Ammonia as a neuro- and hepatotoxin: clinical aspects

Ammonia is the most studied and, apparently, the most critical pathogenetic factor for hepatic encephalopathy (HE). The pathogenesis of PE is varied depending on the type of liver damage. Apart from neurotoxic properties, ammonia has general cytotoxic as well as hepatotoxic effects. A recent study a...

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Main Author: A. O. Bueverov
Format: Article
Language:Russian
Published: Remedium Group LLC 2015-12-01
Series:Медицинский совет
Subjects:
Online Access:https://www.med-sovet.pro/jour/article/view/340
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spelling doaj-c5b266b957bb420aa870f9d49d3b0d9a2021-07-28T13:29:21ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902015-12-01013808510.21518/2079-701X-2015-13-80-85340Ammonia as a neuro- and hepatotoxin: clinical aspectsA. O. Bueverov0First Moscow State Medical University named after I.M. SechenovAmmonia is the most studied and, apparently, the most critical pathogenetic factor for hepatic encephalopathy (HE). The pathogenesis of PE is varied depending on the type of liver damage. Apart from neurotoxic properties, ammonia has general cytotoxic as well as hepatotoxic effects. A recent study allowed to register presence of hyperammonemia in patients with initial liver changes leading to latent cognitive dysfunction, which manifests itself in impaired reaction in stressful situations. Drug therapy of PE is primarily aimed at prevention and acceleration of metabolism of ammonia. Administration of ornithine metabolites reduces hyperammonemia, improves cognitive function and reduces enzyme activity, including in patients at pre-cirrhotic stage.https://www.med-sovet.pro/jour/article/view/340аммиакпеченочная энцефалопатиялечениеорнитинammoniahepatic encephalopathytreatmentornithine
collection DOAJ
language Russian
format Article
sources DOAJ
author A. O. Bueverov
spellingShingle A. O. Bueverov
Ammonia as a neuro- and hepatotoxin: clinical aspects
Медицинский совет
аммиак
печеночная энцефалопатия
лечение
орнитин
ammonia
hepatic encephalopathy
treatment
ornithine
author_facet A. O. Bueverov
author_sort A. O. Bueverov
title Ammonia as a neuro- and hepatotoxin: clinical aspects
title_short Ammonia as a neuro- and hepatotoxin: clinical aspects
title_full Ammonia as a neuro- and hepatotoxin: clinical aspects
title_fullStr Ammonia as a neuro- and hepatotoxin: clinical aspects
title_full_unstemmed Ammonia as a neuro- and hepatotoxin: clinical aspects
title_sort ammonia as a neuro- and hepatotoxin: clinical aspects
publisher Remedium Group LLC
series Медицинский совет
issn 2079-701X
2658-5790
publishDate 2015-12-01
description Ammonia is the most studied and, apparently, the most critical pathogenetic factor for hepatic encephalopathy (HE). The pathogenesis of PE is varied depending on the type of liver damage. Apart from neurotoxic properties, ammonia has general cytotoxic as well as hepatotoxic effects. A recent study allowed to register presence of hyperammonemia in patients with initial liver changes leading to latent cognitive dysfunction, which manifests itself in impaired reaction in stressful situations. Drug therapy of PE is primarily aimed at prevention and acceleration of metabolism of ammonia. Administration of ornithine metabolites reduces hyperammonemia, improves cognitive function and reduces enzyme activity, including in patients at pre-cirrhotic stage.
topic аммиак
печеночная энцефалопатия
лечение
орнитин
ammonia
hepatic encephalopathy
treatment
ornithine
url https://www.med-sovet.pro/jour/article/view/340
work_keys_str_mv AT aobueverov ammoniaasaneuroandhepatotoxinclinicalaspects
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