Wyckoff J H, Bradley R E
Am J Vet Res. 1985 May;46(5):1015-9.
Plasma analysis for albumin, total bilirubin, and total protein values and aspartate aminotransferase (AST), arginase, and gamma-glutamyl transpeptidase (GGT) activities was used for the early and quantitative diagnosis of experimental Fasciola hepatica infections in beef calves. Calves were infected on 3 occasions with 1,000 (n = 5), 100 (n = 5), or 10 (n = 4) metacercariae for a total infective dose of 3,000, 300, or 30, respectively. Albendazole (15 mg/kg of body weight) was administered to 7 infected calves on postinfection (initial) week (PIW) 13. All calves were euthanatized and necropsied on PIW 16 for the determination of fluke infections. Plasma constituents were determined weekly. Significant (P less than 0.05) increases in AST activity occurred as early as PIW 4 and GGT activity at PIW 9, as compared with that in noninfected controls. Fluke burden-related differences were observed in GGT activity from PIW 9 onward. Increases in AST activity reflected parenchymal liver damage, whereas increases in GGT reflected hepatobiliary damage; therefore, differentiation could be made between the migratory and ductal phases of the infection. There was no correlation between arginase activity and fluke infection. As compared with fecal examination results, plasma enzyme analysis gave an earlier and semiquantitative indication of F hepatica infection in experimentally infected calves. Although increases in these plasma constituents were not definitely diagnostic of fascioliasis, useful information on the size of the fluke burden and progress of the disease process could be obtained by these methods. Plasma enzyme analyses of AST and GGT were not indicative of chemotherapeutic success or failure when calves with mature F hepatica (14 weeks old) infections were treated.
通过对血浆中的白蛋白、总胆红素、总蛋白值以及天冬氨酸转氨酶(AST)、精氨酸酶和γ-谷氨酰转肽酶(GGT)活性进行分析,用于对肉牛犊实验性肝片吸虫感染进行早期定量诊断。犊牛分3次感染1000条(n = 5)、100条(n = 5)或10条(n = 4)囊蚴,总感染剂量分别为3000条、300条或30条。在感染后(初始)第13周,给7头感染犊牛施用阿苯达唑(15 mg/kg体重)。所有犊牛在感染后第16周实施安乐死并进行尸检,以确定吸虫感染情况。每周测定血浆成分。与未感染对照组相比,AST活性早在感染后第4周就出现显著(P < 0.05)升高,GGT活性在感染后第9周升高。从感染后第9周起,观察到GGT活性与吸虫负荷相关的差异。AST活性升高反映实质肝损伤,而GGT升高反映肝胆损伤;因此,可以区分感染的移行期和胆管期。精氨酸酶活性与吸虫感染之间无相关性。与粪便检查结果相比,血浆酶分析能更早且半定量地指示实验感染犊牛的肝片吸虫感染情况。虽然这些血浆成分的升高并不能明确诊断为片形吸虫病,但通过这些方法可以获得有关吸虫负荷大小和疾病进程的有用信息。当对感染成熟肝片吸虫(14周龄)的犊牛进行治疗时,AST和GGT的血浆酶分析不能指示化疗的成功或失败。