Ono H
Hokkaido Igaku Zasshi. 1981 Sep;56(5):469-82.
In order to clarify the influence of iron overload in the liver, histological and histochemical examinations were performed on the dogs to which colloidal iron (chondroitin sulfuric iron) as well as inorganic iron (ferrous sulfate) was intravenously administered for a long period. The experimental animals were firstly divided into two groups were respectively subdivided into three groups; the two corresponding to the injected irons and the one with no iron injection. Also the liver iron content was measured by atomic absorption spectrophotometry when the animals were sacrificed. The results were summarized as follows: 1) Even in the group in which only CCl4 was given without any iron solution, positive iron granules were found in Kupffer cells or macrophages at the central necrotic zone of hepatic lobules. The liver iron content was 80.15 +/- 25.74 microgram/100mg wet weight and higher than that of 35.20 +/- 6.13 micro/100mg.w. w. in normal control group, however, there were no significant difference between these two values (Fig. 1). 2) In the group in which only colloidal iron was given, iron deposition was limited to the Kupffer cells and did not appear in hepatocytes unless the liver content reached to 978.0 microgram/100mg.w.w.. On the contrary, in the group in which only inorganic iron was given, positive iron granules were already found in hepatocytes at the peripheral zone of hepatic lobules with liver iron content of 157.7 microgram/100mg.w.w.. 3) In the group in which inorganic iron was administered with CCl4, positive iron granules were found in hepatocytes, even though the level of liver iron content was as low as 81.86 microgram/100mg.w.w. being far lower than that in the group without CCl4. 4) Liver iron content was well correlated with the duration of administration of iron solution, irrespective the kinds of injected iron. And the slope of the regression line in the group in which only colloidal iron was given was steeper than that in the group in which only inorganic iron was administered (Fig. 2). And also the slope of the regression line in the group in which colloidal iron was administered with CCl4 was steeper than that in the group without CCl4 (Fig. 3). 5) In the group in which colloidal iron was administered with CCl4, marked iron deposition was observed in Kupffer cells or macrophages at the central necrotic zone of hepatic lobules, and accompanied by hepatic fibrosis in chronic cases. These results indicate that the long-term administration of colloidal iron may accelerate the hepatic fibrosis when chronic hepatic injury co-existed, even if it seems that it is mostly metabolized in reticuloendothelial system of the liver.
为阐明肝脏中铁过载的影响,对长期静脉注射胶体铁(硫酸软骨素铁)和无机铁(硫酸亚铁)的犬进行了组织学和组织化学检查。实验动物首先分为两组,每组再分为三组;两组分别对应注射的铁剂,另一组未注射铁剂。在处死动物时,还通过原子吸收分光光度法测量了肝脏铁含量。结果总结如下:1)即使在仅给予四氯化碳而未给予任何铁溶液的组中,在肝小叶中央坏死区的库普弗细胞或巨噬细胞中也发现了阳性铁颗粒。肝脏铁含量为80.15±25.74微克/100毫克湿重,高于正常对照组的35.20±6.13微克/100毫克湿重,然而,这两个值之间无显著差异(图1)。2)在仅给予胶体铁的组中,铁沉积仅限于库普弗细胞,除非肝脏含量达到978.0微克/100毫克湿重,否则肝细胞中不会出现铁沉积。相反,在仅给予无机铁的组中,在肝小叶周边区的肝细胞中已发现阳性铁颗粒,肝脏铁含量为157.7微克/100毫克湿重。3)在给予无机铁和四氯化碳的组中,即使肝脏铁含量低至81.86微克/100毫克湿重,远低于未给予四氯化碳的组,肝细胞中也发现了阳性铁颗粒。4)肝脏铁含量与铁溶液的给药时间密切相关,与注射铁的种类无关。仅给予胶体铁的组中回归线的斜率比仅给予无机铁的组更陡(图2)。并且给予胶体铁和四氯化碳的组中回归线的斜率比未给予四氯化碳的组更陡(图3)。5)在给予胶体铁和四氯化碳的组中,在肝小叶中央坏死区的库普弗细胞或巨噬细胞中观察到明显的铁沉积,在慢性病例中伴有肝纤维化。这些结果表明,当存在慢性肝损伤时,长期给予胶体铁可能会加速肝纤维化,即使它似乎主要在肝脏的网状内皮系统中代谢。