取物水飞蓟素的主要活性成分,具有肝脏保护、肾脏保护、心脏保护、抗癌、抗炎、抗糖尿病、神经保护等诸多药理作用,尤其对急慢性肝炎、肝硬化、肝损伤等具有显著疗效。但水飞蓟宾存在水溶性差、胃肠道... 水飞蓟宾是天然植物水飞蓟的种子提取物水飞蓟素的主要活性成分,具有肝脏保护、肾脏保护、心脏保护、抗癌、抗炎、抗糖尿病、神经保护等诸多药理作用,尤其对急慢性肝炎、肝硬化、肝损伤等具有显著疗效。但水飞蓟宾存在水溶性差、胃肠道吸收率低、代谢迅速、口服生物利用度低等问题。利用纳米递送系统可有效调控水飞蓟宾的释放速率,增强其生物膜透过性,延长其体内循环时间,提高其亲水性与靶向性,显著改善其生物利用度,从而充分发挥疗效。系统阐述了基于脂质、聚合物、药物晶体、无机载体等不同载体类型的水飞蓟宾纳米递送系统的最新研究进展,为水飞蓟宾的开发利用提供了依据和思路。 展开更多
关键词 水飞蓟宾 纳米递送系统 纳米晶体 无机载体 生物利用度
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水飞蓟宾葡甲胺联合甘草酸二铵通过抑制氧化应激及炎症反应减轻抗结核药物性肝损伤的研究
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作者 王占坤 陈维维 +3 位作者 杨开宁 王梦梦 陈秀秀 赵倩 《检验医学与临床》 2026年第4期518-523,530,共7页
目的探讨水飞蓟宾葡甲胺联合甘草酸二铵是否通过抑制氧化应激及炎症反应减轻抗结核药物性肝损伤(ATB-DILI)。方法选取2021年11月至2022年4月于该院确诊为肺结核并在接受标准化抗结核治疗期间,经药物性肝损伤因果关系评估(RUCAM)量表评... 目的探讨水飞蓟宾葡甲胺联合甘草酸二铵是否通过抑制氧化应激及炎症反应减轻抗结核药物性肝损伤(ATB-DILI)。方法选取2021年11月至2022年4月于该院确诊为肺结核并在接受标准化抗结核治疗期间,经药物性肝损伤因果关系评估(RUCAM)量表评分确诊为ATB-DILI的患者124例作为研究对象。按照随机数字表法将124例患者分为甘草酸组、联合组,每组62例。甘草酸组服用甘草酸二铵肠溶胶囊,联合组在甘草酸组的基础上增加水飞蓟宾葡甲胺,2组均采用2HREZ/4HR的抗结核治疗。于干预前、干预1个月后,检测2组患者血清丙氨酸氨基转移酶(ALT)和总胆红素(TBIL)水平,采用全自动凝血分析仪检测血浆凝血酶原时间(PT),并自动计算国际标准化比值(INR),采用酶联免疫吸附试验检测血清氧化应激指标[超氧化物歧化酶(SOD)、丙二醛(MDA)]和炎症因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)]水平。统计干预前、干预1个月后2组患者ATB-DILI严重程度。观察干预期间患者的不良反应发生情况。结果干预后,2组血清ALT、TBIL水平及INR均低于干预前(P<0.05),且联合组血清ALT、TBIL水平及INR均低于甘草酸组(P<0.05)。干预后,2组血清SOD水平均高于干预前(P<0.05),MDA、TNF-α、IL-1β水平均低于干预前(P<0.05);干预后,联合组血清SOD水平高于甘草酸组(P<0.05),血清MDA、TNF-α、IL-1β水平均低于甘草酸组(P<0.05)。干预后,2组ATB-DILI严重程度均降低(P<0.001),且联合组ATB-DILI严重程度低于甘草酸组(Z=6.563,P=0.011)。干预期间,联合组不良反应总发生率低于甘草酸组(P<0.05)。结论水飞蓟宾葡甲胺与甘草酸二铵肠溶胶囊联用可明显改善肺结核患者的ATB-DILI,降低ALT、TBIL、INR,改善肝功能,抑制肝损伤后的氧化应激和炎症反应,减少抗结核药物治疗期间的不良反应。 展开更多
关键词 抗结核药物性肝损伤 水飞蓟宾葡甲胺 甘草酸二铵肠溶胶囊 肝功能 氧化应激 炎症因子
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Simultaneous Determination of Silybin A and Silybin B in Rat Plasma and Pharmacokinetic Study
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作者 CHU Yang LI Wei +4 位作者 LI Zhi-wen LI Xin-xin MA Xiao-hui ZHOU Shui-ping ZHU Yong-hong 《Chinese Herbal Medicines》 CAS 2011年第4期304-309,共6页
Objective To investigate the bioavailability and pharmacokinetics of silybin A and silybin B in rats,respectively.Methods Following iv and ig administration of silybin to 20 Wistar rats,the plasma samples were collect... Objective To investigate the bioavailability and pharmacokinetics of silybin A and silybin B in rats,respectively.Methods Following iv and ig administration of silybin to 20 Wistar rats,the plasma samples were collected at different time points up to 12 h.Sample pretreatment was involved in one-step protein precipitation with acetonitrile.Silybin A and silybin B were simultaneously determined by LC-MS/MS.Results After ig dosing silybin 28,56,and 112 mg/kg to rats,the t1/2βvalues were 5.48,5.08,and 5.73 h for silybin A,and 4.56,4.12,and 5.53 h for silybin B;The Cmax were 674.3,1349.4,and 2042.5 ng/mL for silybin A,and 671.0,1365.4,and 2066.2 ng/mL for silybin B;The Tmax were 0.20,0.23,and 0.20 h for silybin A,and 0.20,0.23,and 0.20 h for silybin B;The AUC were 454.4,845.9,and 1219.5 h·ng/mL for silybin A,and 432.0,817.1,and 1153.6 h·ng/mL for silybin B.The absolute bioavailabilities of silybin A and silybin B were 2.86%and 1.93%,respectively.Conclusion Silybin A and silybin B have very low bioavailability after ig administration,and there is no significant difference in the pharmacokinetic parameters between silybin A and silybin B,which indicates that the two diastereoisomers have similar pharmacokinetic behavior in rats. 展开更多
关键词 BIOAVAILABILITY LC-MS/MS PHARMACOKINETICS silybin A silybin B
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水飞蓟宾通过诱导细胞自噬及凋亡双重机制抑制兔青光眼术后纤维化
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作者 张语洋 申颖 +3 位作者 佟欣雨 段宇魁 罗云娜 郭文奇 《南方医科大学学报》 北大核心 2026年第3期666-674,共9页
目的 探讨水飞蓟宾在抑制青光眼术后纤维化的作用及其分子机制。方法 体内动物实验:将25只健康新西兰兔随机分为对照组及不同浓度水飞蓟宾实验组(50、100、200、250μmol/L),5只/组,左眼行小梁切除术后连续7 d进行结膜下注射。术后动态... 目的 探讨水飞蓟宾在抑制青光眼术后纤维化的作用及其分子机制。方法 体内动物实验:将25只健康新西兰兔随机分为对照组及不同浓度水飞蓟宾实验组(50、100、200、250μmol/L),5只/组,左眼行小梁切除术后连续7 d进行结膜下注射。术后动态监测眼压和滤过泡形态(Krofeld分型),第28天取术眼组织进行HE、Masson染色,Fibronectin和Collagen Ⅰ免疫荧光检测。体外实验:通过TGF-β1诱导兔Tenon囊成纤维细胞纤维化模型,结合Western blotting及流式细胞术分析水飞蓟宾对自噬(LC3Ⅱ/LC3Ⅰ、p62)与凋亡的调控作用。结果 术后7~21 d,不同浓度水飞蓟宾实验组兔眼压均低于对照组(P<0.05)。200μmol/L、250μmol/L实验组兔眼压降低可维持至术后28 d(P<0.05)。术后14~21 d,随着水飞蓟宾浓度升高,功能性滤过泡数形成率升高(P<0.05),200、250μmol/L水飞蓟宾组在术后28 d仍保持40%以上的功能性滤过泡(P<0.05)。HE和Masson染色显示,各实验组炎性细胞浸润程度和纤维细胞数量较对照组降低、胶原沉积呈浓度依赖性减少。免疫荧光实验显示,水飞蓟宾呈剂量依赖性减少Fibronectin与Collagen Ⅰ阳性细胞数量(P<0.001)。体外实验显示,水飞蓟宾逆转TGF-β1诱导的成纤维细胞纤维化表型(P<0.01),上调LC3Ⅱ/LC3Ⅰ比值(P<0.0001),降低p62表达(P<0.0001),并促进细胞凋亡(P<0.0001)。结论 水飞蓟宾可明显抑制青光眼术后纤维化,可能是通过激活细胞自噬及诱导细胞凋亡双重机制减少成纤维细胞活化。 展开更多
关键词 水飞蓟宾 青光眼滤过术 纤维化 自噬 凋亡 兔Tenons囊成纤维细胞
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泽明红山方加减治疗代谢相关脂肪性肝病合并脂肪酸代谢异常的临床疗效观察
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作者 耿晓萱 卢秉久 +3 位作者 郑佳连 王叶 柳美华 岳胜楠 《时珍国医国药》 北大核心 2026年第1期113-118,共6页
目的探究泽明红山方加减治疗代谢相关脂肪性肝病(MAFLD)合并混合型高脂血症(MHLP)患者脂质代谢、肝细胞损伤、肝纤维化的作用。方法病例选自2022年9月至2024年9月就诊于辽宁中医药大学附属医院肝病门诊,符合MAFLD合并MHLP诊断标准的患者... 目的探究泽明红山方加减治疗代谢相关脂肪性肝病(MAFLD)合并混合型高脂血症(MHLP)患者脂质代谢、肝细胞损伤、肝纤维化的作用。方法病例选自2022年9月至2024年9月就诊于辽宁中医药大学附属医院肝病门诊,符合MAFLD合并MHLP诊断标准的患者,共收集病例对照组、中药组各62例。基础治疗包括调整作息、控制饮食、增加运动。对照组在基础治疗上给予口服水飞蓟宾胶囊,中药组在基础治疗上给予口服泽明红山方汤剂,根据不同兼证进行灵活加减。治疗周期12周。比较两组患者治疗前后BMI、肝功能、血脂水平、影像学结果、肝纤维化程度指标、中医证候疗效及安全性指标,进一步评价泽明红山方对于本病的治疗效果及安全性。结果两组患者BMI均显著下降,且中药组优于对照组(P<0.05);治疗后两组肝功能、血脂、肝纤维化程度指标均有不同程度改善;影像学疗效及中医证候评分提示中药组有效率更高;治疗期间未见不良反应,安全性良好。结论泽明红山方作用涉及肝脏脂质代谢、降低血脂含量、减轻炎症、缓解肝纤维化等方面,共同起到防治本病的作用。 展开更多
关键词 代谢相关脂肪性肝病 混合型高脂血症 泽明红山方 水飞蓟宾胶囊 脂质代谢 肝纤维化程度
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Supersaturated polymeric micelles for oral silybin delivery: the role of the Soluplus–PVPVA complex 被引量:5
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作者 Chunliu Zhu Shuang Gong +4 位作者 Jinsong Ding Miaorong Yu Ejaj Ahmad Yi Feng Yong Gan 《Acta Pharmaceutica Sinica B》 SCIE CSCD 2019年第1期107-117,共11页
Increasing the degree of supersaturation of drugs and maintaining their proper stability are very important in improving the oral bioavailability of poorly soluble drugs by a supersaturated drug delivery system(SDDS).... Increasing the degree of supersaturation of drugs and maintaining their proper stability are very important in improving the oral bioavailability of poorly soluble drugs by a supersaturated drug delivery system(SDDS). In this study, we reported a complex system of Soluplus–Copovidone(Soluplus–PVPVA)loaded with the model drug silybin(SLB) that could not only maintain the stability of a supersaturated solution but also effectively promote oral absorption. The antiprecipitation effect of the polymers on SLB was observed using the solvent-shift method. In addition, the effects of the polymers on absorption were detected by cellular uptake and transport experiments. The mechanisms by which the Soluplus–PVPVA complex promotes oral absorption were explored by dynamic light scattering, transmission electron microscopy, fluorescence spectra and isothermal titration calorimetry analyses. Furthermore, a pharmacokinetic study in rats was used to demonstrate the advantages of the Soluplus–PVPVA complex. The results showed that Soluplus and PVPVA spontaneously formed complexes in aqueous solution via the adsorption of PVPVA on the hydrophilichydrophobic interface of the Soluplus micelle, and the Soluplus–PVPVA complex significantly increased the absorption of SLB. In conclusion, the Soluplus–PVPVA complex is a potential SDDS for improving the bioavailability of hydrophobic drugs. 展开更多
关键词 silybin Soluplus PVPVA COMPLEX Supersaturated DRUG delivery system ORAL BIOAVAILABILITY
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ORIGINAL ARTl CLESSilybin Decreases Erythrocytic Sorbitol Level and ImprovesPeripheral Nerve Conduction Velocity in Patients with Non-lnsulin Dependent Diabetes Mellitus
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作者 Zhang Jiaqing (张家庆) Mao Xiao-ming(毛晓明) and Zhou Yun-ping (周云平)(Department of Endocrinology, Changhai Hospital, Second MilitaryMedical University, Shanghai) (200433) 《Chinese Journal of Integrative Medicine》 SCIE CAS 1995年第1期84-86,共3页
The effects of silybin on erythrocytic sorbitol level and peripheral nerve conduction veloci-ty were studied in 14 cases of noninsulin dependent diabetes mellitus (NIDDM) . Atter oral administrationof silybin 231 mgld... The effects of silybin on erythrocytic sorbitol level and peripheral nerve conduction veloci-ty were studied in 14 cases of noninsulin dependent diabetes mellitus (NIDDM) . Atter oral administrationof silybin 231 mglday for 4 weeks, no blood glucose change was observed in patients with NIDDM, whilethe erythrocytic sorbitol level was significantly decreased from 72. 55 21. 61 to 39. 53 14. 94 nmol/g .Hb (P<0. 01) . At the same time, peripheral nerve conduction vefocity was also improved. These resultsindicate that silybin is an effective aldose reductase inhibitor which can improve the disorder of polyolpathway in NIDDM patients and prevent chronic complications of diabetes. 展开更多
关键词 silybin SORBITOL chronic complications of diabetes aldose reductase inhibitor
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水飞蓟宾胶囊联合替诺福韦治疗肝硬化失代偿期的临床观察
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作者 王静静 蔡铭 《深圳中西医结合杂志》 2026年第3期114-117,共4页
目的:探究水飞蓟宾胶囊联合替诺福韦治疗肝硬化失代偿期的效果。方法:采集2021年3月至2024年3月信阳市中心医院收治的60例肝硬化失代偿期患者的临床资料,按照治疗方法不同分组,其中30例接受替诺福韦治疗的患者纳入对照组,30例接受水飞... 目的:探究水飞蓟宾胶囊联合替诺福韦治疗肝硬化失代偿期的效果。方法:采集2021年3月至2024年3月信阳市中心医院收治的60例肝硬化失代偿期患者的临床资料,按照治疗方法不同分组,其中30例接受替诺福韦治疗的患者纳入对照组,30例接受水飞蓟宾胶囊联合替诺福韦治疗的患者纳入观察组。比较两组患者不良反应发生情况、临床终点结局指标,治疗前后肝功能、肝脏弹性值及肾功能。结果:治疗后,观察组患者血清总胆红素(TBil)、谷丙转氨酶(ALT)水平及肝脏弹性值低于对照组,血清白蛋白(ALB)水平高于对照组,差异具有统计学意义(P<0.05);治疗后,两组患者血尿素氮(BUN)、血肌酐(Scr)、β2–微球蛋白(β2–MG)水平及估算肾小球滤过率(eGFR)比较,差异无统计学意义(P>0.05);两组患者不良反应总发生率比较,差异无统计学意义(P>0.05);观察组患者腹水消退率、再代偿率高于对照组,再住院率低于对照组,差异具有统计学意义(P<0.05)。结论:肝硬化失代偿期患者采用水飞蓟宾胶囊联合替诺福韦方案治疗,或可通过多靶点机制改善肝功能与肝纤维化状况,提高腹水消退率及再代偿率,降低再住院风险,且未观察到明显肾毒性风险。 展开更多
关键词 肝硬化 失代偿期 替诺福韦 水飞蓟宾 肝功能 肾功能
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达格列净联合水飞蓟宾、二甲双胍治疗T2DM合并NAFLD疗效
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作者 张敬晓 李德亮 李鹏超 《四川生理科学杂志》 2026年第4期784-787,共4页
目的:探讨达格列净联合水飞蓟宾、二甲双胍联合治疗治疗2型糖尿病(Type 2 diabetes mellitus,T2DM)合并非酒精性脂肪性肝病(Non-alcoholic fatty liver disease,NAFLD)患者的疗效。方法:回顾性分析2021年3月1日至2024年2月1日我院收治的... 目的:探讨达格列净联合水飞蓟宾、二甲双胍联合治疗治疗2型糖尿病(Type 2 diabetes mellitus,T2DM)合并非酒精性脂肪性肝病(Non-alcoholic fatty liver disease,NAFLD)患者的疗效。方法:回顾性分析2021年3月1日至2024年2月1日我院收治的T2DM合并NAFLD患者90例,根据治疗方案不同分为常规药物组(n=47)和达格列净联合组(n=43)。常规药物组口服二甲双胍(0.5 g·次^(-1),3次·d^(-1))和水飞蓟宾(105 mg·次^(-1),3次·d^(-1))治疗,达格列净联合组在常规药物组基础上口服达格列净(5 mg·次^(-1),1次·d^(-1))治疗。治疗6 m后,比较两组临床疗效;采用全自动血糖分析仪检测患者空腹血糖(Fasting plasma glucose,FPG)、餐后2 h血糖(2-hour postprandial plasma glucose,2hPG),糖化血红蛋白(Glycated hemoglobin,HbA1c);采用酶联免疫吸附法检测患者三酰甘油(Triglycerides,TG)、总胆固醇(Total cholesterol,TC)、低密度脂蛋白胆固醇(Low-density lipoprotein cholesterol,LDL-C);采用全自动生化分析仪检测谷氨酰转肽酶(Glutamyl transpeptidase,GGT)、丙氨酸氨基转移酶(Alanine aminotransferase,ALT)、天冬氨酸氨基转氨酶(Aspartate aminotransferase,AST);采用酶联免疫吸附法检测脂多糖(Lipopolysaccharide,LPS)、白细胞介素-6(Interleukin-6,IL-6)、肿瘤坏死因子-α(Tumor necrosis factor-α,TNF-α)、核转录因子kB(Nuclear transcription factor kB,NF-KB);比较两组治疗期间不良反应总发生率。结果:治疗后,达格列净联合组临床总有效率为95.35%,高于常规药物组的78.72%(P<0.05);治疗后,格列净联合组血糖FPG、2hPG、HbA1c水平、血脂TG、TC、LDL-C水平及肝功能GGT、ALT、AST水平均低于常规药物组(P<0.05);治疗期间,达格列净联合组不良反应总发生率为11.63%,略高于常规药物组的8.51%,但组间无显著差异(P>0.05)。结论:达格列净与水飞蓟宾、二甲双胍联合治疗T2DM合并NAFLD可降低血糖、血脂,改善肝功能,减轻炎症反应,提升临床疗效。 展开更多
关键词 2型糖尿病 非酒精性脂肪肝 达格列净 水飞蓟宾 二甲双胍
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水飞蓟宾对肢体缺血再灌注大鼠肝损伤及线粒体凋亡途径的影响 被引量:1
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作者 杨小春 吕建 +2 位作者 孙景毅 汪文月 王媛媛 《安徽医药》 2025年第3期494-501,共8页
目的探讨水飞蓟宾对肢体缺血再灌注大鼠肝损伤的保护作用及其具体机制。方法2022年1月至2023年1月将50只大鼠按照随机数字表法分为正常组、模型组、水飞蓟宾低浓度组、水飞蓟宾中浓度组和水飞蓟宾高浓度组,每组10只。水飞蓟宾低、中和... 目的探讨水飞蓟宾对肢体缺血再灌注大鼠肝损伤的保护作用及其具体机制。方法2022年1月至2023年1月将50只大鼠按照随机数字表法分为正常组、模型组、水飞蓟宾低浓度组、水飞蓟宾中浓度组和水飞蓟宾高浓度组,每组10只。水飞蓟宾低、中和高浓度组大鼠分别给予100、200和400 mg·kg^(-1)·d^(-1)水飞蓟宾灌胃,连续7 d。于末次给药2 h后,双后肢根部环扎橡皮筋阻断血流4 h,再灌注4 h,制备肢体缺血再灌注肝损伤模型。计算肝指数和脾指数,检测肝脏损伤指标[丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)以及乳酸脱氢酶(LDH)]、氧化应激指标[超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSHPx)和丙二醛]以及血清中炎症反应指标[白细胞介素-1β(IL-1β)和肿瘤坏死因子α(TNF-α)],线粒体通透性转运孔(mPTP)孔开放程度,肝组织进行苏木精-伊红(HE)染色和脱氧核糖核苷酸末端转移酶介导的缺口末端标记法(TUNEL)染色,逆转录实时荧光定量聚合酶链式反应(RT-qPCR)法检测B淋巴细胞瘤-2(Bcl-2)和Bcl-2相关X蛋白(Bax)mRNA表达水平,蛋白质印迹法检测肝组织中活化胱天蛋白酶(cleaved caspase)-3和cleaved caspase-9蛋白表达水平以及Bax/Bcl-2,并分别检测肝细胞胞质和线粒体中细胞色素C(Cyt-c)蛋白表达水平。结果模型组肝细胞排列紊乱,肝细胞肿胀,部分出现空泡变性,大量炎症细胞浸润;水飞蓟宾低、中和高浓度组大鼠肝组织病理损伤减轻,出现空泡化、坏死的细胞数减少,炎症细胞浸润减少。与正常组比较,模型组肝指数、脾指数、ALT、AST和LDH、TNF-α和IL-1β以及丙二醛含量、细胞凋亡率均升高,SOD和GSH-Px活性降低,mPTP孔开放程度增强,BaxmRNA表达水平以及cleaved caspase-3、cleaved caspase-9蛋白表达水平和Bax/Bcl-2升高,胞质中Cyt-c蛋白表达水平升高,Bcl-2mRNA表达水平以及线粒体中Cyt-c蛋白表达水平降低(P<0.05);与模型组比较,水飞蓟宾低、中和高浓度组肝指数[(7.41±1.05)mg/g、(6.33±1.02)mg/g、(5.45±0.75)mg/g比(9.37±1.34)mg/g]和脾指数、ALT[(194.22±36.82)IU/L、(111.06±33.97)IU/L、(77.36±9.37)IU/L比(275.27±44.75)IU/L]、AST[(221.73±47.55)IU/L、(105.90±15.41)IU/L、(83.95±7.90)IU/L比(384.94±47.90)IU/L]和LDH[(459.47±48.05)U/L、(371.86±40.60)U/L、(316.88±23.56)U/L比(548.90±53.68)U/L]含量、TNF-α和IL-1β以及丙二醛含量、细胞凋亡率降低,SOD和GSH-Px活性升高,mPTP孔(1.44±0.23、1.24±0.2、1.05±0.15比1.63±0.25)开放程度减弱,Bax mRNA表达水平、cleaved caspase-3和cleaved caspase-9蛋白表达水平以及Bax/Bcl-2和胞质中Cyt-c(0.96±0.06、0.44±0.05、0.16±0.05比1.13±0.14)蛋白表达水平降低,Bcl-2 mRNA表达水平以及线粒体中Cyt-c(0.73±0.07、0.82±0.06、1.05±0.08比0.18±0.05)蛋白表达水平升高(P<0.05)。结论水飞蓟宾可减轻肢体缺血再灌注大鼠肝损伤程度,抑制肝细胞凋亡,其可能是通过减轻氧化应激反应和炎症反应,阻碍线粒体凋亡途径发挥作用。 展开更多
关键词 肝损伤 再灌注损伤 线粒体凋亡 水飞蓟宾 丙氨酸转氨酶 超氧化物歧化酶 胱天蛋白酶-3 胱天蛋白酶-9
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