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蛋白质营养缺乏条件下中毒性肝炎大鼠铁动力学指标的评估

AN ASSESSMENT OF THE FERROKINETIC INDICES IN RATS WITH TOXIC HEPATITIS UNDER THE CONDITIONS OF ALIMENTARY DEPRIVATION OF PROTEIN.

作者信息

Voloshchuk O N, Kopylchuk G P

出版信息

Eksp Klin Gastroenterol. 2016(10):54-57.

Abstract

The ferrokinetic indices of blood serum of rats with acetaminophen-induced hepatitis under the conditions of alimentary deprivation of protein were assessed in the work. Research was conducted on 4 groups of animals: 1 - control; 2 - rats maintained on low-protein diet; 3 - rats with acute acetaminophen-induced hepatitis, maintained on full-value ration, 4 - rats with acute acetaminophen-induced hepatitis, maintained under the conditions of alimentary deprivation of protein. The serum iron content of and serum iron binding capacity were determined colorimetrically,% of the transferrin iron saturation - as a ratio of serum iron concentration to maximal iron binding capacity of serum transferrin. The presence of hemosiderin inclusions and the character of hemosiderosis were determined in the liver sections, stained by Perls method. Qualitative determination of C-reactive protein in blood serum was carried out by immunoenzymatic method. It is shown, that in protein-deficiency rats any significant changes of iron metabolism indices and hemosiderin accumu- lation weren't observed. At the same time in rats with acetaminophen-induced hepatitis the 5-fold increase of the serum iron content against the background non-significant increase of serum iron binding capacity and the 2-fold increase of the transferrin iron saturation is established. Simultaneously in the hepatocytes and reticuloendothelial system cells the accumulation of hemosiderin in the low dispersion form is observed, equating the second degree of hemosiderosis on the background emerging of C-reactive protein in serum. In protein-deficiency rats with toxic liver injury an abrupt increase of serum iron against the background reduction of the total serum iron binding capacity and maximal saturation of transferrin by iron ions is observed. It is established, that for animals from current group the third degree of mixed type hemosiderosis and the intensification of the inflammatory reaction in liver is characterstic. Conclusion was made, that alimentary deprivation of protein under the conditions of toxic liver injury is the critical factor for structural-functional state of liver, being accompanied by the iron metabolism disturbances, development of hemosiderosis and intensification of the inflammatory reaction in liver. Research results may be used for the biochemical rationale of the therapeutic approaches for the elimination and correction of the toxic liver injury consequences.

摘要

本研究评估了在蛋白质营养缺乏条件下,对乙酰氨基酚诱导肝炎大鼠血清的铁动力学指标。研究选取了4组动物:1组为对照组;2组为维持低蛋白饮食的大鼠;3组为患急性对乙酰氨基酚诱导肝炎且维持全价日粮的大鼠;4组为患急性对乙酰氨基酚诱导肝炎且处于蛋白质营养缺乏条件下的大鼠。采用比色法测定血清铁含量和血清铁结合能力,转铁蛋白铁饱和度以血清铁浓度与血清转铁蛋白最大铁结合能力的比值表示。通过Perls法对肝脏切片进行染色,测定含铁血黄素包涵体的存在情况及含铁血黄素沉着症的特征。采用免疫酶法对血清C反应蛋白进行定性测定。结果显示,蛋白质缺乏的大鼠未观察到铁代谢指标和含铁血黄素积累有任何显著变化。同时,在对乙酰氨基酚诱导肝炎的大鼠中,血清铁含量增加了5倍,而血清铁结合能力无显著增加,转铁蛋白铁饱和度增加了2倍。同时,在肝细胞和网状内皮系统细胞中观察到低分散形式的含铁血黄素积累,相当于在血清中出现C反应蛋白的背景下的二级含铁血黄素沉着症。在有毒性肝损伤的蛋白质缺乏大鼠中,观察到血清铁突然增加,而血清总铁结合能力降低,转铁蛋白被铁离子最大程度饱和。已确定,该组动物的特征是混合型含铁血黄素沉着症为三级,肝脏炎症反应加剧。得出结论,在有毒性肝损伤的情况下,蛋白质营养缺乏是肝脏结构功能状态的关键因素,伴有铁代谢紊乱、含铁血黄素沉着症的发展和肝脏炎症反应的加剧。研究结果可用于消除和纠正有毒性肝损伤后果的治疗方法的生化依据。

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