Zhao Jingbo, Nakaguchi Toshiya, Gregersen Hans
Mech-Sense, Aalborg Hospital Science and Innovation Center (AHSIC), Sdr. Skovvej 15, 9000, Aalborg, Denmark.
Dig Dis Sci. 2009 Aug;54(8):1636-42. doi: 10.1007/s10620-008-0540-3. Epub 2008 Nov 7.
The histomorphologic and passive biomechanical properties were studied in the mid-colon of 16 non-diabetic and 20 streptozotocin (STZ)-induced diabetic rats (50 mg/kg STZ, ip). The diabetic rats were divided into groups living 4 and 8 weeks after the induction of diabetes (n = 10 for each group). The mechanical test was a ramp distension of fluid into the colon in vitro. The colon diameter and length were obtained from digitized images of the segments at pre-selected pressures and at the no-load and zero-stress states. Circumferential and longitudinal stresses and strains were computed from the length, diameter, and pressure data and from the zero-stress state geometry. The blood glucose level increased 3-4-fold in the diabetic rats compared with the controls (P < 0.001). Diabetes generated pronounced increases in the colon weight per length, wall thickness, and wall cross-sectional area (P < 0.001). Histologically, the thickness of all layers was increased during diabetes (P < 0.05), especially the mucosa layer. The opening angle, and absolute values of residual strain increased in the diabetic group (P < 0.05 and P < 0.01, respectively). Furthermore, diabetes increased the circumferential and longitudinal stiffness of the colon wall (P < 0.001). The observed changes in residual strain, opening angle, and stress-strain relation may be contributing factors to colonic dysfunction and abdominal pain in diabetic patients.
对16只非糖尿病大鼠和20只链脲佐菌素(STZ)诱导的糖尿病大鼠(腹腔注射50mg/kg STZ)的结肠中段进行了组织形态学和被动生物力学特性研究。糖尿病大鼠被分为糖尿病诱导后存活4周和8周的组(每组n = 10)。机械测试是在体外向结肠内进行液体斜坡扩张。结肠直径和长度通过在预选压力以及无负载和零应力状态下节段的数字化图像获得。根据长度、直径、压力数据以及零应力状态几何形状计算周周向周向和纵向应力及应变。与对照组相比,糖尿病大鼠的血糖水平升高了3 - 4倍(P < 0.001)。糖尿病使结肠单位长度重量、壁厚度和壁横截面积显著增加(P < 0.001)。组织学上,糖尿病期间所有层的厚度均增加(P < 0.05),尤其是黏膜层。糖尿病组的开口角度和残余应变绝对值增加(分别为P < 0.05和P < 0.01)。此外,糖尿病增加了结肠壁的周向和纵向硬度(P < 0.001)。观察到的残余应变、开口角度和应力 - 应变关系的变化可能是糖尿病患者结肠功能障碍和腹痛的促成因素。