Jaakkola P, Hippeläinen M, Kantola M
Department of Surgery, Kuopio University Hospital, Finland.
Ann Chir Gynaecol. 1994;83(4):304-8.
It has been suggested that low copper concentrations in tissues could be a risk factor in the development of infrarenal abdominal aortic aneurysms (AAA). To further elucidate this argument, liver and abdominal aortic specimens were obtained from 19 patients with an AAA and 26 patients with aortoiliac occlusive disease (AIOD) during an operation. After tissue breakdown and liquefaction, the samples were tested for copper and zinc with atomic absorption spectrophotometry. The mean aortic copper level was 3.8 (microgram/g dry weight) in the AAA-group and 3.2 in the AIOD-group. The liver copper values were 27.7 and 25.9 respectively. The zinc concentrations in AAA- and AIOD-groups were 61.1 (microgram/g dry weight) and 62.8 for the aortas and 207.9 and 191.7 for liver specimens, respectively. There were no statistically significant differences between the two groups regarding the copper and zinc concentrations found in the aorta or liver specimens. On the basis of our findings, it seems unlikely that copper and zinc in the aortic wall or in the liver would play an important role in the pathogenesis of infrarenal abdominal aortic aneurysms.
有人提出,组织中低铜浓度可能是肾下腹主动脉瘤(AAA)发生发展的一个危险因素。为了进一步阐明这一观点,在手术过程中从19例AAA患者和26例主髂动脉闭塞性疾病(AIOD)患者身上获取了肝脏和腹主动脉标本。在组织分解和液化后,用原子吸收分光光度法对样本进行铜和锌检测。AAA组主动脉铜平均水平为3.8(微克/克干重),AIOD组为3.2。肝脏铜值分别为27.7和25.9。AAA组和AIOD组主动脉的锌浓度分别为61.1(微克/克干重)和62.8,肝脏标本的锌浓度分别为207.9和191.7。两组在主动脉或肝脏标本中发现的铜和锌浓度方面无统计学显著差异。根据我们的研究结果,主动脉壁或肝脏中的铜和锌似乎不太可能在肾下腹主动脉瘤的发病机制中起重要作用。