Brand H S, Maas M A, Bosma A, Van Ketel R J, Speelman P, Chamuleau R A
J. van Gool Laboratory for Experimental Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Dig Dis Sci. 1994 Jun;39(6):1210-5. doi: 10.1007/BF02093785.
In three experimental models in rats, surgical construction of a self-filling blind loop (SFBL), trinitrobenzene sulfonic acid (TNB) -induced colitis, and the combination of SFBL and TNB, the hypothesis was studied that intestine-derived endotoxins play a role in the pathogenesis of hepatobiliary disorders in chronic inflammatory bowel disease (CIBD). After eight weeks of treatment, a mild increase in portal and systemic endotoxin levels and interleukin-6 concentrations was observed and the serum levels of alkaline phosphatase, bilirubin, and ALAT were only mildly increased in SFBL plus TNB rats. Histopathological examination of the liver showed hardly any abnormalities in all three rat models. These results show that low-grade portal and systemic endotoxinemia in rats, induced by bacterial overgrowth and/or chemical colitis, is not able to induce hepatobiliary alterations. To exclude definitively a possible role for portal endotoxinemia in the pathogenesis of CIBD-associated hepatobiliary abnormalities, however, an adequate animal model for CIBD is urgently needed.
在大鼠的三个实验模型中,即手术构建自填充盲袢(SFBL)、三硝基苯磺酸(TNB)诱导的结肠炎以及SFBL与TNB联合模型,对肠道源性内毒素在慢性炎症性肠病(CIBD)肝胆疾病发病机制中起作用这一假说进行了研究。治疗八周后,观察到门静脉和全身内毒素水平以及白细胞介素-6浓度有轻度升高,在SFBL加TNB大鼠中,碱性磷酸酶、胆红素和丙氨酸转氨酶的血清水平仅轻度升高。肝脏的组织病理学检查显示,在所有三个大鼠模型中几乎没有任何异常。这些结果表明,由细菌过度生长和/或化学性结肠炎诱导的大鼠轻度门静脉和全身内毒素血症不能诱导肝胆改变。然而,为了明确排除门静脉内毒素血症在CIBD相关肝胆异常发病机制中的可能作用,迫切需要一种合适的CIBD动物模型。