Kress S, Katz N
Institut für Klinische Chemie und Pathobiochemie, Universität Giessen, Germany.
Eur J Clin Chem Clin Biochem. 1993 Nov;31(11):733-8. doi: 10.1515/cclm.1993.31.11.733.
Periportal or pericentral necrosis of rat liver was produced by injection of allyl-alcohol or bromobenzene, respectively. Activities of predominantly periportal and perivenous enzymes were determined in serum during maximal necrosis. Aspartate aminotransferase, which is more or less homogeneously distributed in the liver acinus, exhibited similar activities in serum after periportal and pericentral injury. Serum activities of the mainly periportal enzymes alanine aminotransferase and fructose 1,6-bisphosphatase were 1.5- to 2-fold higher after periportal as compared to pericentral necrosis. Serum activity of the mainly pericentral glutamate dehydrogenase was 3-fold higher after pericentral than after periportal damage. However, due to individual variations necrosis could not be definitively localized in any case by measurement of these enzyme activities. Better discrimination between periportal and pericentral necrosis was achieved by the serum activity of the exclusively pericentral enzyme glutamine synthetase, which was 8-fold higher after pericentral as compared to periportal necrosis. Conclusive discrimination was obtained by the activity ratio fructose 1,6-bisphosphatase/glutamine synthetase in serum.
分别通过注射烯丙醇或溴苯,在大鼠肝脏中诱导门周或中央周围坏死。在坏死最严重时测定血清中主要位于门周和静脉周围的酶的活性。天冬氨酸氨基转移酶在肝腺泡中分布较为均匀,在门周和中央周围损伤后血清中的活性相似。与中央周围坏死相比,门周坏死后门周主要的酶丙氨酸氨基转移酶和果糖1,6 -二磷酸酶的血清活性高1.5至2倍。主要位于中央周围的谷氨酸脱氢酶在中央周围损伤后的血清活性比门周损伤后高3倍。然而,由于个体差异,通过测量这些酶的活性在任何情况下都无法明确坏死的位置。通过仅位于中央周围的酶谷氨酰胺合成酶的血清活性,能更好地区分门周和中央周围坏死,中央周围坏死时其血清活性比门周坏死高8倍。通过血清中果糖1,6 -二磷酸酶/谷氨酰胺合成酶的活性比值可得到明确的区分。