Complex pathogenetic treatment of liver cirrhosis

Treatment of patients with liver cirrhosis (LC) and its complications is one of the most difficult problems of surgery, in particular, surgical hepatology and biliary surgery. According to WHO data, the frequency of LC is steadily increasing. According to these data the authors conclude that there i...

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Main Authors: O. F. Dzygal, R. S. Vastyanov
Format: Article
Language:English
Published: Kazimierz Wielki University 2017-01-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/23883
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author O. F. Dzygal
R. S. Vastyanov
author_facet O. F. Dzygal
R. S. Vastyanov
author_sort O. F. Dzygal
collection DOAJ
description Treatment of patients with liver cirrhosis (LC) and its complications is one of the most difficult problems of surgery, in particular, surgical hepatology and biliary surgery. According to WHO data, the frequency of LC is steadily increasing. According to these data the authors conclude that there is a lack of understanding of pathogenetic mechanisms liver parenchymatic cells cirrhotic lesion. Chronic experimental trials were carried out to reproduce the model of LC in rats by four-carbon monoxide peroral administration. In the rat blood 1, 6, 12 hours, 1, 3, 5 and 7 days after the experimental LC formation, proteolysis standard activity was determined through lysosomal enzymes activity measurement. It was found that LC manifestation is accompanied by activation in blood serum of rats of acid, trypsin-like proteases and lysosomal enzymes, indicating the generalization of the process. Catepsin D activation indicates the presence of inflammatory-destructive changes in the liver which reflects systemic inflammation in case of LC. The data obtained suggest that rats blood proteolysis activation is probably one of the components of pathogenesis of the disease, Both alpha-lipoic acid and tivortine positive effects are the experimental background of their clinical testing reasonability in patients with LC, both individually and in combination with hepatoprotective compounds.
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spelling doaj.art-d128b45e53814c029a504fa1621709bd2022-12-22T02:09:06ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062017-01-0171Complex pathogenetic treatment of liver cirrhosisO. F. Dzygal0R. S. Vastyanov1Odessa National Medical UniversityOdessa National Medical UniversityTreatment of patients with liver cirrhosis (LC) and its complications is one of the most difficult problems of surgery, in particular, surgical hepatology and biliary surgery. According to WHO data, the frequency of LC is steadily increasing. According to these data the authors conclude that there is a lack of understanding of pathogenetic mechanisms liver parenchymatic cells cirrhotic lesion. Chronic experimental trials were carried out to reproduce the model of LC in rats by four-carbon monoxide peroral administration. In the rat blood 1, 6, 12 hours, 1, 3, 5 and 7 days after the experimental LC formation, proteolysis standard activity was determined through lysosomal enzymes activity measurement. It was found that LC manifestation is accompanied by activation in blood serum of rats of acid, trypsin-like proteases and lysosomal enzymes, indicating the generalization of the process. Catepsin D activation indicates the presence of inflammatory-destructive changes in the liver which reflects systemic inflammation in case of LC. The data obtained suggest that rats blood proteolysis activation is probably one of the components of pathogenesis of the disease, Both alpha-lipoic acid and tivortine positive effects are the experimental background of their clinical testing reasonability in patients with LC, both individually and in combination with hepatoprotective compounds.https://apcz.umk.pl/JEHS/article/view/23883experimental cirrhosis of the liverpathogenetic mechanismsproteolysisalpha lipoic acidtivortincomplex treatment
spellingShingle O. F. Dzygal
R. S. Vastyanov
Complex pathogenetic treatment of liver cirrhosis
Journal of Education, Health and Sport
experimental cirrhosis of the liver
pathogenetic mechanisms
proteolysis
alpha lipoic acid
tivortin
complex treatment
title Complex pathogenetic treatment of liver cirrhosis
title_full Complex pathogenetic treatment of liver cirrhosis
title_fullStr Complex pathogenetic treatment of liver cirrhosis
title_full_unstemmed Complex pathogenetic treatment of liver cirrhosis
title_short Complex pathogenetic treatment of liver cirrhosis
title_sort complex pathogenetic treatment of liver cirrhosis
topic experimental cirrhosis of the liver
pathogenetic mechanisms
proteolysis
alpha lipoic acid
tivortin
complex treatment
url https://apcz.umk.pl/JEHS/article/view/23883
work_keys_str_mv AT ofdzygal complexpathogenetictreatmentoflivercirrhosis
AT rsvastyanov complexpathogenetictreatmentoflivercirrhosis