Serrano J, Esahli H, Larsson L, Zetterström R
Department of Pediatrics, Karolinska Institute St. Göran's Children's Hospital, Stockholm, Sweden.
Eur J Pediatr Surg. 1991 Apr;1(2):92-6. doi: 10.1055/s-2008-1042467.
An experimental model of congenital intestinal obstruction (CIO) was created in rats by means of fetal intrauterine surgery between the 16th and 20th days of gestation. By the use of a microsurgical technique areas at the mid-jejunum or the jejuno-ileal junction were infarcted by coagulation of mesenteric vessels. Gestation was terminated by Cesarean section within 24 hours before expected term to avoid cannibalism. The structure of the intestinal mucosal cells proximal and distal to the CIO at the light microscopy as well as the ultrastructure level was not changed indicating that the surgical method was successful. The activities of the brush border enzymes, maltase and lactase were significantly reduced distal to the obstruction as compared to controls. Proximal to the obstruction lactase was the only enzyme showing reduced activity in comparison to controls. These findings were not dependent on the localization of the obstruction or when it was performed and suggest that CIO causes selective changes of the biochemical properties of the cell membrane. The results are in agreement with the findings of disaccharidase activities in biopsies taken from human infants with CIO and point to the importance of a normal intestinal passage for the development of brush border enzymes.
通过在妊娠第16至20天进行胎儿宫内手术,在大鼠中建立了先天性肠梗阻(CIO)实验模型。使用显微外科技术,通过肠系膜血管凝固使空肠中部或空肠 - 回肠交界处的区域梗死。在预期分娩前24小时内通过剖宫产终止妊娠,以避免同类相食。在光学显微镜以及超微结构水平上,CIO近端和远端的肠粘膜细胞结构未发生变化,表明手术方法成功。与对照组相比,梗阻远端的刷状缘酶麦芽糖酶和乳糖酶的活性显著降低。在梗阻近端,与对照组相比,乳糖酶是唯一活性降低的酶。这些发现不依赖于梗阻的部位或进行时间,表明CIO会导致细胞膜生化特性的选择性改变。这些结果与从患有CIO的人类婴儿活检中获得的二糖酶活性结果一致,并指出正常肠道通过对刷状缘酶发育的重要性。