Layden T J, Boyer J L
Gastroenterology. 1975 Sep;69(3):724-38.
The normal surface anatomy of rat hepatocytes, sinusoids, and bile canaliculi was examined by scanning electron microscopy following finger fracture of tissues that were perfused via the portal vein and fixed with 2.5% glutaraldehyde. These normal findings were contrasted with several models of cholestasis, including infusion of sodium taurolithocholate (TLC), bile duct ligation, and ethynyl estradiol treatment, in order to examine the effects of cholestasis on morphology of the bile canaliculus. TLC-induced cholestasis was associated with specific dilation and disruption of canalicular membranes, which corresponded to evaginations of pericanalicular ectoplasm observed by transmission electron microscopy, and suggested a direct toxic effect of the bile salt on membrane structure. Infusions of lithocholate sulfate or simultaneous infusions of TLC and sodium taurocholate prevented these severe abnormalities from occurring. Bile duct ligation produced progressive canalicular dilation (from 1 to 96 hr) and loss of microvilli, but did not result in the type of membrane changes produced by TLC. No significant changes in canalicular morphology were observed following ethynyl estradiol treatment. These studies demonstrate that scanning electron microscopy is a useful technique for the evaluation of both normal and abnormal hepatic surface morphology, and indicate that TLC produces a distinctive abnormality in the structure of the canalicular membrane, which was not seen in other models of cholestasis.
通过扫描电子显微镜检查经门静脉灌注并用2.5%戊二醛固定的组织手指骨折后大鼠肝细胞、肝血窦和胆小管的正常表面解剖结构。将这些正常发现与几种胆汁淤积模型进行对比,包括牛磺石胆酸钠(TLC)输注、胆管结扎和乙炔雌二醇治疗,以研究胆汁淤积对胆小管形态的影响。TLC诱导的胆汁淤积与胆小管膜的特定扩张和破坏有关,这与透射电子显微镜观察到的胆小管周围胞质突起相对应,提示胆汁盐对膜结构有直接毒性作用。输注硫酸石胆酸盐或同时输注TLC和牛磺胆酸钠可防止这些严重异常的发生。胆管结扎导致胆小管逐渐扩张(从1至96小时)和微绒毛丧失,但未导致TLC所产生的膜变化类型。乙炔雌二醇治疗后未观察到胆小管形态有明显变化。这些研究表明,扫描电子显微镜是评估正常和异常肝表面形态的有用技术,并表明TLC在胆小管膜结构中产生了一种独特的异常,这在其他胆汁淤积模型中未见。