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血清γ-谷氨酰转移酶作为大鼠肝脏胆管病变的特异性指标。

Serum gamma glutamyl transferase as a specific indicator of bile duct lesions in the rat liver.

作者信息

Leonard T B, Neptun D A, Popp J A

出版信息

Am J Pathol. 1984 Aug;116(2):262-9.

Abstract

Serum gamma-glutamyl transferase (GGT), a marker of hepatic injury used extensively in humans, has been used rarely in rats because its specificity has not been previously defined. Studies were designed for investigation of the specificity of serum GGT activity with the use of cell type specific hepatotoxicants in Fischer 344 rats. Single necrogenic doses of CCl4, allyl alcohol (AA), and alpha-naphthylisothiocyanate (ANIT) were used to produce cell specific injury in centrilobular hepatocytes, periportal hepatocytes, and bile duct cells, respectively. Administration of CCl4 markedly increased serum activities of alanine aminotransferase (ALT), alkaline phosphatase (AP), and serum bile acid concentrations within 24 hours but had no effect on serum GGT activity. ANIT treatment increased serum GGT and AP activities and bile acid concentration 24 hours following administration. Allyl alcohol administration increased serum ALT activity but had no effect on GGT activity. Administration of ANIT in the diet at 0.01%, 0.022%, 0.047%, and 0.1% for 2, 4, and 6 weeks produced dose- and time-dependent increases in serum GGT activity which strongly correlated with quantitative increases in hepatic bile duct volume, which was determined morphometrically. These observations support the use of serum GGT activity in the rat as diagnostic of bile duct cell necrosis when increases are detected shortly after the insult and as an indicator of possible bile duct hyperplasia.

摘要

血清γ-谷氨酰转移酶(GGT)是一种在人类中广泛使用的肝损伤标志物,在大鼠中很少使用,因为其特异性此前尚未明确。本研究旨在利用Fischer 344大鼠中细胞类型特异性肝毒物来研究血清GGT活性的特异性。分别使用单次致坏死剂量的四氯化碳(CCl4)、烯丙醇(AA)和α-萘异硫氰酸酯(ANIT)在小叶中心肝细胞、门周肝细胞和胆管细胞中产生细胞特异性损伤。给予CCl4后24小时内,血清丙氨酸转氨酶(ALT)、碱性磷酸酶(AP)活性及血清胆汁酸浓度显著升高,但对血清GGT活性无影响。给予ANIT后24小时,血清GGT和AP活性及胆汁酸浓度升高。给予烯丙醇可使血清ALT活性升高,但对GGT活性无影响。以0.01%、0.022%、0.047%和0.1%的剂量在饲料中添加ANIT 2周、4周和6周,可使血清GGT活性呈剂量和时间依赖性升高,这与通过形态计量学测定的肝内胆管体积的定量增加密切相关。这些观察结果支持在大鼠中,当在损伤后不久检测到血清GGT活性升高时,可将其用于诊断胆管细胞坏死,并作为可能的胆管增生的指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89b6/1900544/e7d66a9d92d4/amjpathol00179-0093-a.jpg

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