Długosz J, Pawlicka E, Gabryelewicz A
Gastroenterology Department, Medical Academy, Bialystok, Poland.
Int J Pancreatol. 1988 Jul;3(5):343-56. doi: 10.1007/BF02788468.
In acute pancreatitis, damage to the liver is an important aspect of multiorgan failure. In 28 dogs (20 with bile-trypsin induced acute experimental pancreatitis (AEP], 'total' and 'free' activity of lysosomal hydrolases: beta-glucuronidase, cathepsins and acid phosphatase in mitochondrial and lysosomal subfraction of the liver were determined 12 h or 24 h after the induction of AEP. The respiratory control ratio with sodium succinate as a substrate, using Clarck's electrode and uncoupler-dependent ATP-ase activity in mitochondrial subfraction, was assayed. Groups of dogs were treated or pretreated with prostacyclin (PGI2), 20 ng.kg-1.min-1 i.v. for 12 or 13 h. The relative free activity of hydrolases was significantly elevated in untreated AEP after 12 h and was partially normalized in AEP after 24 h or after 12 h followed by treatment and pretreatment with PGI2. Respiratory control ratio was twice lower than normal in AEP after 12 h and partially normalized after 24 h post PGI2 treatment. The relative free activity of lysosomal hydrolases was highly negatively correlated with respiratory control ratio. It was concluded, that during AEP in dogs the function of liver mitochondria and lysosomal stability are impaired. The significant correlation found between the mitochondrial and lysosomal lesions points to lysosomal-mitochondrial interactions in liver damage in AEP. Prostacyclin in the investigated dose partially prevents the mitochondrial and lysosomal lesions in liver in this disease.
在急性胰腺炎中,肝脏损伤是多器官功能衰竭的一个重要方面。在28只犬(20只患有胆汁 - 胰蛋白酶诱导的急性实验性胰腺炎(AEP))中,于AEP诱导后12小时或24小时测定肝脏线粒体和溶酶体亚组分中溶酶体水解酶(β - 葡萄糖醛酸酶、组织蛋白酶和酸性磷酸酶)的“总”活性和“游离”活性。使用克拉克电极,以琥珀酸钠为底物测定线粒体亚组分中的呼吸控制率以及解偶联剂依赖性ATP酶活性。犬分组接受前列环素(PGI2)治疗或预处理,静脉注射20 ng·kg-1·min-1,持续12或13小时。未治疗的AEP在12小时后水解酶的相对游离活性显著升高,在24小时后或在12小时后接受PGI2治疗和预处理的AEP中部分恢复正常。AEP在12小时后呼吸控制率比正常低两倍,PGI2治疗24小时后部分恢复正常。溶酶体水解酶的相对游离活性与呼吸控制率高度负相关。得出的结论是,在犬的AEP期间,肝脏线粒体功能和溶酶体稳定性受损。线粒体和溶酶体损伤之间的显著相关性表明在AEP的肝脏损伤中存在溶酶体 - 线粒体相互作用。在所研究的剂量下,前列环素可部分预防该疾病中肝脏的线粒体和溶酶体损伤。