Arisato H
First Department of Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Hokkaido Igaku Zasshi. 1996 Sep;71(5):623-36.
The biliary tract carcinogenesis related to proliferative cholangitis was investigated using Hamster. Proliferative cholangitis was induced by inserting a nylon thread into the papilla followed by ad libitum oral intake of the water including 70 ppm N-nitrosobis (2-oxopropyl) amine (BOP). The respective 12 animals were sacrificed 4, 8 and 12 weeks after the procedure to evaluate histologic features of the bile ducts and to determine the incidence of carcinoma. The treated specimens showed papillary proliferation of the epithelium, fibrous thickening of the wall and hypertrophy of the peribiliary gland at fourth week; and they appeared to resemble the features observed in the human proliferative cholangitis. This analogy was also confirmed by means of mucin-double staining with PAS-AB. In the extrahepatic bile ducts, the incidence of carcinoma was 41.7% twelve weeks after the treatment. The results of BrdU-staining indicated that the hyperplastic peribiliary glands could presumably be its preceding lesions. In the intrahepatic bile ducts, the minimal carcinoma arose even in 25.0% of the animals treated with BOP administration alone after 12 weeks. However, the incidence of the present model was at higher rate; it was 50.0% and 91.7% at 8 and 12 weeks postprocedure, respectively. The induced carcinomas were also relatively advanced and consisted of different histologic types. The results of BrdU Labeling Index suggested that hyperplasia and dysplasia might be precancerous lesion. In conclusion, this hamster model is easily established and would provide us valuable informations concerning the proliferative cholangitis related carcinogenesis of the bile ducts.
利用仓鼠对与增殖性胆管炎相关的胆道致癌作用进行了研究。通过将尼龙线插入乳头,随后随意口服含70 ppm N-亚硝基双(2-氧代丙基)胺(BOP)的水来诱导增殖性胆管炎。在该操作后4、8和12周分别处死12只动物,以评估胆管的组织学特征并确定癌的发生率。处理后的标本在第4周显示上皮乳头样增生、壁纤维增厚和胆管周围腺体肥大;并且它们似乎类似于在人类增殖性胆管炎中观察到的特征。通过PAS-AB黏液双重染色也证实了这种相似性。在肝外胆管中,处理后12周癌的发生率为41.7%。BrdU染色结果表明,增生的胆管周围腺体可能是其前期病变。在肝内胆管中,仅给予BOP处理的动物在12周后即使有25.0%出现了微小癌。然而,本模型的发生率更高;在操作后8周和12周分别为50.0%和91.7%。诱导的癌也相对进展,并且由不同的组织学类型组成。BrdU标记指数结果表明增生和发育异常可能是癌前病变。总之,该仓鼠模型易于建立,将为我们提供有关与增殖性胆管炎相关的胆管致癌作用的有价值信息。