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Vet Clin North Am Small Anim Pract. 2009 May;39(3):631-52. doi: 10.1016/j.cvsm.2009.02.002.

Therapeutic use of cytoprotective agents in canine and feline hepatobiliary disease.

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Department of Clinical Sciences, Tufts Cummings School of Veterinary Medicine, 200 Westborough Road, North Grafton, MA 01589, USA.


Many medicinal, nutraceutical, and botanic extracts have been used as cytoprotective agents in liver disease. This article explains the mechanisms of action, pertinent pharmacokinetics, side effects, and clinical indications for the use of S-adenosylmethionine, N-acetylcysteine, ursodeoxycholic acid, silymarin, and vitamin E. The literature pertaining to in vitro studies, laboratory animal models, and human and veterinary clinical trials is reviewed with regards to the efficacy and use of these cytoprotective agents in hepatobiliary disease.

[Indexed for MEDLINE]

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