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肝酶区域化:对肝腺泡概念的重新评估。

Hepatic enzymic zonation: a reevaluation of the concept of the liver acinus.

作者信息

Lamers W H, Hilberts A, Furt E, Smith J, Jonges G N, van Noorden C J, Janzen J W, Charles R, Moorman A F

机构信息

Department of Anatomy and Embryology, University of Amsterdam, The Netherlands.

出版信息

Hepatology. 1989 Jul;10(1):72-6. doi: 10.1002/hep.1840100115.

Abstract

The distribution pattern of a periportal enzyme (carbamoylphosphate synthetase) and a pericentral enzyme (glutamine synthetase) in human and rat liver has provided an objective parameter to delineate the zonal boundaries of the liver acinus. On sections, the pericental zone (zone 3) is circular and discrete rather than star-like and reticular, as predicted by the acinar concept, whereas the periportal zone (zone 1) is reticular, i.e. contiguous between adjacent acini rather than discrete. Three-dimensionally, the composite of pericentral zones (the pericentral compartment) follows the branching pattern of the terminal hepatic (central) vein, whereas the composite of periportal zones (the periportal compartment) envelops the pericentral compartment as a three-dimensional network (reticulum). This modified concept that is based upon the three-dimensional distribution of hepatocyte-specific enzymes is supported by data from the literature regarding the three-dimensional angioarchitecture of the liver, the perfusion pattern of the liver and the three-dimensional pattern of tissue oxygenation. Hence, a unified concept of the liver architecture that is based upon the observed distribution pattern of blood flow, of gene expression and of metabolism can be established.

摘要

人及大鼠肝脏中门周酶(氨甲酰磷酸合成酶)和中央周酶(谷氨酰胺合成酶)的分布模式为描绘肝腺泡的区域边界提供了一个客观参数。在切片上,中央周区(3区)呈圆形且离散,并非如腺泡概念所预测的那样呈星状和网状,而门周区(1区)呈网状,即相邻腺泡之间相连而非离散。从三维角度看,中央周区的复合体(中央周隔室)遵循终末肝静脉(中央静脉)的分支模式,而门周区的复合体(门周隔室)作为三维网络(网状结构)包裹着中央周隔室。基于肝细胞特异性酶三维分布的这一修正概念得到了文献中关于肝脏三维血管结构、肝脏灌注模式及组织氧合三维模式的数据支持。因此,可以建立一个基于观察到的血流、基因表达及代谢分布模式的肝脏结构统一概念。

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