Bhat R, Chari G, Meller J, Ramarao S, Vidyasagar D
Department of Pediatrics, University of Illinois, Chicago 60612, USA.
Biol Neonate. 1997;72(4):235-42. doi: 10.1159/000244489.
We studied the maturational changes in bile composition, bile flow and choleretic effects of sodium taurocholate and secretin in preterm (160 +/- 2 days, n = 4, group I), term (184 +/- 2 days, n = 4, group II), 7-day postnatal age (n = 5, group III) and 60-day-old (n = 5, group IV) baboons. The canalicular bile flow was determined by 14C-erythritol clearance.
Gall bladder volume increased from group I to group III (0.08 +/- 0.06 to 1.06 +/- 0.93 ml). Bile flow increased significantly from group I to IV (0.13 +/- 0.05 to 0.34 +/- 0.07 microliter/min/g liver weight, p < 0.05). This was associated with significant increases in total bile acid excretion (16 +/- 3.6 to 31 +/- 2.5 mEq/l, p < 0.05). The composition of bile also showed maturational changes with increasing postnatal age. Sodium taurocholate and secretin increased the bile flow significantly in all groups.
Data from these studies clearly demonstrate that the bile flow and bile acid excretion is immature in preterm and term baboons when compared to 7- and 60-day-old baboons. The present studies also suggest that baboons can be used as a model to study the postnatal maturation of hepatic excretory function.
我们研究了早产狒狒(160±2天,n = 4,I组)、足月狒狒(184±2天,n = 4,II组)、出生后7天的狒狒(n = 5,III组)和60日龄狒狒(n = 5,IV组)胆汁成分、胆汁流量以及牛磺胆酸钠和促胰液素的利胆作用的成熟变化。通过14C-赤藓醇清除率测定胆小管胆汁流量。
胆囊体积从I组到III组增加(0.08±0.06至1.06±0.93毫升)。胆汁流量从I组到IV组显著增加(0.13±0.05至0.34±0.07微升/分钟/克肝脏重量,p<0.05)。这与总胆汁酸排泄量的显著增加相关(16±3.6至31±2.5毫当量/升,p<0.05)。胆汁成分也随着出生后年龄的增加而显示出成熟变化。牛磺胆酸钠和促胰液素在所有组中均显著增加胆汁流量。
这些研究数据清楚地表明,与7日龄和60日龄狒狒相比,早产和足月狒狒的胆汁流量和胆汁酸排泄不成熟。本研究还表明,狒狒可作为研究肝脏排泄功能产后成熟的模型。