Shibuya H
Hokkaido Igaku Zasshi. 1987 May;62(3):434-41.
In the cases of protracted obstructive jaundice, it is reported that there was a positive correlation between the hepatic copper concentration and the severity of destruction of the bile ducts. The author produced the model of obstructive jaundice in rats by common bile duct ligation and investigated whether additional copper overload can cause injury on the liver. The simple ligating procedure induced a significantly increased level of the copper concentration (p less than 0.001). The copper concentration of the group with the additional copper overload showed about an eighteen-fold increase in comparison with the group of the only ligation (p less than 0.005). Histologically, the group with the overload alone exhibited no significant finding. The groups with the ligation showed bile duct proliferation with subsequent fibrosis around portal areas (pericholangiolar fibrosis); however, the fibrosis in the group with an additional overload was more prominent than that without an additional overload. By the orcein stain, the positive granules in the group with the ligation alone were preferentially present in the liver cells around the proliferated bile ducts. The group with the additional overload exhibited diffuse and more pronounced staining. Ultrastructurally, the liver cells in the group with the additional overload contained lysosomes with electron-dense material, some of which showed a feature consistent with focal interruption of their membranes. By X-ray microanalysis, these lysosomes were revealed to include copper as well as sulfur. The sulfur was considered to represent copper-binding protein.(ABSTRACT TRUNCATED AT 250 WORDS)
在迁延性梗阻性黄疸病例中,据报道肝铜浓度与胆管破坏的严重程度之间存在正相关。作者通过胆总管结扎制作了大鼠梗阻性黄疸模型,并研究了额外的铜过载是否会对肝脏造成损伤。单纯结扎手术导致铜浓度显著升高(p<0.001)。额外铜过载组的铜浓度与仅结扎组相比增加了约18倍(p<0.005)。组织学上,仅过载组无明显发现。结扎组显示胆管增生,随后在门静脉周围出现纤维化(胆管周围纤维化);然而,额外过载组的纤维化比无额外过载组更明显。通过地衣红染色,仅结扎组的阳性颗粒优先出现在增生胆管周围的肝细胞中。额外过载组表现出弥漫且更明显的染色。超微结构上,额外过载组的肝细胞含有带有电子致密物质的溶酶体,其中一些显示出与其膜的局灶性中断一致的特征。通过X射线微分析,这些溶酶体被发现含有铜以及硫。硫被认为代表铜结合蛋白。(摘要截短于250字)