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肝硬化:啮齿动物实验模型概述。

Liver cirrhosis: An overview of experimental models in rodents.

机构信息

Instituto de Biofísica Carlos Chagas Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil; Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA.

Instituto de Biofísica Carlos Chagas Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil; Instituto Nacional de Ciência e Tecnologia em Medicina Regenerativa, INCT-REGENERA, Universidade Federal do Rio de Janeiro, UFRJ, Rio de Janeiro, Brasil.

出版信息

Life Sci. 2022 Jul 15;301:120615. doi: 10.1016/j.lfs.2022.120615. Epub 2022 May 5.

Abstract

The liver, a component of the gastrointestinal tract, is one of the most important organs in the human body. The liver performs over 500 functions to promote physiological homeostasis. In addition, the liver acts as a screen, by metabolizing substances carried by blood coming from the digestive tract before they enter the systemic circulation. This vital function exposes the hepatic tissue to hepatotoxic agents, which can lead to liver damage if the organ's repair and regenerative capacity is insufficient. Several conditions such as persistent exposure to hepatitis C and B viruses, alcohol, and drugs can provoke this disbalance, eventually leading to liver cirrhosis, which is an irreversible and life-threatening condition. This paradigm of irreversibility began to be reconsidered when several studies showed that hepatic fibrosis is potentially reversible after cessation of exposure to the hepatotoxic agent or eradication of the primary disease. In the context of basic research in liver fibrosis and cirrhosis, it is essential to keep in mind that the capacity of the organ to recover spontaneously might be a significant limitation to long-term studies that use experimental models of liver cirrhosis. Here, we review animal models where liver cirrhosis is experimentally induced. We focus on a surgery-based model, i.e., bile duct ligation (BDL), and hepatotoxic drugs such as carbon tetrachloride (CCl), thioacetamide (TAA), and dimethylnitrosamine (DMN) administrated alone or in association with alcohol, the latter to potentialize the hepatotoxic effect of these agents. Also, we analyze the effects of these approaches, emphasizing the risks, spontaneous reversibility, and outcomes on animal health.

摘要

肝脏是胃肠道的一个组成部分,是人体最重要的器官之一。肝脏具有 500 多种功能,以促进生理内稳态。此外,肝脏作为一个筛子,通过代谢来自消化道的血液中的物质,这些物质在进入体循环之前进入全身循环。这种重要的功能使肝组织暴露于肝毒性物质之下,如果肝脏的修复和再生能力不足,可能会导致肝损伤。一些情况,如持续暴露于丙型肝炎和乙型肝炎病毒、酒精和药物等,可能会引发这种失衡,最终导致肝硬化,这是一种不可逆转的危及生命的情况。当几项研究表明,在停止接触肝毒性物质或消除原发性疾病后,肝纤维化是潜在可逆转的,这种不可逆转的模式开始被重新考虑。在肝纤维化和肝硬化的基础研究中,必须牢记,器官自发恢复的能力可能是长期研究使用肝硬化实验模型的一个重大限制。在这里,我们回顾了实验诱导肝硬化的动物模型。我们重点介绍了一种基于手术的模型,即胆管结扎(BDL),以及肝毒性药物,如四氯化碳(CCl)、硫代乙酰胺(TAA)和二甲基亚硝胺(DMN),单独或与酒精联合使用,以增强这些药物的肝毒性作用。此外,我们分析了这些方法的效果,强调了这些方法的风险、自发逆转和对动物健康的影响。

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