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引用本文:李会英,潘家琪,汤治元.扑热息痛肝毒性中炎症反应的研究进展[J].中国现代应用药学,2014,31(6):763-767.
LI Huiying,PAN Jiaqi,TANG Zhiyuan.Progress of Inflammation in Liver Toxicity Caused by Acetaminophen[J].Chin J Mod Appl Pharm(中国现代应用药学),2014,31(6):763-767.
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扑热息痛肝毒性中炎症反应的研究进展
李会英1, 潘家琪2, 汤治元2
1.宁波大学医学院附属医院,浙江 宁波 315020;2.宁波大学医学院,浙江 宁波 315211
摘要:
扑热息痛(N-acetyl-para-aminophenol,APAP)是临床应用最广泛的解热镇痛药;作为肝毒性工具药物,APAP也被广泛用于药物肝毒性机制研究和测试药物的护肝潜力。炎症是加重细胞损伤的一个潜在因素,也能限制细胞损伤,清除细胞碎片和促进再生。30余年来,APAP肝毒性机制的研究和讨论一直在持续。笔者针对APAP肝毒性中的细胞内事件,尤其是与炎症反应、炎症介质、炎症细胞之间的关系进行综述,为临床应用和毒性机制研究提供参考。
关键词:  扑热息痛  肝毒性  炎症
DOI:
分类号:R969
基金项目:国家自然科学基金项目(81273582);宁波市自然科学基金项目(2012A610211)
Progress of Inflammation in Liver Toxicity Caused by Acetaminophen
LI Huiying1, PAN Jiaqi2, TANG Zhiyuan2
1.The Affiliated Hospital of Medical College of Ningbo University, Ningbo 315020, China;2.Medical School of Ningbo University, Ningbo 315211, China
Abstract:
As the most widely used antipyretic analgesic, acetaminophen has been widely used as a model drug to study mechanisms of chemical-induced liver toxicity and test hepato-protective potential of new drugs. Inflammation may aggravate cell damage, by limiting cell injury, removing cell debris and promoting regeneration. The mechanisms of AAP-induced liver cell injury have been extensively investigated and discussed for more than 30 years. This review focuses on the intracellular events of acetaminophen-induced hepatotoxicity, particularly the relevance of the inflammatory response, inflammatory mediators and inflammatory cells, to help improve clinical application and lay a good basis for mechanism investigation.
Key words:  acetaminophen  hepatotoxicity  inflammation
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