Guo R, Luo Z, Wang F, Zhu G
Department of Infectious Diseases, Sun Yat-Sen University of Medical Sciences.
Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 1990;8(1):29-31.
This article presents the changes in the concentration of bilirubin, cholesterol, phospholipid, bile acid and the activity of bacterial beta-glucuronidase in hepatic bile of rabbits infected with metacercariae of Clonorchis sinensis. We found that the activity of bacterial beta-glucuronidase was significantly higher in the infected group (52.6 +/- 31.6 u/dl) than that in control rabbits (12.5 +/- 20.5 u/dl) (P less than 0.001), and no marked changes in the concentration of bilirubin, cholesterol, phospholipid and bile acid were found. concentration of bilirubin, cholesterol, phospholipid and bile acid were found. By using alcian blue-PAS combined stain method the authors also noticed that the amount of glycoprotein in goblet cells has considerably increased and secreted increasingly to the biliary duct after infection with Clonorchis sinensis. As the increase in bacterial beta-glucuronidase activity and glycoprotein in bile is in favour of the formation of pigment stone, this may explain why clonorchiasis is often complicated with cholelithiasis.
本文介绍了感染华支睾吸虫后尾蚴的家兔肝胆汁中胆红素、胆固醇、磷脂、胆汁酸浓度及细菌β-葡萄糖醛酸酶活性的变化。我们发现,感染组细菌β-葡萄糖醛酸酶活性(52.6±31.6单位/分升)显著高于对照兔(12.5±20.5单位/分升)(P<0.001),而胆红素、胆固醇、磷脂和胆汁酸浓度未见明显变化。作者采用阿尔辛蓝-过碘酸雪夫氏联合染色法还发现,感染华支睾吸虫后,杯状细胞中糖蛋白的量显著增加,并越来越多地分泌到胆管中。由于胆汁中细菌β-葡萄糖醛酸酶活性和糖蛋白的增加有利于色素结石的形成,这可能解释了为什么华支睾吸虫病常并发胆石症。