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[肝脏缺血后功能与形态学恢复的实验研究]

[Experimental study on functional and morphological restoration following hepatic ischemia].

作者信息

Sasase S

机构信息

First Department of Surgery, Hyogo Medical College, Nishinomiya, Japan.

出版信息

Nihon Geka Gakkai Zasshi. 1989 Nov;90(11):1899-906.

PMID:2608019
Abstract

Restoration of damaged hepatocytes after ischemia was studied functionally and morphometrically in a rat model with partial hepatic vascular occlusion. In 30 min occlusion group (n = 35), ATP (mols/mg of protein) dropped down to nearly zero, but returned to the pre-ischemic level within 6 hours after reperfusion. The number of mitochondria (Mt)/unit area of cytoplasm (N/beta m2) increased to 1.41 times of the pre-ischemic value. Simultaneously, the area of single Mt decreased to 2/3 of the pre-ischemic value. Cellular necrosis and subsequent fibrosis were slight, not different from those of the controls. In 60 min occlusion group (n = 35), it took 14 days for ATP to return to the pre-ischemic level. An increase in the number of Mt and reduction in the Mt area, were slight compared with 30 min occlusion group. In contrast, necrosis and subsequent fibrosis markedly developed with a concomitant increase in lysosomes. In conclusion, it was suggested that, in 30 min of ischemia, active division of Mt, which is a compensatory mechanism of Mt reduced the degree in ischemic damage of hepatocytes, in contrast, in 60 min ischemia, division of mitochondria was limited, causing delayed recovery of ATP and severe necrotic change of hepatocytes.

摘要

在部分肝血管闭塞的大鼠模型中,对缺血后受损肝细胞的恢复进行了功能和形态计量学研究。在30分钟闭塞组(n = 35)中,ATP(每毫克蛋白质的摩尔数)降至接近零,但在再灌注后6小时内恢复到缺血前水平。细胞质单位面积的线粒体数量(Mt/βm²)增加到缺血前值的1.41倍。同时,单个Mt的面积降至缺血前值的2/3。细胞坏死及随后的纤维化轻微,与对照组无差异。在60分钟闭塞组(n = 35)中,ATP恢复到缺血前水平需要14天。与30分钟闭塞组相比,Mt数量的增加和Mt面积的减少轻微。相反,坏死及随后的纤维化明显发展,同时溶酶体增加。总之,提示在30分钟缺血时,Mt的活跃分裂作为Mt的一种代偿机制,降低了肝细胞缺血损伤的程度;相反,在60分钟缺血时,线粒体分裂受限,导致ATP恢复延迟和肝细胞严重坏死改变。

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