Mallédant Y, Siproudhis L, Tanguy M, Clerc C, Chesné C, Saint-Marc C, Guillouzo A
Unité de Recherches Hépatologiques, Hôpital de Pontchaillou, Rennes, France.
Anesthesiology. 1990 Mar;72(3):526-34. doi: 10.1097/00000542-199003000-00022.
The aim of this study was to investigate direct cytotoxicity to human and rat hepatocytes in primary culture from halothane and compare it with that of isoflurane, which is known to be minimally metabolized and less toxic in vivo. Both human and rat parenchymal cells were isolated by the two-step collagenase perfusion method and after attachment to plastic were incubated with either volatile anesthetic for 24 h. All the cultures were maintained in 20% O2 condition and were not induced prior to anesthetic treatment. Temperature, atmosphere conditions, and anesthetic concentrations were kept constant during the study period. Evaluation of cytotoxicity was based on morphologic, biologic (determination of both extracellular and intracellular lactate dehydrogenase activity), and metabolic (protein synthesis and secretion) end points. Protein synthesis and secretion rates were found to be the most sensitive parameters in hepatocyte cultures from both species. Protein synthesis was inhibited by 18% and protein secretion by 50% in the presence of 1 and 1.25 mM halothane, respectively, in human cell cultures (P less than 0.05). With 1.25 mM halothane intracellular lactate dehydrogenase was also decreased; lactate dehydrogenase leakage and morphologic alterations were detected only beyond 5 mM halothane. By contrast, in rat hepatocyte cultures protein secretion was inhibited by 26% and protein synthesis by 20% in the presence of 0.1 and 0.75 mM halothane, respectively, whereas morphologic alterations and a 37% lactate dehydrogenase leakage increase were observed with the concentration of 1 mM (P less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)
本研究的目的是调查氟烷对原代培养的人及大鼠肝细胞的直接细胞毒性,并将其与异氟烷的细胞毒性进行比较,已知异氟烷在体内代谢极少且毒性较低。人及大鼠实质细胞均通过两步胶原酶灌注法分离,贴壁于塑料培养皿后,用两种挥发性麻醉剂之一孵育24小时。所有培养物均在20%氧气条件下维持,在麻醉处理前未进行诱导。在研究期间,温度、大气条件及麻醉剂浓度保持恒定。细胞毒性评估基于形态学、生物学(细胞外及细胞内乳酸脱氢酶活性测定)及代谢(蛋白质合成及分泌)终点。发现蛋白质合成及分泌率是两种物种肝细胞培养中最敏感的参数。在人细胞培养中,当存在1 mM和1.25 mM氟烷时,蛋白质合成分别被抑制18%,蛋白质分泌被抑制50%(P<0.05)。当氟烷浓度为1.25 mM时,细胞内乳酸脱氢酶也减少;仅在氟烷浓度超过5 mM时才检测到乳酸脱氢酶泄漏及形态学改变。相比之下,在大鼠肝细胞培养中,当存在0.1 mM和0.75 mM氟烷时,蛋白质分泌分别被抑制26%,蛋白质合成被抑制20%,而当氟烷浓度为1 mM时观察到形态学改变及乳酸脱氢酶泄漏增加37%(P<0.05)。(摘要截短于250字)