Otting U, Hellmann C, Noack C, Zoellner K, Gross J
Klinik und Poliklinik für Kinderheilkunde, Humboldt-Universität zu Berlin.
Z Urol Nephrol. 1988 Sep;81(9):581-8.
Children suffering from chronic renal insufficiency frequently show a liver cell damage. It is not clarified, whether this damage is caused immediately by chronic renal insufficiency. In the model of fetal rat hepatocytes, which were isolated by trypsin digestion, we have investigated the influence of normal and uremic serum on the lactate dehydrogenase release and the staining with trypan blue, respectively. Fetal rat hepatocytes under incubation conditions seems to be a useful model in the investigation of the influence of uremic metabolism on the liver cell. In our liver cell model the uremic serum did not influence the membrane permeability of hepatocytes for macromolecules. However, the viability of hepatocytes was impaired by 23% compared with normal serum. The vitality-reducing factor of the uremic serum is not dialysable.
患有慢性肾功能不全的儿童常常表现出肝细胞损伤。目前尚不清楚这种损伤是否由慢性肾功能不全直接引起。在通过胰蛋白酶消化分离的胎鼠肝细胞模型中,我们分别研究了正常血清和尿毒症血清对乳酸脱氢酶释放及台盼蓝染色的影响。在孵育条件下的胎鼠肝细胞似乎是研究尿毒症代谢对肝细胞影响的一个有用模型。在我们的肝细胞模型中,尿毒症血清并未影响肝细胞对大分子的膜通透性。然而,与正常血清相比,肝细胞的活力受损了23%。尿毒症血清的活力降低因子不可透析。