Описаны ультраструктурные изменения печени крыс при 7и 21-суточном внутрижелудочном введении тенофовира дизопроксил фумарат (tenofovir disoproxil fumarate, TDF) в дозе 50 мг/кг/сут и при коррекции выявленных нарушений S-аденозилметионином (S-adenosylmethionine, SAM). Воздействие TDF в течение 7 сут вызывает слабо выраженные дистрофические изменения небольшой доли гепатоцитов. После 21-суточного воздействия TDF в гепатоцитах перипортальных зон отмечается развитие умеренно выраженной дистрофии со снижением белок-синтетической функции и слабо выраженными изменениями структуры митохондрий. При обоих сроках введения TDF провоцирует гибель единичных клеток паренхимы печени и реактивную внутридольковую воспалительную инфильтрацию. Использование SAM на фоне длительного назначения TDF не приводит к снижению интенсивности внутридольковой инфильтрации печени, но предотвращает развитие дистрофии перипортальных гепатоцитов, нормализует количество липидных включений в паренхиматозных клетках органа.

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