Publications

Scientific publications

Дуданова О. П., Белавина И. А., Курбатова И. В., Ларина А. А., Топчиева Л.В.
Эффективность применения урсодезоксихолевой кислоты при неалкогольном стеатогепатите
// Экспериментальная и клиническая гастроэнтерология. Вып. 123, №11. 2015. C. 10-14
Dudanova O.P., Belavina I.A., Kurbatova I.V., Larina A.A. , Topchieva L.V. Efficiency of ursodeoxycholic acid application in nonalcocholic steatohepatitis // Clinical and Experimental Gastroenterology. Vol. 123. № 11. 2015. Pp. 10-14
Keywords: ursodeoxycholic acid, nonalcocholic steatohepatitis, apoptosis, kaspase genes, liver blood flow
Aim: to estimate the efficiency of ursodeoxycholic acid (UDHC) in nonalcocholic steatohepatitis (NASH) by analysis of conventional clinical datas, apoptosis and liver perfusion parameters.
Materials and methods: UDHC was used as monotherapy in treatment of 92 NASH patients in daily dose 10–15 mg/kg. We have observed 44 (47.8%) males, 48 (52.2%) females, age was 56.8±7.2 years, BMI was 28.4±2.3 kg/m2, waist circumference was 93,8±8,3 сm. Functional liver tests (ALAT, ASAT, alcaline phosphatase — APh, gamma‑glutamyltranspeptidase —
GGTP), abdominal ultrasonography and dopplerography of liver blood flow, kaspase‑3, 6, 8, 9 genes expression in blood leucocytes were estimated. Periods of controls research and UDCA treatment were: 4–8 weeks in 92 patients, 20–24 weeks in 18 (19.6%) patients and 40–48 weeks in 13(14.1%) patients.
Results. Significant positive dynamics of liver functional tests and decrease of kaspase‑3, 6, 9 genes expression in blood leucocytes were observed over 4–8 weeks, normalization of liver tests — over 20–24 weeks and significant amelioration of venous and arterial liver perfusion parameters — over 40–48 weeks.
Conclusion. Ursodeoxycholic acid in daily dose of 10–15 mg/kg in nonalcocholic steatohepatitis caused positive dynamics of cytolytic and cholestasis parameters, leucocytic apoptosis and venous and arterial liver blood flow parameters
Indexed at Scopus, RSCI
Last modified: March 22, 2017