Kanashima R, Nagasue N, Kobayashi M, Inokuchi K
Hepatogastroenterology. 1980 Dec;27(6):448-56.
Lysosomal enzyme contents (acid phosphatase and beta-glucuronidase) in blood and liver were comparatively studied with histochemical methods after 70 per cent hepatectomy in rats. The major source of these enzymes released into the circulation was investigated. The serum lysosomal enzymes were substantially increased immediately after hepatectomy (6 and 12 hours), with the simultaneous peak elevation of serum glutamic oxaloacetic transaminase (SGOT). This increment decreased thereafter. However, the second significant increment was observed between 48 and 72 hours postoperatively, when SGOT activity was almost normalized. Histochemically, lysosomes in regenerating liver were significantly increased at 6 and 12 hours, mainly in the hepatocytes, and at 36 hours exclusively in the Kupffer cells, after hepatectomy, From these observations, the initial significant increment of lysosomal enzymes in the serum, seems to be due to enzymatic leakage following surgical trauma to the remnant liver. The comparative study may indicate that the major source of lysosomal enzymes released substantially into the circulation, from 48 to 72 hours, could be the Kupffer cells which contained numerous amounts of lysosomes at 36 hours following hepatectomy. A possible mechanism for the enzymatic release in our study seems to be "reverse endocytosis".
采用组织化学方法,对大鼠70%肝切除术后血液和肝脏中的溶酶体酶含量(酸性磷酸酶和β-葡萄糖醛酸酶)进行了比较研究。对释放到循环系统中的这些酶的主要来源进行了调查。肝切除术后立即(6小时和12小时)血清溶酶体酶显著增加,同时血清谷氨酸草酰乙酸转氨酶(SGOT)达到峰值。此后这种增加有所下降。然而,在术后48至72小时观察到第二次显著增加,此时SGOT活性几乎恢复正常。组织化学研究表明,肝切除术后6小时和12小时,再生肝脏中的溶酶体显著增加,主要在肝细胞中,36小时时仅在库普弗细胞中增加。从这些观察结果来看,血清中溶酶体酶最初的显著增加似乎是由于手术创伤导致残余肝脏酶泄漏所致。比较研究可能表明,术后48至72小时大量释放到循环系统中的溶酶体酶的主要来源可能是肝切除术后36小时含有大量溶酶体的库普弗细胞。本研究中酶释放的一种可能机制似乎是“反向内吞作用”。