Zieve L, Anderson W R, LaFontaine D
Department of Medicine, Hennepin County Medical Center, Minneapolis, MN 55415.
J Lab Clin Med. 1988 Jun;111(6):725-30.
Hepatic regenerative enzyme (thymidine kinase and ornithine decarboxylase) activities were significantly depressed by subcoma doses of the hepatic failure toxins (NH4+, octanoic acid, and dimethyl disulfide) after selective injury with allyl alcohol. The inhibitory effect of NH4+ was greater than that of dimethyl disulfide, even though the neurologic effects of dimethyl disulfide were approximately comparable with those of the NH4+. There appeared to be a delay in the full expression of the depressive effects of octanoic acid and dimethyl disulfide. The resistance to these two toxins, particularly dimethyl disulfide, may reflect the resistance to injury of the oxidative processes prominent in periportal hepatocyte mitochondria. In comparison with pericentral injury or two-lobe hepatectomy, periportal injury seemed equally susceptible to regenerative enzyme inhibition by NH4+ but less susceptible to the effect of octanoic acid and dimethyl disulfide.
在用烯丙醇进行选择性损伤后,亚昏迷剂量的肝功能衰竭毒素(NH4 +、辛酸和二甲基二硫)可显著降低肝脏再生酶(胸苷激酶和鸟氨酸脱羧酶)的活性。NH4 +的抑制作用大于二甲基二硫,尽管二甲基二硫的神经学效应与NH4 +的效应大致相当。辛酸和二甲基二硫的抑制作用似乎有延迟。对这两种毒素,尤其是二甲基二硫的抗性,可能反映了对门静脉周围肝细胞线粒体中突出的氧化过程损伤的抗性。与中央周围损伤或两叶肝切除相比,门静脉周围损伤似乎同样易受NH4 +对再生酶的抑制作用,但对辛酸和二甲基二硫的作用较不敏感。