Siegmund Soren V, Haas Stephan, Singer Manfred V
Department of Medicine II (Gastroenterology, Hepatology, Infectious Diseases), University Hospital Mannheim, University of Heidelberg, Mannheim, Germany.
Dig Dis. 2005;23(3-4):181-94. doi: 10.1159/000090165.
Alcohol-induced diseases of the gastrointestinal tract play an important role in clinical gastroenterology. However, the precise pathophysiological mechanisms are still largely unknown. Alcohol research depends essentially on animal models due to the fact that controlled experimental studies of ethanol-induced diseases in humans are unethical. Animal models have already been successfully applied to disclose and analyze molecular mechanisms in alcohol-induced diseases, partially by using knockout technology. Because of a lack of transferability of some animal models to the human condition, results have to be interpreted cautiously. For some alcohol-related diseases like chronic alcoholic pancreatitis, the ideal animal model does not yet exist. Here we provide an overview of the most commonly used animal models in gastrointestinal alcohol research. We will also briefly discuss the findings based on animal models as well as the current concepts of pathophysiological mechanisms involved in acute and chronic alcoholic damage of the esophagus, stomach, small and large intestine, pancreas and liver.
酒精所致胃肠道疾病在临床胃肠病学中起着重要作用。然而,确切的病理生理机制在很大程度上仍不清楚。由于对人类进行乙醇所致疾病的对照实验研究不符合伦理道德,酒精研究主要依赖动物模型。动物模型已成功应用于揭示和分析酒精所致疾病的分子机制,部分是通过基因敲除技术。由于一些动物模型不能转化到人类情况,对结果的解释必须谨慎。对于一些酒精相关疾病,如慢性酒精性胰腺炎,理想的动物模型尚未存在。本文概述了胃肠酒精研究中最常用的动物模型。我们还将简要讨论基于动物模型的研究结果以及食管、胃、小肠和大肠、胰腺和肝脏急慢性酒精损伤所涉及的病理生理机制的当前概念。