Vu D D, Tuchweber B, Raymond P, Yousef I M
Department of Pharmacology, Université de Montreal, Québec, Canada.
Exp Mol Pathol. 1992 Aug;57(1):47-61. doi: 10.1016/0014-4800(92)90048-g.
The present study correlated the reversibility of bile flow (BF) impairment with biochemical and morphological changes in the liver after injection of a cholestatic dose (12 mumole/100 g body weight) of lithocholic acid (LCA). BF declined maximally at 60 min but recovered totally at 210 min after LCA treatment. During the cholestatic period, there was an increase in tight junction permeability as measured by the bile to plasma (B/P) ratio of inulin and using lanthanum as a tracer. Cholesterol content and the cholesterol/phospholipid ratio in liver plasma membranes (LPM) were augmented while the fluidity of bile canalicular membranes (BCM) was decreased at 30 and 60 min after LCA injection. These changes in cholesterol content and membrane fluidity seemed to be correlated with LCA incorporation in LPM; their reversal at 120 min preceded the recovery of BF (210 min). Some biochemical disorders were evident after LCA injection, but they did not correlate with the variation in BF. These data suggest that increased tight junction permeability and decreased BCM fluidity are important pathogenic steps in LCA-induced cholestasis.
本研究将胆流(BF)损害的可逆性与注射胆汁淤积剂量(12微摩尔/100克体重)石胆酸(LCA)后肝脏的生化和形态学变化相关联。LCA处理后60分钟时BF最大程度下降,但在210分钟时完全恢复。在胆汁淤积期,通过菊粉的胆汁与血浆(B/P)比值并以镧作为示踪剂测量,紧密连接通透性增加。LCA注射后30分钟和60分钟时,肝细胞膜(LPM)中的胆固醇含量和胆固醇/磷脂比值增加,而胆小管膜(BCM)的流动性降低。胆固醇含量和膜流动性的这些变化似乎与LCA掺入LPM有关;它们在120分钟时的逆转先于BF在210分钟时的恢复。LCA注射后一些生化紊乱很明显,但它们与BF的变化无关。这些数据表明紧密连接通透性增加和BCM流动性降低是LCA诱导胆汁淤积的重要致病步骤。