Servicio de Aparato Digestivo, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Madrid, Spain.
Sci Rep. 2018 Jun 15;8(1):9163. doi: 10.1038/s41598-018-27427-9.
Despite being a cardinal experimental model, the induction of cirrhosis in rats by repeated exposure to carbon tetrachloride (CCl4) has low reproducibility. Here, we compared two models of cirrhosis induced by orogastric administration of CCl4 once (CCl4-1xWk) or twice a week (CCl4-2xWk) for 12 weeks in male Sprague-Dawley rats. Control rats received water instead of CCl4. Both CCl4 protocols similarly attenuated body weight gain (p < 0.01 vs. Control). Although both CCl4 protocols increased hepatic fibrosis, portal hypertension and splenomegaly, the magnitude of these alterations was higher and more consistent in CCl4-2xWk rats. Importantly, two CCl4-1xWk rats did not develop cirrhosis versus a 100% yield of cirrhosis in CCl4-2xWk rats. The CCl4-2xWk protocol consistently induced liver atrophy together with hematological, biochemical and coagulation abnormalities characteristic of advanced cirrhosis that were absent in CCl4-1xWk rats. Ascites occurred in 20% and 80% of rats in theCCl4-1xWk and CCl4-2xWk groups (p < 0.01). All rats showed normal renal function, arterial blood gases and stable systemic hemodynamics. The total dose of CCl4 and mortality rate were similar in both protocols. The CCl4-2xWk protocol, therefore, was highly reproducible and effective for the induction of experimental cirrhosis within a confined time, representing a valuable advance for liver research.
尽管大鼠重复暴露于四氯化碳(CCl4)可诱导肝硬化,但这种方法的可重复性较低。在这里,我们比较了两种通过口胃管给予 CCl4 诱导肝硬化的模型,一种是每周一次(CCl4-1xWk),另一种是每周两次(CCl4-2xWk),共 12 周。对照组大鼠给予水而不是 CCl4。两种 CCl4 方案均显著降低了大鼠体重(与对照组相比,p<0.01)。虽然两种 CCl4 方案均增加了肝纤维化、门静脉高压和脾肿大,但 CCl4-2xWk 大鼠的这些改变程度更高且更一致。重要的是,与 CCl4-2xWk 组 100%发生肝硬化的大鼠相比,两组 CCl4-1xWk 大鼠中有两例未发展为肝硬化。CCl4-2xWk 方案始终诱导肝萎缩,同时伴有肝硬化的血液学、生化和凝血异常,而这些异常在 CCl4-1xWk 大鼠中并不存在。CCl4-1xWk 和 CCl4-2xWk 组分别有 20%和 80%的大鼠发生腹水(p<0.01)。两组大鼠的肾功能、动脉血气和稳定的全身血流动力学均正常。两种方案的 CCl4 总剂量和死亡率相似。因此,CCl4-2xWk 方案在有限的时间内可高度重现并有效地诱导实验性肝硬化,这是肝研究的一个有价值的进展。