Van Noorden C J, Frederiks W M, Aronson D C, Marx F, Bosch K, Jonges G N, Vogels I M, James J
Virchows Arch B Cell Pathol Incl Mol Pathol. 1987;52(6):501-11. doi: 10.1007/BF02889989.
Extrahepatic cholestasis induced by ligation and transsection of the common bile duct caused a change in the parenchyma/stroma relationship in rat liver. Two weeks after ligation, the periportal zones of the parenchyma were progressively invaded by expanding bile ductules with surrounding connective tissue diverging from the portal areas. Parenchymal disarray developed and small clumps of hepatocytes or isolated hepatocytes were scattered within the expanded portal areas. These cells showed normal activity of lactate, succinate and glutamate dehydrogenase and may, therefore, be considered to be functionally active. After cholestasis the remainder of the liver parenchyma showed adaptational changes with respect to glucose homeostasis, as demonstrated by histochemical means. Glycogen stores disappeared completely whereas glycogen phosphorylase activity increased about ten fold. The increased glycogen phosphorylase activity and glycogen depletion indicate a greater glycogenolytic capacity in liver parenchyma after bile duct ligation to maintain as far as possible a normal plasma glucose concentration. The parenchymal distribution pattern of glucose-6-phosphatase activity did not change significantly after bile duct ligation. The isolated hepatocytes within the expanded portal tracts showed a high activity of this enzyme whereas the pericentral parenchyma was only moderately active. The distribution patterns of glucose-6-phosphate dehydrogenase and lactate dehydrogenase activity in the liver parenchyma were also largely unchanged after bile duct ligation, but the histochemical reaction for glucose-6-phosphate dehydrogenase activity demonstrated infiltration of the remainder of the parenchyma by non-parenchymal cells, possibly Küpffer cells and leucocytes as part of an inflammatory reaction. Under normal conditions the mitochondrial enzymes succinate and glutamate dehydrogenase show an opposite heterogenous distribution pattern in liver parenchyma. Following cholestasis both enzymes became uniformly distributed. The underlying regulatory mechanism for these different changes in distribution patterns of enzyme activities is not yet understood.
胆总管结扎和横断所致的肝外胆汁淤积引起大鼠肝脏实质/间质关系的改变。结扎后两周,实质的门周区逐渐被扩张的胆小管侵入,周围结缔组织从门区散开。实质排列紊乱,小团肝细胞或单个肝细胞散在于扩张的门区内。这些细胞显示乳酸、琥珀酸和谷氨酸脱氢酶活性正常,因此可认为其功能活跃。胆汁淤积后,肝实质其余部分在葡萄糖稳态方面表现出适应性变化,这通过组织化学方法得以证明。糖原储备完全消失,而糖原磷酸化酶活性增加约10倍。糖原磷酸化酶活性增加和糖原耗竭表明胆管结扎后肝实质的糖原分解能力增强,以尽可能维持正常的血浆葡萄糖浓度。胆管结扎后,葡萄糖-6-磷酸酶活性的实质分布模式没有明显变化。扩张的门管区内的单个肝细胞显示该酶活性高,而中央周围实质仅中度活跃。胆管结扎后,肝实质中葡萄糖-6-磷酸脱氢酶和乳酸脱氢酶活性的分布模式也基本未变,但葡萄糖-6-磷酸脱氢酶活性的组织化学反应显示非实质细胞浸润到实质其余部分,可能是枯否细胞和白细胞,作为炎症反应的一部分。在正常情况下,线粒体酶琥珀酸和谷氨酸脱氢酶在肝实质中显示相反的异质分布模式。胆汁淤积后,这两种酶变得均匀分布。这些酶活性分布模式不同变化的潜在调节机制尚不清楚。