Abe S, Yamazaki K, Takikawa S, Suzuki K
First Department of Internal Medicine, Iwate Medical University School of Medicine, Morioka.
Tohoku J Exp Med. 1994 Apr;172(4):355-67. doi: 10.1620/tjem.172.355.
Although impaired biliary excretion of copper through hepatocyte lysosomes has been postulated as a pathogenesis of Wilson's disease, direct evidence has been lacking. Our aim was to investigate the dynamics of biliary excretion of copper and lysosomal enzymes in the Long-Evans Cinnamon (LEC) rat, a recently established rodent model of Wilson's disease. Liver homogenate and bile were obtained from 12 week-old LEC rats (n = 7), Long-Evans Agouti rats (n = 3) and Sprague-Dawley rats (n = 8) and analyzed for copper and lysosomal enzymes. Structural integrity of hepatic lysosomes was assessed by the latency of N-acetyl-beta-glucosaminidase. Compared with the controls, LEC rats exhibited a 43-fold increase in hepatic copper concentration (p < 0.001), a significant increase in hepatic activities of lysosomal enzymes (p < 0.001) and reduction of lysosomal latency (p < 0.05). In contrast, biliary excretion of copper and lysosomal enzymes were significantly impaired in LEC rats (p < 0.05). These results suggest a coupled alteration between copper and lysosomal enzymes in both the liver and bile of LEC rats (i.e., increase in liver and decrease in bile). Defective biliary excretion of copper via hepatocyte lysosomes may play a role in part in spontaneous copper accumulation in LEC rats.
尽管通过肝细胞溶酶体的铜胆汁排泄受损被认为是威尔逊病的发病机制,但一直缺乏直接证据。我们的目的是研究长 Evans 肉桂色(LEC)大鼠(一种最近建立的威尔逊病啮齿动物模型)中铜和溶酶体酶的胆汁排泄动态。从 12 周龄的 LEC 大鼠(n = 7)、长 Evans 刺鼠(n = 3)和斯普拉格-道利大鼠(n = 8)获取肝脏匀浆和胆汁,并分析其中的铜和溶酶体酶。通过 N-乙酰-β-葡萄糖胺酶的潜伏性评估肝溶酶体的结构完整性。与对照组相比,LEC 大鼠肝铜浓度增加了 43 倍(p < 0.001),溶酶体酶的肝活性显著增加(p < 0.001),溶酶体潜伏性降低(p < 0.05)。相反,LEC 大鼠的铜和溶酶体酶的胆汁排泄显著受损(p < 0.05)。这些结果表明 LEC 大鼠肝脏和胆汁中铜与溶酶体酶之间存在耦合变化(即肝脏中增加而胆汁中减少)。通过肝细胞溶酶体的铜胆汁排泄缺陷可能在 LEC 大鼠自发性铜蓄积中起部分作用。