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完整肝脏和再生肝脏中的细菌清除

Bacterial clearance in the intact and regenerating liver.

作者信息

Gross K, Katz S, Dunn S P, Cikrit D, Rosenthal R, Grosfeld J L

出版信息

J Pediatr Surg. 1985 Aug;20(4):320-3. doi: 10.1016/s0022-3468(85)80211-6.

Abstract

The Kupffer cells in the liver play an important role in reticuloendothelial system (RES) function by clearing particulate matter and bacteria from the blood stream. While hepatocyte regeneration and function have been extensively studied following partial hepatectomy, little information is available concerning RES function in the regenerating liver. This study investigates hepatic RES function by evaluating bacterial clearance (live E. coli) in the intact and regenerating liver. Thirty-four young male Sprague Dawley rats were studied. Twenty-two animals underwent a standard 70% partial hepatectomy using ligature technique and 12 had a sham operation. Both groups of rats received 10(9) organism of S35 labeled E coli, intravenously at 24 hours, 72 hours, 2 1/2 weeks, and 6 weeks postoperatively. Rats were killed 10 minutes following injection and liver, lung, spleen, and kidney harvested, fixed, and radioactivity was determined using a scintillation spectrometer interfaced with a micro-computer counting the S35 radiolabel. The total organ count of trapped bacteria in liver in partially hepatectomized rats was lower than intact controls at 24 hours (22.0% v 46.4%, P less than .01), but was similar at 72 hours, 2 1/2 weeks, and 6 weeks. Partial hepatectomy increased the amount of bacterial trapping in the lung at 24 hours (11.3% v 1.7%, P less than .01) and 72 hours (10.1% v 1.7%, P less than .05) and returned to normal at 2 1/2 weeks and 6 weeks. Splenic activity was increased following hepatectomy at 2 1/2 weeks. Renal clearance was increased at 72 hours and 2 1/2 weeks.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

肝脏中的库普弗细胞通过清除血流中的颗粒物和细菌,在网状内皮系统(RES)功能中发挥重要作用。虽然部分肝切除术后肝细胞再生和功能已得到广泛研究,但关于再生肝脏中RES功能的信息却很少。本研究通过评估完整肝脏和再生肝脏中的细菌清除情况(活大肠杆菌)来研究肝脏RES功能。对34只年轻雄性斯普拉格-道利大鼠进行了研究。22只动物采用结扎技术进行标准的70%部分肝切除术,12只进行假手术。两组大鼠在术后24小时、72小时、2.5周和6周静脉注射10⁹个经S³⁵标记的大肠杆菌。注射后10分钟处死大鼠,采集肝脏、肺、脾和肾脏,固定后使用与微型计算机相连的闪烁光谱仪测定放射性,该微型计算机用于计数S³⁵放射性标记。部分肝切除大鼠肝脏中捕获细菌的总器官计数在24小时时低于完整对照组(22.0%对46.4%,P<0.01),但在72小时、2.5周和6周时相似。部分肝切除术在24小时(11.3%对1.7%,P<0.01)和72小时(10.1%对1.7%,P<0.05)时增加了肺中细菌的捕获量,并在2.5周和6周时恢复正常。肝切除术后2.5周脾脏活性增加。肾脏清除率在72小时和2.5周时增加。(摘要截短至250字)

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