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大鼠先天性门腔分流:肝脏对门静脉缺失的适应性——光镜和电镜研究

Congenital portacaval shunt in rats: liver adaptation to lack of portal vein--a light and electron microscopic study.

作者信息

Bioulac-Sage P, Saric J, Boussarie L, Balabaud C

出版信息

Hepatology. 1985 Nov-Dec;5(6):1183-9. doi: 10.1002/hep.1840050620.

DOI:10.1002/hep.1840050620
PMID:2415438
Abstract

In five rats with congenital portacaval shunt, liver atrophy, hyperplastic foci in the periportal zone, atrophic hepatocytes in the centrolobular zone, well-preserved hepatocyte ultrastructure with abundant rough endoplasmic reticulum, packed mitochondria and numerous peroxisomes were observed as in surgical portacaval shunt. However, portal triads were abnormal in contrast to surgical shunt. In large portal triads, hepatic arteries were prominent, bile ducts numerous and portal veins were lacking. Instead, small or large capillaries were seen in the portal tracts usually at the periphery. These capillaries appeared to be in continuity with nearby sinusoids presenting the ultrastructural characteristics of capillaries. These observations suggest that absence of the portal vein is compensated by formation of neocapillaries. It is assumed that these capillaries originate from periportal sinusoids and are necessary to distribute blood to all sinusoids and form a reservoir to lower arterial pressure.

摘要

在5只患有先天性门腔分流的大鼠中,观察到肝脏萎缩,门周区有增生灶,中央小叶区有萎缩的肝细胞,肝细胞超微结构保存良好,有丰富的粗面内质网、密集的线粒体和大量过氧化物酶体,这与外科门腔分流的情况相同。然而,与外科分流相比,门三联体是异常的。在大的门三联体中,肝动脉突出,胆管众多,门静脉缺失。相反,在门管区通常是外周可见大小不等的毛细血管。这些毛细血管似乎与附近的血窦相连,呈现出毛细血管的超微结构特征。这些观察结果表明,门静脉的缺失通过新毛细血管的形成得到了补偿。据推测,这些毛细血管起源于门周血窦,对于将血液分布到所有血窦并形成一个降低动脉压的储血库是必要的。

相似文献

1
Congenital portacaval shunt in rats: liver adaptation to lack of portal vein--a light and electron microscopic study.大鼠先天性门腔分流:肝脏对门静脉缺失的适应性——光镜和电镜研究
Hepatology. 1985 Nov-Dec;5(6):1183-9. doi: 10.1002/hep.1840050620.
2
Ultrastructural characteristics of hyperplastic alterations in the liver of congenital portacaval-shunt rats.先天性门腔分流大鼠肝脏增生性改变的超微结构特征
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Histopathology of livers in patients with congenital portosystemic shunts (Abernethy malformation): a case series of 22 patients.先天性门体分流(Abernethy 畸形)患者肝脏的组织病理学:22 例病例系列。
Virchows Arch. 2019 Jan;474(1):47-57. doi: 10.1007/s00428-018-2464-4. Epub 2018 Oct 24.
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Sinusoidal cells in rats with portacaval shunt: a morphometric study.
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Chronic biliary drainage corrects liver atrophy induced by portacaval shunt in the rat.慢性胆汁引流可纠正大鼠门腔分流引起的肝萎缩。
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Congenital extrahepatic portocaval shunt (Abernethy type 2), huge liver mass, and patent ductus arteriosus--a case report of its rare clinical presentation in a young girl.先天性肝外门体分流(阿伯内西2型)、巨大肝脏肿块及动脉导管未闭——一名年轻女孩罕见临床表现的病例报告
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Hyperplastic foci in the atrophic liver of rats after portacaval anastomosis.门腔静脉吻合术后大鼠萎缩肝脏中的增生灶。
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Liver arterialization improves hepatocytes ultrastructure in rats with portacaval shunts.肝动脉化可改善门腔分流大鼠肝细胞的超微结构。
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The portacaval and splenocaval shunt in the normal rat. A morphometric and functional reevaluation.
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引用本文的文献

1
Hepatic proliferation and angiogenesis markers are increased after portal deprivation in rats: a study of molecular, histological and radiological changes.大鼠门静脉结扎后肝脏增殖和血管生成标志物增加:分子、组织学及放射学变化研究
PLoS One. 2015 May 28;10(5):e0125493. doi: 10.1371/journal.pone.0125493. eCollection 2015.
2
Surgical intervention for patent ductus venosus.静脉导管未闭的手术干预。
Pediatr Surg Int. 2010 Oct;26(10):1025-30. doi: 10.1007/s00383-010-2662-x.
3
[Focal nodular liver lesions associated with a congenital portocaval shunt in an adult woman].
Radiologe. 2007 Feb;47(2):163-4, 166. doi: 10.1007/s00117-005-1265-3.
4
Multiple hyperplastic nodules in the liver with congenital absence of portal vein: MRI findings.
Pediatr Radiol. 2006 May;36(5):445-8. doi: 10.1007/s00247-005-0103-0. Epub 2006 Mar 1.
5
Portacaval shunt causes apoptosis and liver atrophy in rats despite increases in endogenous levels of major hepatic growth factors.门腔分流术可导致大鼠发生细胞凋亡和肝脏萎缩,尽管肝脏主要生长因子的内源性水平有所升高。
J Hepatol. 2002 Sep;37(3):340-8. doi: 10.1016/s0168-8278(02)00165-4.
6
Congenital intrahepatic portocaval shunt associated with trimethylaminuria.先天性肝内门体分流伴三甲胺尿症。
Pediatr Surg Int. 1997 Feb;12(2-3):196-7.
7
Determinants of hepatic function in liver cirrhosis in the rat. Multivariate analysis.大鼠肝硬化肝功能的决定因素。多变量分析。
J Clin Invest. 1988 Dec;82(6):2069-76. doi: 10.1172/JCI113828.