Ruebner B H, Gershwin M E, Hsieh L, Dunn P
J Environ Pathol Toxicol. 1980 Nov;4(5-6):237-54.
The spontaneous hepatocellular neoplasms of C3H (MTV-ve) male mice were compared with the hepatic tumors induced in these animals by diethylnitrosamine (DEN) and dieldrin. No morphologic differences could be detected by light or electron microscopy between the spontaneous and induced lesions. However, the animals given diethylnitrosamine or dieldrin developed the lesions earlier, in greater numbers and of larger size. The earliest change was the development of foci composed of clear cells. Later nodules appeared which were composed of clear or basophilic cells. These lesions were followed by and presumably progressed to nodules of trabecular hepatocellular carcinomas. It is postulated that in this series, the first morphological step in the neoplastic transformation is the appearance of unusually clear hepatocytes. Ultrastructurally, the clear cells had increased glycogen and lipid droplets and a decrease in smooth endoplasmic reticulum. The basophilic cells seen later resembled the clear cells except for having a greatly increased rough endoplasmic reticulum. Trabecular hepatocellular carcinomas differed from benign nodules in the greater secretory activity of the rough endoplasmic reticulum, in the development of basement membranes at the vascular pole and of microvilli along the lateral cell membranes. The stepwise progression of normal hepatocytes to hepatocellular carcinoma is discussed on the basis of these sequential light microscopic and ultrastructural observations.
将C3H(MTV阴性)雄性小鼠的自发性肝细胞肿瘤与二乙基亚硝胺(DEN)和狄氏剂在这些动物中诱导产生的肝肿瘤进行了比较。通过光学显微镜或电子显微镜,未检测到自发性病变和诱导性病变之间存在形态学差异。然而,给予二乙基亚硝胺或狄氏剂的动物病变出现得更早,数量更多且体积更大。最早的变化是由透明细胞组成的病灶的形成。随后出现了由透明或嗜碱性细胞组成的结节。这些病变之后出现并可能进展为小梁状肝细胞癌结节。据推测,在这个系列中,肿瘤转化的第一个形态学步骤是异常透明肝细胞的出现。在超微结构上,透明细胞的糖原和脂滴增加,滑面内质网减少。后来出现的嗜碱性细胞除了粗面内质网大大增加外,与透明细胞相似。小梁状肝细胞癌与良性结节的不同之处在于粗面内质网的分泌活性更高,在血管极处有基底膜形成,沿细胞膜外侧有微绒毛形成。基于这些连续的光学显微镜和超微结构观察结果,讨论了正常肝细胞向肝细胞癌的逐步进展过程。