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狭叶五味子中化合物phyllocoumarin和(-)-epicatechin体外抗HBV活性的初步研究
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摘要
【目的】
     联合用药比单一用药更能降低HBV感染者的发病率和死亡率,但长期联合用药导致耐药、副作用限制了抗HBV药物的使用。因此,不断地开发新的抗HBV药物迫在眉睫。目前临床抗HBV药物均为核苷类药物,如拉米夫定、阿德福韦酯、更昔洛韦、法昔洛韦、恩替卡韦和恩曲他滨,等。从天然资源中寻找新的抗HBV药物或先导化合物的研究是国内外新药研制中非常活跃的领域之一,也是我国近期创制新药的一条捷径。在过去20多年里,从天然资源中分离和鉴定出许多抗HBV药物。我国科学家发现北五味子(Schisandra chinensis)粗提物及其多种有效成分作用于多靶点,具有保肝解毒、抗氧化和抗HBV病毒等多方面的作用,并研发成功联苯双脂和双环醇两种具有我国自主知识产权的治疗肝炎药物。通过对狭叶五味子(Schisandra lancifolia)茎叶的化学成分和抗病毒活性研究,我们发现了Lancifodilactone F和Lancifodilactone G等多个具有抗HIV-1活性的化合物。本文对来源于狭叶五味子的化合物phyllocoumarin和(-)-epicatechin对抗HBV活性进行初步研究。
     【方法】
     筛选研究从狭叶五味子(Schisandra lancifolia)中分离化合物phyllocoumarin (1)和(-)-epicatechin(2)的体外抗HBV活性,以HepG2.2.15细胞为体外研究HBV模型,分别用RPMI-1640完全培养基稀释不同浓度的化合物1和2,与HepG2.2.15细胞共培养3天后收集上清,采用MTT法检测药物对HepG2.2.15细胞的生长影响和ELISA法检测培养上清中HBV HBsAg和HBeAg的含量,评价化合物1和2对HBV复制的影响。
     【结果】
     化合物1和2具有一定的体外抗HBV活性,其细胞毒性低,CC50均大于200μg/ml。化合物1具有较强的抑制HBsAg和HBeAg分泌作用。阳性对照药物阿德福韦酯也抑制HBV HBsAg和HBeAg分泌,但在相同浓度(1.6μg/ml)下其抑制作用较化合物1弱。
     【结论】
     phyllocoumarin和(-)-epicatechin能抗HBV活性,且毒性小。
【Objective】
     Although the combination of the chemical drugs in the antiviral therapy more effectively reduce morbidity and mortality in HBV infected individuals than the use of single drug, emergence of HBV drugs resistance and side effects for long-term antiretroviral treatment limited the use of these drugs. So continuously development of new anti-HBV drugs appears to be inevitable. Presently, drugs of the anti-HBV therapy used clinically are nucleoside analogues.such as lamivudine, adefovir dipivoxil,ganciclovir, famciclovir and entecavir,emtricitabine. Natural products as the most consistently successful source in drug discovery may offer opportunities for finding anti-HBV drugs or lead compounds. In past 20 years, many natural compounds with anti-HBV activity have been isolated and indentified, In this study, we tested the anti-HBV effects of compounds isolated from Schisandra lancifolia. Scientists in China have found that compouds and many effective ingredients from Schisandra chinensis, with the function of protecting liver and decreasing levels of ALT, antioxidant and anti-HBV activity, tagarted many sites of virus. They have succeeded in developing two anti-HBV drugs, Bifendate and bicyclol. To confirm chemical compositions from Schisandra lancifolia and to evaluate its antiviral therapy,we have found many compouds, such as Lancifodilactone F and Lancifodilactone G, were against HIV-1. Here, we primarily studied that compouds phyllocoumarin (1) and (-)-epicatechin (2) from Schisandra lancifolia were anti-HBV activity.
     【Methods】
     To evaluate anti-HBV activities of phyllocoumarin (1) and (-)-epicatechin (2) from Schisandra lancifolia in vitro,we used HepG2.2.15 cells as HBV model in vitro. Different concentrations of compounds (1) and compounds (2) were added to the wells with the growth of HepG2.2.15 cells and the supernatant was collected at the third day. The cytotoxic activity on the growth of HepG2.2.15 cells was detected by MTT. ELISA for HBsAg and HBeAg assays were used to evaluate effects of compounds 1 and 2 on HBV replication.
     【Result】
     Both coupound 1 and compound 2 showed anti-HBV activity and exerted cytotoxicity against HepG2.2.15 cells with CC50>200μg/ml. But coupound 1 more effectively decreased levels of secretion of HBsAg and HBeAg than compound 2. Compared with Adefovir Dipivoxil (ADV), compound 1 inhibited the secretion of HBsAg and HBeAg more effective at the same concentration (1.6μg/ml).
     【Conclusion】
     phyllocoumarin and (-)-epicatechin are two potential anti-HBV agents and show lower cytotoxicity.
引文
[1]Giovanna F, Bortolotti F, Francesco D. Natural history of chronic hepatitis B: special emphasis on disease progression and prognostic factors. J Hepatol. 2008,48(2):335-352.
    [2] Lok AS. Chronic hepatitis B. N Engl J Med. 2002 ,346(22):1682-1683.
    [3]Mahoney FJ. Update on diagnosis, management, and prevention of hepatitis B virus infection. Clin Microbiol Rev. 1999, 12(2):351-366..
    [4]Lee WM. Hepatitis B virus infection. N Engl J Med. 1997,337(24):1733-1745.
    [5]Lavanchy D. Hepatitis B virus epidemiology, disease burden, treatment, and current and emerging prevention and control measures. J Viral Hepat. 2004, 11(2):97-107.
    [6]Lu HY, Zhuang LW, Yu YY, et al. Effects of antiviral agents and HBV genotypes on intrahepatic covalently closed circular DNA in HBeAg-positive chronic hepatitis B patients. World J Gastroenterol. 2008, 14(8):1268-73.
    [7]Lai CL, Ching CK, Tung AK, et al. Lamivudine is effective in suppressing hepatitis B virus DNA in Chinese hepatitis B surface antigen carriers: a placebo-controlled trial. Hepatology, 1997, 25(1): 241-244
    [8]Moraleda G, Saputelli J, Aldrich CE, et al. Lack of effect of antiviral therapy in nondividing hepatocyte cultures on the closed circular DNA of woodchuck hepatitis virus. J Virol 1997,71(12): 9392-9399.
    [9]Delaney WE 4th, Miller TG, Isom HC. Use of the hepatitis B virus recombinant baculovirus-HepG2 system to study the effects of(-)-beta-2',3'-dideoxy-3'-thiacytidine on replication of hepatitis B virus and accumulation of covalently closed circular DNA. Antimicrob Agents Chemother 1999,43(8): 2017-2026.
    [10]刘耕陶. 双环醇的抗病毒与肝细胞保护作用及其作用机制. 中国新药杂志, 2001, 10(5):325-327.
    [11]Xiao WL, Li RT, Li SH, et al. Lancifodilactone F: A novel nortriterpenoid possessing a unique skeleton from Schisandra lancifolia and its anti-HIV activity. Org Lett, 2005, 7(7):1263-1266.
    [12]Xiao WL, Zhu HJ, Shen YH, et al. Lancifodilactone G: A unique nortriterpenoid isolated from Schisandra lancifolia and its anti-HIV activity. Org Lett, 2005, 7(11):2145-2148.
    [13] Xiao WL, Tian RR, Pu JX, et al. Triterpenoids from Schisandra lancifolia with anti-HIV activities . J Nat Prod, 2006, 69(2):277-279.
    [14]Xiao WL, Huang SX, Zhang L, et al. Nortriterpenoids from Schisandra lancifolia. J Nat Prod, 2006, 69(4):650-653.
    [15]Foo LY. Flavanocoumarins and flavanophenylpropanoids from Phyllocladus trichomanoides . Phytochemistry, 1989, 28(9):2477-2481.
    [16]Spek AL, Kojic-Prodic B, Labadie RP. Structure of (-)-epicatechin: (2R, 3R)-2-(3,4-dihydroxyphenyl)-3,4-dihydro-2H-1-benzopyran-3,5,7-triol,C15H14O6.Acta Crystallogr C, 1984, C40(12):2068-2071.
    [17] Sells MA, Chen ML, Acs G. Production of hepatitis B virus particles in HepG2 cells transfected with cloned hepatitis B virus DNA. Proc Natl Acad Sci USA, 1987, 84(4):1005-1009.
    [18] 郑永唐 , 贲昆龙 . 检测细胞存活和增殖的 MTT 方法的建立 . 免疫学杂志 , 1992, 8(4):266-269.
    [19]Ganem D, Prince AM. Hepatitis B virus infection--natural history and clinical consequences. N Engl J Med. 2004, 350(11):1118-1129.
    [20]Bruss V, Ganem D. Mutational analysis of hepatitis B surface antigen particle assembly and secretion. J Virol. 1991, 65(7):3813-3820.
    [21]Mailliard ME, Gollan JL. Emerging therapeutics for chronic hepatitis B. Annu Rev Med, 2006, 57:155-166.
    [22]左国营 刘树玲,徐贵丽.近20年来药用植物成分体外抗HBV活性的研究进展. 世界华人消化杂志, 2006,14(13):1241-1246.
    [23]文立民,李冬田.天然药物在体外抗HBV的研究. 天津医科大学学报,1996,2(2):15-17.
    [24]郑幼兰,彭华毅. 氧化苦参碱(苦参素)治疗慢性乙型肝炎、肝纤维化的基础与临床. 海峡药学,2007,19(1):1-4.
    [25]聂红明,陈建杰,高月求. 槐定碱体外抗乙肝病毒的实验研究. 北京中医,2007,26(10):678-680.
    [26]杨霞芳,张士军,黄春喜. 复方六月雪体外抗HBV的实验研究. 内科,2007,2(3):317-319.
    [27]纪徐淮 秦一中.苦味叶下珠提取物对人肝癌细胞株PLC/PRF/5产生HBsAg的影响. 中国中药杂志, 1993,18(8) :496-498.
    [28]彭立生,贺劲松,童光东. 叶下珠提取物抗乙肝病毒及乙肝病毒X基因的研究. 中西医结合肝病杂志,2006,16(6):340-343.
    [29] 吴 清和 荣向路 . 三黄乙 肝胶囊对 HBeAg 抑制作用的血清药理学研究 . 中药材 , 2000,23(5) :275-278.
    [30] Kuo YH, Wu MD, Huang RL, Antihepatitis activity (anti-HBsAg and anti-HBeAg) of C19 homolignans and six novel C18 dibenzocyclooctadiene lignans from Kadsura japonica. Planta Med. 2005, 71(7):646-653.
    [31]沈玲,赵伟,方之勋等. 双环醇治疗慢性乙型肝炎临床研究. 世界感染杂志, 2006, 6(1):67-69
    [32]Ruan B, Wang JW, Bai XL. Comparison of bicyclol therapy for patients with genotype B and C of hepatitis B virus. Zhonghua Shi Yan He Lin Chuang Bing Du Xue Za Zhi, 2007, 21(4):366-368
    [1]Giovanna F, Bortolotti F, Francesco D. Natural history of chronic hepatitis B: special emphasis on disease progression and prognostic factors. J Hepatol. 2008, 48(2):335-352.
    [2]Lok AS. Chronic hepatitis B. N Engl J Med, 2002, 346(22):1682-1683.
    [3]Mahoney FJ. Update on diagnosis, management, and prevention of hepatitis B virus infection. Clin Microbiol Rev, 1999,12(2):351-366.
    [4]Lee WM. Hepatitis B virus infection. N Engl J Med,1997,337(24):1733-1745.
    [5]Lavanchy D. Hepatitis B virus epidemiology, disease burden, treatment, and current and emerging prevention and control measures.J Viral Hepat, 2004,11(2):97-107.
    [6]Ganem D, Prince AM. Hepatitis B virus infection--natural history and clinical consequences. N Engl J Med, 2004, 350(11):1118-1129.
    [7]Dane DS, Cameron CH, Briggs M. Virus-like particles in serum of patients with Australia-antigen-associated hepatitis. Lancet, 1970, 1(7649):695-698.
    [8]Robinson WS, Lutwick LI. The virus of hepatitis, type B. N Engl J Med, 1976, 295(22):1232-1236.
    [9]Petersen J, Dandri M, Mier W, et al. Prevention of hepatitis B virus infection in vivo by entry inhibitors derived from the large envelope protein. Nat Biotechnol, 2008, 26(3):335-341.
    [10]Zi XY, Yao YC, Zhu HY, et al.Long-term persistence of hepatitis B surface antigen and antibody induced by DNA-mediated immunization results in liver and kidney lesions in mice. Eur J Immunol, 2006, 36(4):875-886.
    [11]Laurinavicius A, Gruodyte E, Priluckiene J, et al. Potential causes of antigenemia in the patients with an immune complex-mediated membranoproliferative glomerulonephritis in Lithuania. Medicina (Kaunas), 2003, 39 (Suppl1):28-32.
    [12]Guidotti LG, Chisari FV. Immunobiology and pathogenesis of viral hepatitis. Annu Rev Pathol, 2006, 1:23-61.
    [13]Eddleston AL, Mondelli M. Immunopathological mechanisms of liver cell injury in chronic hepatitis B virus infection. J Hepatol, 1986, 3 (Suppl 2):S17-S23.
    [14]Vento S, McFarlane BM, Vento TG, et al. Serial study of liver-directed autoantibodies and autoreactive T-lymphocytes in acute viral hepatitis B. J Autoimmun, 1988, 1(3):299-307.
    [15]Lupberger J, Hildt E. Hepatitis B virus-induced oncogenesis. World J Gastroenterol, 2007, 13(1):74-81.
    [16]Schwarz K, Garrett B, Lee J, et al. Positive Impact of a Shelter-based Hepatitis B Vaccine Program in Homeless Baltimore Children and Adolescents. J Urban Health, 2008, 85(2):228-238.
    [17]Centers for Disease Control and Prevention (CDC). Update: recommendations to prevent hepatitisB virus transmission--United States. MMWR, 1999, 48(2):33-34.
    [18]Advisory Committee on Immunization Practices. Hepatitis B virus: A comprehensive strategy for eliminating transmission in the United States through universal childhood vaccination: Recommendations of the Immunization Practices Advisory Committee. MMWR, 1991, 40(RR-13) :1–25.
    [19]Amesty S, Ompad DC, Galea S, et al. Prevalence and Correlates of Previous Hepatitis B Vaccination and Infection Among Young Drug-users In New York City. J Community Health, 2008, 33(3):139-148.
    [20]Bruss V. Hepatitis B virus morphogenesis. World J Gastroenterol. 2007 ,13(1):65-73.
    [21]Papatheodoridis GV, Dimou E, Papadimitropoulos V. Nucleoside analogues for chronic hepatitis B: antiviral efficacy and viral resistance. Am J Gastroenterol, 2002, 97(7):1618-1628.
    [22]Randall RE, Goodbourn S. Interferons and viruses: an interplay between induction, signalling, antiviral responses and virus countermeasures. J Gen Virol, 2008, 89(Pt 1):1-47.
    [23]Conjeevaram HS, Lok AS. Management of chronic hepatitis B. J Hepatol, 2003, 38(6):876.
    [24]Marcellin P, Asselah T, Boyer N. Treatment of chronic hepatitis B. J Viral Hepat, 2005, 12(4):333-45.
    [25]Perillo RP, Schiff ER, Davis GL, et al. A randomized, controlled trial of interferonalfa-2b alone and after prednisone withdrawal for the treatment of chronic hepatitis B. N Engl J Med, 1990, 323(5):295-301.
    [26]Wong DK, Cheung AM, O’Rourke K, et al. Effect of alpha-interferon treatment in patients with hepatitis B and antigen-positive chronic hepatitis B. Ann Intern Med, 1993, 119 (4) : 312–323.
    [27]Zoulim F. Antiviral therapy of chronic hepatitis B. Antiviral Res, 2006, 71(2-3):206-215.
    [28]Dde Franchis R, Hadengue A, Lau G, et al. EASL International Consensus Conference on Hepatitis B. 13–14 September, 2002 Geneva,Switzerland .Consensus statement (long version). J Hepatol, 2003, 39(Suppl 1): S3–S25.
    [29]Krastev ZA. The "return" of hepatitis B. World J Gastroenterol, 2006, 12(44):7081-7086.
    [30]Janssen HL, van Zonneveld M, Senturk H, et al.Pegylated interferon alfa-2b alone or in combination with lamivudine for HBeAg-positive chronic hepatitis B: a randomised trial. Lancet, 2005, 365 (9454) :123–129.
    [31]Lau GK, Piratvisuth T, Luo KX, et al. Peginterferon alfa-2a,lamivudine, and the combination for HBeAg-positive chronic hepatitis B. N Engl J Med, 2005, 352 (26) :2682–2695.
    [32]Papatheodoridis GV, Dimou E, Papadimitropoulos V.Nucleoside Analogues for Chronic Hepatitis B:Antiviral Efficacy and Viral Resistance. Am J Gastroenterol, 2002, 97(7):1618-1628.
    [33]Zoulim F. A preliminary benefit-risk assessment of Lamivudine for the treatment of chronic hepatitis B virus infection. Drug Saf, 2002, 25 (7) :497–510.
    [34]Dienstag JL, Schiff ER, Wright TL, et al. Lamivudine as initial treatment for chronic hepatitis Bin the United States. N Engl J Med, 1999,341 (17):1256–1263.
    [35]Dienstag JL, Goldin RD, Heathcote EJ, et al. Histological outcome during long-term lamivudine therapy. Gastroenterology, 2003,124 (1) :105–117.
    [36]Leung NW, Lai CL, Chang TT, et al. Extended lamivudine treatment in patients with chronic hepatitis B enhances hepatitis B and antigen seroconversion rates: results after 3 years of therapy. Hepatology, 2001,33 (6):1527–1532.
    [37]Zoulim F. Entecavir: a new treatment option for chronic hepatitis B. J Clin Virol, 2006,36(1):8-12.
    [38]Lai CL, Dienstag J, Schiff E, et al. Prevalence and clinical correlates of YMDD variants during lamivudine therapy for patients with chronic hepatitis B. Clin Infect Dis, 2003,36 (6) :687–696.
    [39]Marcellin P, Chang TT, Lim SG, et al. Adefovir dipivoxil for the treatment of hepatitis Be antigen-positive chronic hepatitis B. N Engl J Med, 2003,348 (9) :808–816.
    [40]Hadziyannis SJ, Tassopoulos NC, Heathcote EJ, et al. Long-term therapy with adefovir dipivoxil for HBeAg-negative chronic hepatitis B. N Engl J Med, 2005, 352(26):2673-2681.
    [41]Angus P, Vaughan R, Xiong S, et al. Resistance to adefovir dipivoxil therapy associated with the selection of a novel mutation in the HBV polymerase. Gastroenterology, 2003, 125 (2) : 292–297.
    [42]Brunelle MN, Jacquard AC, Pichoud C, et al. Susceptibility to antivirals of a human HBV strain with mutations conferring resistance to both lamivudine and adefovir. Hepatology 2005,41 (6) : 1391–1398.
    [43]Villeneuve JP, Durantel D, Durantel S, et al. Selection of a hepatitis B virus strain resistant to adefovir in a liver transplantation patient. J Hepatol, 2003, 39(6): 1085–1089.
    [44]Fung SK, Andreone P, Han SH, et al. Adefovir-resistant hepatitis B can be associated with viral rebound and hepatic decompensation. J Hepatol, 2005, 43(6): 937–943.
    [45]Gish RG, Trinh H, Leung N, et al. Safety and antiviral activity of emtricitabine (FTC) for the treatment of chronic hepatitis B infection: a two-year study. J Hepatol,2005,43(1):60-66.
    [46]Lai CL, Rosmawati M, Lao J, et al. Entecavir is superior to lamivudine in reducing hepatitis B virus DNA in patients with chronic hepatitis B infection. Gastroenterology, 2002,123 (6) :1831–1838.
    [47]Gish RG, Chang TT, De Man RA, et al. Entecavir results in substantial virologic and biochemical improvement and HBeAg seroconversion through 96 weeks of treatment in HBeAg(+) chronic hepatitis B patients. Hepatology, 2005,42 (Suppl 1) :267A.
    [48]Chang TT, Gish RG, Hadziyannis SJ, et al. A dose-ranging study of the efficacy and tolerability of entecavir in lamivudine-refractory chronic hepatitis B patients. Gastroenterology, 2005, 129 (4) : 1198–1209.
    [49]Bozkaya H, Yurdaydin C, Bozdayi AM, et al.Oral ganciclovir for treatment of lamivudine-resistant hepatitis B virus infection: a pilot study. Clin Infect Dis, 2002,35(8):960-965.
    [50] Shaw T, Mok SS, Locarnini SA. Inhibition of hepatitis Bvirus DNA polymerase by enantiomers of penciclovir triphosphate and metabolic basis for selective inhibition of HBV replication by penciclovir. Hepatology,1996,24(5):996–1002.
    [51] Torresi J, Locarnini S. Antiviral chemotherapy for the treatmentof hepatitis B virus infections. Gastroenterology, 2000, 118(2suppl 1):S83–S103.
    [52]De Man RA, Marcellin P, Habal F, et al. A randomized,placebo-controlled study to evaluate the efficacy of 12-month famciclovir treatment in patients with chronic hepatitis B e antigen-positive hepatitis B. Hepatology, 2000, 32(2):413–417.
    [53]Tassopoulos N, Hadziyannis S, Ideo G, et al. Famciclovir treatment of anti-HBe+chronic hepatitis B: Results of a randomized, placebo-controlled study. J Hepatol, 2000, 32(suppl 2):102.
    [54]Singth N, Gayowski T, Wannstedt CF, et al. Pretransplant famciclovir as prophylaxis for hepatitis B virus recurrence after liver transplantation. Transplantation,1997,63(10):1415–1419.
    [55]Rayes N, Seehofer D, Bechstein WO, et al. Long-term results of famciclovir for recurrent or de novo hepatitis B virus infection after liver transplantation. Clin Transplant, 1999,13(6):447–452.
    [56]Janssen HL, van Zonneveld, M, Senturk H, et al. Pegylated interferon alfa-2b alone or in combination with lamivudine for HBeAg-positive chronic hepatitis B: a randomised trial. Lancet,2005,365 (9454):123–129.
    [57]Hadziyannis S, Alexopoulou A, Papakonstantinou A, et al. Interferon treatment with or without oral ganciclovir in HBeAg-negative chronic hepatitis B: a randomized study. J Viral Hepat, 2000,7(3):235-240.
    [58]Hui CK, Zhang HY, Bowden S, et al.96 weeks combination of adefovir dipivoxil plus emtricitabine vs. adefovir dipivoxil monotherapy in the treatment of chronic hepatitis B. J Hepatol,2008,48(5):714-720.
    [59]Mailliard ME, Gollan JL. Emerging therapeutics for chronic hepatitis B. Annu Rev Med, 2006, 57:155-166.
    [60]左国营,刘树玲,徐贵丽.近 20 年来药用植物成分体外抗 HBV 活性的研究进展. 世界华人消化杂志, 2006,14(13) :1241-1246.
    [61]蒋蔚峰,陈建宗,张娟.荔枝核总皂苷体外抗乙型肝炎病毒的作用.第四军医大学学报,2008,29(2):100-103.
    [62] 张娟,陈建宗,张金平等.黄芪甲甙体外抗乙型肝炎病毒的作用.第四军医大学学报,2007,28(24):2291-2293.
    [63] 聂红明,汪蓉,胡锦辉.膦甲酸钠对 HepG2.2.15 细胞分泌 HBsAg、HBeAg 和 HBV DNA 的抑制作用.中国临床药理学杂志,2007,23(5):331-331,357.
    [64]吴淑坤,林雨霖,姚学军等。中草药 AS9501 和 AS9503 体外抗 HBV 实验研究. 中国中医基础医学杂志, 2000, 6(10) :24-27.
    [65]纪徐淮, 秦一中.苦味叶下珠提取物对人肝癌细胞株 PLC/PRF/5 产生 HBsAg 的影响. 中国中药杂志, 1993, 18(8) :496-498.
    [66] 吴清和 荣向路 . 三黄乙肝胶囊对 HBeAg 抑制作用的血清药理学研究 . 中药材 , 2000,23(5) :275-278.
    [67]Kuo YH, Wu MD, Huang RL, Antihepatitis activity (anti-HBsAg and anti-HBeAg) of C19 homolignans and six novel C18 dibenzocyclooctadiene lignans from Kadsura japonica. Planta Med. 2005, 71(7):646-653.
    [68]刘耕陶. 双环醇的抗病毒与肝细胞保护作用及其作用机制. 中国新药杂志, 2001, 10(5):325-327.
    [69]王佳良,劳国琴. 双环醇和联苯双酯治疗慢性乙型肝炎的疗效和安全性比较.海峡药学, 2007, 19(12) :91-91.

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