Rege R V, Prystowsky J B
Department of Surgery, Veterans' Administration Lakeside Hospital, Chicago, Illinois, USA.
Am J Surg. 1996 Jan;171(1):197-201. doi: 10.1016/S0002-9610(99)80099-3.
Gallbladder inflammation and mucus hypersecretion are prominent features of cholesterol and pigment gallstones in humans and animals. The factors leading to inflammation and mucus hypersecretion are poorly understood. These studies examine the inflammatory potential of bile from dogs with pigment gallstones.
Dogs fed a methionine-deficient diet that produces pigment gallstones by 6 weeks were compared to normal dogs. Mucus layer thickness, myeloperoxidase activity, and interleukin-1-like activities were measured in canine gallbladder. The inflammatory potential of canine bile was determined by measuring mucus layer thickness, sodium absorption, myeloperoxidase activity and interleukin-1-like activity in guinea pig gallbladders exposed to normal and lithogenic canine bile for 4 hours.
Mean mucus layer thickness, myeloperoxidase, and interleukin-1 activity were significantly greater in canine gallbladders containing pigment gallstones. Bile from dogs with pigment gallstones markedly increased mucus layer thickness, myeloperoxidase activity, and interleukin-1 activity and decreased sodium absorption in normal guinea pig gallbladder. These effects were not eliminated by centrifuging bile to remove crystals and gallstones.
Canine bile from dogs with pigment gallstones contains soluble factors capable of causing inflammation in the gallbladder wall.
胆囊炎症和黏液分泌过多是人类和动物胆固醇结石及色素结石的显著特征。导致炎症和黏液分泌过多的因素尚不清楚。这些研究检测了患有色素结石的犬胆汁的致炎潜能。
将喂食蛋氨酸缺乏饮食6周后产生色素结石的犬与正常犬进行比较。测量犬胆囊的黏液层厚度、髓过氧化物酶活性和白细胞介素-1样活性。通过测量暴露于正常和致石性犬胆汁4小时的豚鼠胆囊的黏液层厚度、钠吸收、髓过氧化物酶活性和白细胞介素-1样活性,来确定犬胆汁的致炎潜能。
含有色素结石的犬胆囊中,平均黏液层厚度、髓过氧化物酶和白细胞介素-1活性显著更高。患有色素结石的犬的胆汁显著增加了正常豚鼠胆囊的黏液层厚度、髓过氧化物酶活性和白细胞介素-1活性,并降低了钠吸收。通过离心胆汁去除晶体和结石并不能消除这些影响。
患有色素结石的犬的胆汁含有能够引起胆囊壁炎症的可溶性因子。