Rutgers H C, Stradley R P, Johnson S E
Department of Veterinary Physiology and Pharmacology, College of Veterinary Medicine, Ohio State University, Columbus 43210-1092.
Am J Vet Res. 1988 Mar;49(3):317-20.
Serum bile acid (SBA) concentration was determined weekly for 4 weeks in dogs with experimentally induced hyperbilirubinemic liver disease. Obstructive jaundice was created in 6 dogs by surgical ligation of the common bile duct, and hepatocellular jaundice was created in 6 sham-operated dogs by administration of dimethylnitrosamine; 6 other sham-operated dogs served as controls. Serum bile acid concentration increased rapidly after bile duct ligation (from 0.6 +/- 0.1 to 69.2 +/- 15.3 mumol/L at 3 days), peaked at 14 days (247.8 +/- 54.1 mumol/L), and then gradually decreased (179.9 +/- 27.1 mumol/L at 28 days). Serum bile acid concentration in dimethylnitrosamine-treated dogs increased more gradually to 38.9 +/- 10.7 mumol/L at 28 days, at which time the serum bilirubin concentration was comparable with that of bile duct-ligated dogs. Mean total SBA values in bile duct-ligated dogs were significantly (P less than 0.01) higher than those in control and dimethylnitrosamine-treated dogs at days 3 through 28, with no overlap of individual values. Serum bile acid concentration at day 28 correlated positively (P less than 0.01) with cholestasis and bile duct proliferation observed in liver biopsy specimens, but did not correlate with necrosis or inflammation. Serum bile acid concentration also correlated positively (P less than 0.01) with serum bilirubin and cholesterol concentrations and with serum alkaline phosphatase and alanine transaminase activities. Results of the study reported here indicated a relationship between SBA concentration and cholestasis in dogs; extrahepatic bile duct obstruction resulted in the highest SBA values.(ABSTRACT TRUNCATED AT 250 WORDS)
在实验性诱导高胆红素血症肝病的犬中,每周测定血清胆汁酸(SBA)浓度,持续4周。通过手术结扎胆总管在6只犬中造成梗阻性黄疸,通过给予二甲基亚硝胺在6只假手术犬中造成肝细胞性黄疸;另外6只假手术犬作为对照。胆管结扎后血清胆汁酸浓度迅速升高(3天时从0.6±0.1升至69.2±15.3μmol/L),在14天时达到峰值(247.8±54.1μmol/L),然后逐渐下降(28天时为179.9±27.1μmol/L)。二甲基亚硝胺处理的犬血清胆汁酸浓度在28天时逐渐升高至38.9±10.7μmol/L,此时血清胆红素浓度与胆管结扎犬相当。在第3天至28天,胆管结扎犬的平均总SBA值显著高于对照犬和二甲基亚硝胺处理犬(P<0.01),个体值无重叠。28天时血清胆汁酸浓度与肝活检标本中观察到的胆汁淤积和胆管增生呈正相关(P<0.01),但与坏死或炎症无关。血清胆汁酸浓度还与血清胆红素和胆固醇浓度以及血清碱性磷酸酶和丙氨酸转氨酶活性呈正相关(P<0.01)。本研究结果表明犬中SBA浓度与胆汁淤积之间存在关联;肝外胆管梗阻导致SBA值最高。(摘要截短至250字)