Kanno Y, Miyazaki M, Udagawa I, Koshikawa H, Ito H, Teramoto O, Okui K
First Department of Surgery, Chiba University School of Medicine, Japan.
Nihon Geka Gakkai Zasshi. 1991 Feb;92(2):160-6.
In obstructive jaundiced rat, the change of hepatic functional mass assessed by [14C]-aminopyrine breath test (ABT) and galactose tolerance test (GaTT) and hepatic protein synthesis measured by [14C]-leucine incorporation into hepatic protein fraction were investigated. Bile duct ligation (BDL) for 5 and 14 days was followed by choledocho-duodenal fistula as the relief of obstruction. Hepatic functional mass measured by ABT and GaTT revealed a remarkable decrease at 5 and 14 days after BDL without differences in grades. These depressed values returned to the preoperative ones in 10 to 20 days after the relief of obstruction. On the contrary, hepatic protein synthesis was reciprocally enhanced after BDL. After the relief of obstruction the enhancement of hepatic protein synthesis was prolonged and then returned to the normal level in 20 days. These data suggested that in obstructive jaundice hepatic protein synthesis was stimulated by several stress and continued to be enhanced even after the relief of obstruction. These enhancement of hepatic protein synthesis would induce to decrease hepatic functional mass.
在阻塞性黄疸大鼠中,研究了通过[14C] - 氨基比林呼气试验(ABT)和半乳糖耐量试验(GaTT)评估的肝功能性体积变化,以及通过[14C] - 亮氨酸掺入肝蛋白组分测定的肝蛋白合成情况。进行胆管结扎(BDL)5天和14天后,行胆总管十二指肠瘘以解除梗阻。通过ABT和GaTT测量的肝功能性体积在BDL后5天和14天显著降低,且分级无差异。这些降低的值在梗阻解除后10至20天恢复到术前水平。相反,BDL后肝蛋白合成呈反向增强。梗阻解除后,肝蛋白合成的增强持续存在,然后在20天恢复到正常水平。这些数据表明,在阻塞性黄疸中,肝蛋白合成受到多种应激刺激,即使在梗阻解除后仍持续增强。肝蛋白合成的这种增强会导致肝功能性体积减小。