Poulsen H E, Gaub J, Iversen J
Eur J Clin Invest. 1985 Oct;15(5):285-9. doi: 10.1111/j.1365-2362.1985.tb00186.x.
Quantitative measures of liver functions were investigated in rats up to 360 h after 90% hepatectomy and related to total hepatic DNA. Galactose elimination capacity (cytosolic phosphorylation of carbohydrate), p-nitro-anisole demethylase activity (endoplasmic drug hydroxylation) and prothrombin index (protein synthesis at rough endoplasmic membranes) were initially reduced as much as the liver weight, but recovered differently. During hepatic regeneration prothrombin index and galactose elimination were back to control values after an interval of 360 h, while p-nitro-anisole demethylase activity was about 0.4 times control value after that interval. The correlation between total hepatic DNA and liver weight, and between total hepatic protein and liver weight was 0.92 in both cases, indicating their close relationship during hepatic regeneration. Compared to earlier studies on 70% hepatectomy the recovery of metabolic functions after 90% hepatectomy is delayed, as compared to regeneration of total hepatic DNA. The compensatory hyperfunction observed after 70% hepatectomy was not found after 90% hepatectomy, indicating a lost ability to hyperfunction when hepatic function is reduced close to the minimal residual function. This is suggested to be important for the sudden onset of hepatic insufficiency.
在大鼠90%肝切除术后长达360小时内对肝功能进行了定量测量,并与肝脏总DNA相关联。半乳糖清除能力(碳水化合物的胞质磷酸化)、对硝基苯甲醚脱甲基酶活性(内质网药物羟基化)和凝血酶原指数(粗面内质网膜上的蛋白质合成)最初与肝脏重量下降程度相同,但恢复情况不同。在肝再生过程中,凝血酶原指数和半乳糖清除在360小时后恢复到对照值,而在该间隔后对硝基苯甲醚脱甲基酶活性约为对照值的0.4倍。肝脏总DNA与肝脏重量之间以及肝脏总蛋白与肝脏重量之间的相关性在两种情况下均为0.92,表明它们在肝再生过程中密切相关。与早期关于70%肝切除的研究相比,90%肝切除术后代谢功能的恢复相对于肝脏总DNA的再生有所延迟。90%肝切除术后未发现70%肝切除术后观察到的代偿性高功能,这表明当肝功能降低至接近最小残余功能时,高功能能力丧失。这被认为对肝功能不全的突然发生很重要。