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肝脑变性时肝脏的超微结构变化

[Ultrastructural changes in the liver in hepatocerebral dystrophy].

作者信息

Makarova V A, Reĭskanen A V

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(11):1652-6.

PMID:596032
Abstract

The authors studied the character of subcellular changes in the liver of 15 patients with hepato-cerebral dystrophy and compared them with 5 patients with hepatocirrhosis of a non-hereditary etiology. The mitochondrias suffer most severily from cell organella. Their pathology is more characterized by changes connected with the increase of electronic density and to a lesser degree by swellings. The correlation between the occurrence of electronic dense mitochondrias and the increased hepatocytelipid infiltration is marked. The ultrastructural study has confirmed a preventive role of the lipofuscin complex with cuprum. The main reason of the development of hepacirrhosis in hepato-cerebral dystrophy is the accumulation of cuprum nonutilized by pathogenetical mechanisms--lesion of mitochondrias, tissue hypoxia, necrosis of hepatocytes. The capability of neutralization and withdrawal of cuprum can determine the severity and rapidity of the development of the disease.

摘要

作者研究了15例肝脑变性患者肝脏的亚细胞变化特征,并将其与5例非遗传性病因肝硬化患者进行了比较。线粒体是细胞器中受损最严重的。其病理变化更多地表现为与电子密度增加相关的改变,较少表现为肿胀。电子致密线粒体的出现与肝细胞脂质浸润增加之间存在显著相关性。超微结构研究证实了脂褐素复合物与铜的预防作用。肝脑变性中肝硬化发展的主要原因是致病机制未利用的铜的积累——线粒体损伤、组织缺氧、肝细胞坏死。铜的中和与清除能力可决定疾病发展的严重程度和速度。

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