Department of Anesthesiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan.
Pediatr Neonatol. 2013 Apr;54(2):95-101. doi: 10.1016/j.pedneo.2012.11.008. Epub 2013 Jan 8.
Sexual dimorphism plays a role in the liver and in renal injuries. However, whether sex is a risk factor in bile duct ligation (BDL) in young rats has never been examined.
Six male and six female rats treated with BDL were sacrificed 2 weeks after surgery and were designated as BDL-M and BDL-F groups. The other six male and six female rats that received sham ligation were designated as sham-M and sham-F groups. Plasma biochemistry and liver and kidney asymmetric dimethylarginine (ADMA)-related molecules were examined.
Both BDL-M and BDL-F groups had elevated plasma aspartate transaminase (AST), alanine transaminase (ALT), bilirubin, and transforming growth factor-β1 levels. The BDL-F group had lower plasma AST and ALT levels than the BDL-M group. The BDL-M and BDL-F groups had elevated plasma ADMA levels. The cationic amino acid transporter 1 (CAT1) level was increased in the BDL-F group as compared to the sham-F group, whereas the CAT2 level was reduced in the both BDL-M and BDL-F groups.
We found that young male rats were prone to higher degrees of biochemical liver and kidney injury to cholestasis. Sex differences in modulation of oxidative stress markers, such as ADMA, may play a role. Our results support careful monitoring and optimal treatment of cholestatic disease, especially in young male patients.
性别二态性在肝脏和肾脏损伤中起作用。然而,性别是否是年轻大鼠胆管结扎(BDL)的危险因素尚未被研究过。
6 只雄性和 6 只雌性大鼠接受 BDL 治疗,手术后 2 周处死,并分别命名为 BDL-M 和 BDL-F 组。另外 6 只雄性和 6 只雌性大鼠接受假结扎,分别命名为 sham-M 和 sham-F 组。检测血浆生化指标和肝脏、肾脏不对称二甲基精氨酸(ADMA)相关分子。
BDL-M 和 BDL-F 两组的血浆天冬氨酸转氨酶(AST)、丙氨酸转氨酶(ALT)、胆红素和转化生长因子-β1 水平均升高。BDL-F 组的血浆 AST 和 ALT 水平低于 BDL-M 组。BDL-M 和 BDL-F 两组的血浆 ADMA 水平升高。BDL-F 组的阳离子氨基酸转运体 1(CAT1)水平高于 sham-F 组,而 BDL-M 和 BDL-F 两组的 CAT2 水平均降低。
我们发现年轻雄性大鼠更容易发生更高程度的胆汁淤积性肝肾功能生化损伤。ADMA 等氧化应激标志物的性别差异调节可能起作用。我们的结果支持对胆汁淤积性疾病进行仔细监测和最佳治疗,特别是在年轻男性患者中。