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大鼠胚胎(卡内基分期19-23期)导管板的三维计算机辅助重建

Three-dimensional computer-assisted reconstruction of ductal plate in the rat embryo (Carnegie stages 19-23).

作者信息

Godlewski G, Gaubert J, Gaubert-Cristol R, Dauzat M, Aldréa F, Prudhomme M

机构信息

Laboratory of Experimental Anatomy, Faculty of Medicine Montpellier-Nîmes, University of Montpellier I, 30907 Nîmes, France.

出版信息

Surg Radiol Anat. 2004 Oct;26(5):359-64. doi: 10.1007/s00276-004-0239-x.

Abstract

In bile duct morphogenesis it has been established that the extrahepatic bile ducts in human originate from hepatic diverticulum while intrahepatic bile ducts arise from the ductal plate (DP), a network of primitive biliary epithelium that develops in the periportal connective tissue. The aim of this work was to reconstruct in rat embryos, stages 19-23, the three-dimensional (3D) distribution of the DP by means of a computer-assisted method. Six specimens, stages 19-23, fixed, dehydrated and paraffin-embedded, were submitted to serial histological sections and stained by hematoxylin-eosin and Heidenhain techniques. The images were directly digitalized with a CCD camera. The serial views were aligned anatomically by software and the data were analyzed following segmentation and thresholding. At stage 19, the DP was not yet organized. The periportal mesoderm (M) was gaining ground with some cords of cubic cells evoking primitive ductal cells. At stage 20, a row of ductal cubic cells went around the transverse portal sinus at the junction between M and liver cells. At stage 21, the DP developed at the periphery of periportal connective tissue and appeared in direct continuity with the hepatic duct (HDu). Four evaginations emerged from the DP and were growing up in the hepatic parenchyma. At stage 23, the DP appeared as a large network in continuity with the HDu located at the periphery of periportal M and presenting several evaginations radiating in the liver parenchyma. This work in the rat embryo permits the clear visualization of the development of the junctional zone in the hepatic hilum. Three phenomena are observed: (1) proximal left and right hepatic ducts and their segmental branches are derived from DP and not from the HDu; (2) the extrahepatic biliary system is in contact with the developing hilar ducts; (3) ductal maturation begins at the hilum and proceeds centrifugally. These observations are of great relevance in explaining pathological changes appearing at the hepatic hilum of neonates: hepatic polycystic disease, intrahepatic bile duct agenesis or atresia, and cyst of the extrahepatic bile duct.

摘要

在胆管形态发生过程中,已经确定人类肝外胆管起源于肝憩室,而肝内胆管则起源于导管板(DP),导管板是在门周结缔组织中发育的原始胆管上皮网络。本研究的目的是通过计算机辅助方法重建大鼠胚胎第19 - 23阶段导管板的三维(3D)分布。选取6个第19 - 23阶段的标本,经固定、脱水和石蜡包埋后,进行连续组织学切片,并用苏木精 - 伊红和海登海因技术染色。图像用CCD相机直接数字化。通过软件对连续视图进行解剖学对齐,并在分割和阈值处理后对数据进行分析。在第19阶段,导管板尚未形成。门周中胚层(M)逐渐占据优势,一些立方体细胞索引发原始导管细胞。在第20阶段,一排导管立方体细胞围绕门周结缔组织与肝细胞交界处的横向门静脉窦排列。在第21阶段,导管板在门周结缔组织周边发育,并与肝管(HDu)直接相连。四个突起从导管板出现并向肝实质内生长。在第23阶段,导管板呈现为一个大网络,与位于门周中胚层周边的肝管相连,并在肝实质内有几个放射状突起。这项在大鼠胚胎中的研究使得能够清晰地观察肝门部连接区的发育情况。观察到三种现象:(1)左、右肝近端胆管及其节段性分支起源于导管板而非肝管;(2)肝外胆道系统与正在发育的肝门部胆管接触;(3)导管成熟始于肝门部并向离心方向进行。这些观察结果对于解释新生儿肝门部出现的病理变化具有重要意义:肝多囊病、肝内胆管发育不全或闭锁以及肝外胆管囊肿。

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