Letteron P, Fromenty B, Terris B, Degott C, Pessayre D
Unite de Recherche de Physiopathologie Hepatique, Hopital Beaujon, Clichy, France.
J Hepatol. 1996 Feb;24(2):200-8. doi: 10.1016/s0168-8278(96)80030-4.
BACKGROUND/AIMS: Several liver diseases that are characterized by chronic steatosis lead to steatohepatitis lesions in some susceptible subjects. We tested the hypothesis that acute or chronic steatosis may lead to lipid peroxidation.
Diverse steatogenic treatments were administered to mice, and lipid peroxidation was assessed by measuring thiobarbituric acid reactants in the liver and the exhalation of ethane in breath.
Administration of ethanol (5 g/kg), tetracycline, chlortetracycline, demeclocycline (0.25 mmol/kg each), amineptine (1 mmol/kg), amiodarone (1 mmol/kg), pirprofen (2 mmol/kg), or valproate (2 mmol/kg) led to microvesicular steatosis of the liver and lipid peroxidation. After tetracycline administration, hepatic triglycerides reached a maximum at 24 h and then declined; ethane exhalation followed a similar time course. Microvesicular steatosis and lipid peroxidation were also observed after 4 days of treatment with either ethionine (0.02 mmol/kg daily) or dexamethasone (0.25 mmol/kg daily) or after 7 days of tetracycline (0.25 mmol/kg daily) administration. Administration of ethanol in the drinking water for 5.5 months led to macrovacuolar and microvesicular steatosis, lipid peroxidation, and a few necrotic hepatocytes.
We conclude that acute or chronic fat deposition due to a variety of compounds was associated with lipid peroxidation in mice. We suggest that the presence of oxidizable fat in the liver leads to peroxidation, and that chronic lipid peroxidation might represent the common (but not exclusive) mechanism for the possible development of steatohepatitis lesions in conditions characterized by chronic steatosis.
背景/目的:几种以慢性脂肪变性为特征的肝脏疾病在一些易感个体中会导致脂肪性肝炎病变。我们检验了急性或慢性脂肪变性可能导致脂质过氧化的假说。
对小鼠给予多种致脂肪变性的处理,并通过测量肝脏中的硫代巴比妥酸反应物和呼出气体中的乙烷来评估脂质过氧化。
给予乙醇(5克/千克)、四环素、金霉素、地美环素(各0.25毫摩尔/千克)、安非他明(1毫摩尔/千克)、胺碘酮(1毫摩尔/千克)吡洛芬(2毫摩尔/千克)或丙戊酸盐(2毫摩尔/千克)会导致肝脏微泡性脂肪变性和脂质过氧化。给予四环素后,肝脏甘油三酯在24小时达到峰值,然后下降;乙烷呼出量遵循相似的时间进程。在用乙硫氨酸(每日0.02毫摩尔/千克)或地塞米松(每日0.25毫摩尔/千克)处理4天后,或在给予四环素(每日0.25毫摩尔/千克)7天后,也观察到了微泡性脂肪变性和脂质过氧化。在饮用水中给予乙醇5.5个月会导致大泡性和微泡性脂肪变性、脂质过氧化以及一些坏死的肝细胞。
我们得出结论:多种化合物引起的急性或慢性脂肪沉积与小鼠的脂质过氧化有关。我们认为肝脏中可氧化脂肪的存在会导致过氧化,并且慢性脂质过氧化可能是在以慢性脂肪变性为特征的情况下脂肪性肝炎病变可能发展的常见(但非唯一)机制。