Olguín H Juárez, Hernández J L Figueroa, Guzman D Calderón, Medina R Alemón
Laboratorio de Farmacología, Instituto Nacional de Pediatría, Mexico City, CP 04530, Mexico; ; Departamento de Farmacología, Facultad de Medicina, Universidad Nacional Autónoma de México. CP 04530, Mexico;
Int J Biomed Sci. 2011 Mar;7(1):14-8.
The reversibility of hepatic histological damage after restoring bile flow in a murine model was assessed. 25 male Balb C mice (25-35 g, age 6 weeks) were divided into 5 groups and their common bile duct (CBD) fastened to obstruct the release of gall bladder and liver contents. Group I, CBD untied at day 10, group II at day 15, and groups III and IV at days 20 and 30, respectively. Hematoxilin-eosin stained liver slices were analysed 0, 5, 10 and 20 days after restoring bile flow. Group I showed slight histological lesions (second stage), as cholangiolar bile pigment concretion, pericholangiolar and portal collagen accumulation; group II, mild lesions (third stage), as cholangiolar hamartomatous proliferation and bile duct portal fibrosis; group III showed severe lesions (fourth stage), as loss of functional parenchyma, and also the second and first stage lesions. Group IV died before 30 days. First stage corresponds to absent lesions (control group). Group I recovered totally, group II recovered only from slight lesions and group III had irreversible damage. Severity of lesions increased gradually and accumulatively, irreversible hepatic damage was achieved at 20 days and is deadly at 30 days. Our model of temporary CBD obstruction was suitable to assess reversibility of hepatic histological damage.
在小鼠模型中,评估了恢复胆汁流动后肝脏组织学损伤的可逆性。将25只雄性Balb C小鼠(体重25 - 35克,6周龄)分为5组,结扎其胆总管以阻断胆囊和肝脏内容物的释放。第一组在第10天松解胆总管,第二组在第15天,第三组和第四组分别在第20天和第30天。在恢复胆汁流动后的0、5、10和20天分析苏木精 - 伊红染色的肝脏切片。第一组显示轻微的组织学病变(第二阶段),如胆小管胆汁色素结石、胆小管周围和门静脉胶原积聚;第二组为轻度病变(第三阶段),如胆小管错构瘤样增生和胆管门静脉纤维化;第三组显示严重病变(第四阶段),如功能性实质丧失,以及第二和第一阶段病变。第四组在30天前死亡。第一阶段对应无病变(对照组)。第一组完全恢复,第二组仅从轻微病变中恢复,第三组有不可逆损伤。病变严重程度逐渐累积增加,20天时达到不可逆性肝损伤,30天时致命。我们的临时胆总管梗阻模型适用于评估肝脏组织学损伤的可逆性。