Tavoloni N, Schaffner F
Hepatology. 1985 Jul-Aug;5(4):666-72. doi: 10.1002/hep.1840050424.
To determine whether hepatic artery blood flow is essential in maintaining the function and structure of bile ductules/ducts, the acute effects of hepatic artery ligation on bile secretion and hepatic ultrastructure were examined in anesthetized, bile duct-cannulated guinea pigs. Sixty minutes after hepatic artery ligation, spontaneous bile flow (5.08 +/- 0.4 microliter per min per gm liver) was virtually the same as that before hepatic artery ligation (5.31 +/- 0.3 microliter per min per gm), as were the choleretic effects of 10 CU per kg per 30 min secretin (7.14 +/- 0.9 vs. 7.21 +/- 0.9 microliter per min per gm), 300 micrograms per kg per 30 min glucagon (6.72 +/- 0.9 vs. 6.59 +/- 0.8 microliter per min per gm) and 60 mumoles per kg per 30 min glycochenodeoxycholate (6.43 +/- 0.6 vs. 6.45 +/- 0.6 microliter per min per gm). The failure of hepatic artery ligation to affect bile secretory function could not be attributed to the existence of collateral arterial blood flow to the liver. First of all, hepatic artery ligation resulted in diminishing significantly hepatic venous, but not portal, oxygen content. More importantly, in isolated guinea pig livers, perfused through the portal vein alone, secretin, glucagon and glycochenodeoxycholate produced changes in bile flow and composition similar to those seen in vivo. Electron microscopy showed no major ultrastructural changes of hepatic parenchyma and biliary epithelium 2 hr after hepatic artery ligation, or 2 hr after perfusing the liver through the portal vein alone save for some portal edema in the latter instance.(ABSTRACT TRUNCATED AT 250 WORDS)
为了确定肝动脉血流对维持胆小管/胆管的功能和结构是否至关重要,在麻醉的、胆管插管的豚鼠中研究了肝动脉结扎对胆汁分泌和肝脏超微结构的急性影响。肝动脉结扎60分钟后,自发性胆汁流量(每克肝脏每分钟5.08±0.4微升)与肝动脉结扎前(每克肝脏每分钟5.31±0.3微升)基本相同,每30分钟每千克10单位促胰液素的利胆作用(每克肝脏每分钟7.14±0.9微升对7.21±0.9微升)、每30分钟每千克300微克胰高血糖素的利胆作用(每克肝脏每分钟6.72±0.9微升对6.59±0.8微升)以及每30分钟每千克60微摩尔甘氨鹅去氧胆酸盐的利胆作用(每克肝脏每分钟6.43±0.6微升对6.45±0.6微升)也是如此。肝动脉结扎未能影响胆汁分泌功能,这不能归因于肝脏存在侧支动脉血流。首先,肝动脉结扎导致肝静脉氧含量显著降低,但门静脉氧含量未降低。更重要的是,在仅通过门静脉灌注的离体豚鼠肝脏中,促胰液素、胰高血糖素和甘氨鹅去氧胆酸盐引起的胆汁流量和成分变化与体内观察到的相似。电子显微镜检查显示,肝动脉结扎2小时后,或仅通过门静脉灌注肝脏2小时后,肝实质和胆管上皮没有明显的超微结构变化,只是在后一种情况下出现了一些门静脉水肿。(摘要截短于250字)