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[不同形式酒精性肝损伤患者肝细胞糖原含量的细胞荧光分析研究]

[Cytofluorimetric research on the glycogen content of the hepatocytes in patients with various forms of alcoholic liver lesions].

作者信息

Kudriavtseva M V, Skorina A D, Sakuta G A, Deĭneka Z G, Kudriavtsev B N

出版信息

Tsitologiia. 1989 Sep;31(9):1044-9.

PMID:2623767
Abstract

By cytofluorometry employing the cytofluorometric PAS reaction, a study was made of the total glycogen and of its two fractions in liver parenchymal cells, both in the norm and in patients with chronic alcoholism (alcoholic steatosis, chronic alcoholic hepatitis, and mixed forms of alcoholic-viral hepatitis, viral hepatitis with steatosis and also viral hepatitis). The examination was performed on preparations-smears of isolated hepatocytes, obtained from the live puncture liver biopsies. The quantitative analysis has shown the increase in the total glycogen content in hepatocytes of patients with alcoholic hepatitis in comparison with the norm and with chronic viral hepatitis. The transition from a reverse stage--alcoholic steatosis--to alcoholic hepatitis was accompanied by a sharp increase in the total glycogen content and by an obvious change in the ratio of glycogen fractions, towards the hard soluble fraction in liver cells. The quantitative analysis of glycogen fractions in liver cells of patients with chronic alcoholic disease may be an appreciated marker of differential diagnostics of different stages and forms of alcoholic liver disease.

摘要

通过采用细胞荧光法的细胞荧光PAS反应,对正常人和慢性酒精中毒患者(酒精性脂肪变性、慢性酒精性肝炎以及酒精性-病毒性肝炎的混合形式、伴有脂肪变性的病毒性肝炎以及单纯病毒性肝炎)肝实质细胞中的总糖原及其两个组分进行了研究。检测是在从肝穿刺活检获得的分离肝细胞涂片制剂上进行的。定量分析表明,与正常人和慢性病毒性肝炎患者相比,酒精性肝炎患者肝细胞中的总糖原含量增加。从逆向阶段——酒精性脂肪变性——转变为酒精性肝炎伴随着总糖原含量的急剧增加以及糖原组分比例的明显变化,向肝细胞中难溶性组分转变。对慢性酒精性疾病患者肝细胞中糖原组分的定量分析可能是不同阶段和形式酒精性肝病鉴别诊断的一个重要标志物。

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