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部分膀胱切除术对大鼠膀胱尿路上皮再生的刺激作用及其在致癌过程中的意义(作者译)

[Stimulating effect of partial cystectomy on regeneration of rat bladder urothelium and its significance for carcinogenesis (author's transl)].

作者信息

Kunze E, Albrecht H, Wöltjen H H, Schauer A

出版信息

J Cancer Res Clin Oncol. 1979 Oct;95(2):159-75. doi: 10.1007/BF00401010.

Abstract

Cell proliferation kinetics of the urinary bladder urothelium have been analyzed in a total of 218 female Wistar rats after partial cystectomy. After one-third resection of the bladder DNA synthesis started 15 h postoperatively in the bladder stump and reached its maximum at 25 h with a mean 3H-TdR index of 10.1%. In the area of resection the proliferative activity increased after 20 h and the highest 3H-TdR index was found to be 24.7% after 45 h. In the case of hemicystectomy the labeling index in the stump increased 15 h postoperatively and the highest 3H-T-dR index was determined at 20 h with 16.6%. The urothelial cells in the area of resection began to proliferate synchronously with those in the stump and the maximum of DNA synthesis was measured 35 h postoperatively with an 3H-TdR index of 24.2%. After 2 weeks the proliferative activity within the stump and operative region corresponded to that of the control urothelium. The basal cells showed absolutely the highest proliferative activity, the suprabasal cells exhibited on the other side the highest regenerative potential compared with the control urothelium. Partial cystectomy might possibly serve as an experimental model for testing low potential carcinogens, in the case where carcinogenic effects would be initiated, potentiated and accelerated via stimulation of the DNA synthesis.

摘要

在总共218只雌性Wistar大鼠接受部分膀胱切除术后,对膀胱尿路上皮的细胞增殖动力学进行了分析。膀胱切除三分之一后,膀胱残端在术后15小时开始DNA合成,并在25小时达到峰值,平均3H-TdR指数为10.1%。在切除区域,增殖活性在20小时后增加,45小时后发现最高3H-TdR指数为24.7%。在半膀胱切除的情况下,残端的标记指数在术后15小时增加,最高3H-T-dR指数在20小时测定,为16.6%。切除区域的尿路上皮细胞开始与残端细胞同步增殖,术后35小时测量到DNA合成的最大值,3H-TdR指数为24.2%。2周后,残端和手术区域内的增殖活性与对照尿路上皮的增殖活性相当。基底细胞显示出绝对最高的增殖活性,而上基底细胞与对照尿路上皮相比则表现出最高的再生潜力。部分膀胱切除术可能作为一种实验模型来测试低潜在致癌物,在致癌作用通过刺激DNA合成而启动、增强和加速的情况下。

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