Todorović V, Koko V, Petakov M, Jovćić G, Stojanović N, Bugarski D, Perić P
Institute for Medical Research, Department of Experimental Hematology, Belgrade, Yugoslavia.
Indian J Med Res. 1999 Mar;109:105-14.
The specific influence of malnutrition on the pathophysiologic changes induced by chronic alcoholism is controversial. In an attempt to determine and demarcate the effects of protein malnutrition from those produced by alcoholism and to evaluate the precise effect of alcohol per se on cytochemical and ultrastructural properties of rat polymorphonuclear neutrophil (PMN) granules, we investigated the influence of chronic protein malnutrition or chronic alcoholism alone and in combination, in rats. After a 4 month experimental period various PMN properties, such as cytochemical, morphometrical and ultrastructural, as well as neutrophil functions were studied. It was found that the degree of damage of PMNs induced either by ethanol or protein malnutrition alone was similar whereas their combination led to worsening of all markers of PMN functional ability. Ultrastructural changes of neutrophil granules including reduction, redistribution and atypical accumulation as well as appearance of autophagic vacuoles, confirmed their alteration which was emphasised by the additive pathophysiological interaction of alcoholism and chronic hypoprotein malnutrition.
营养不良对慢性酒精中毒所致病理生理变化的具体影响存在争议。为了确定并区分蛋白质营养不良与酒精中毒所产生的影响,并评估酒精本身对大鼠多形核中性粒细胞(PMN)颗粒细胞化学和超微结构特性的精确影响,我们研究了单纯慢性蛋白质营养不良、慢性酒精中毒以及二者联合对大鼠的影响。经过4个月的实验期后,对各种PMN特性进行了研究,如细胞化学、形态计量学和超微结构,以及中性粒细胞功能。结果发现,单独乙醇或蛋白质营养不良所致的PMN损伤程度相似,而二者联合则导致PMN功能能力的所有指标恶化。中性粒细胞颗粒的超微结构变化,包括减少、重新分布和非典型聚集以及自噬空泡的出现,证实了它们的改变,而酒精中毒和慢性低蛋白营养不良的累加病理生理相互作用则进一步强调了这种改变。