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从猪肝肝星状细胞储存维生素A的脂滴精确映射中识别出的区域和局部差异:解决小叶内异质性区域的新概念。

Zonal and regional differences identified from precision mapping of vitamin A-storing lipid droplets of the hepatic stellate cells in pig liver: a novel concept of addressing the intralobular area of heterogeneity.

作者信息

Zou Z, Ekataksin W, Wake K

机构信息

Department of Anatomy Division I, School of Medicine, Tokyo Medical and Dental University, Japan.

出版信息

Hepatology. 1998 Apr;27(4):1098-108. doi: 10.1002/hep.510270427.

Abstract

Knowledge of hepatic heterogeneity has been strikingly increased, while an accurate means for addressing intralobular positions is still lacking. We examined pig liver preparations of the gold impregnation method for vitamin A-storing lipid droplets in hepatic stellate cells. Droplet morphometry was performed under oil immersion, and the calculated volumes plotted on computerized maps. The heterogeneous results were assessed with five concentric zones and five radial regions; the latter were determined based on midseptum visualized by portal injection. Zonation and regionation thus subdivided lobules into 5-zone/5-region (5Z/5R) compartmentalization. Distribution of values exhibited a distinct zonal gradient, heightened at peripheral zones 1 and 2, decreased over intermediate zone 3 toward centrilobular zones 4 and 5; peak was always found at zone 2. Within a single zone, variations were obvious, forming a regional gradient. Values were significantly higher at periportal than midseptal regions. Digitized mapping showed that low values filled up centrilobular zones, whereas high values concentrated in periportal regions. Along the periphery, inlet venules were quantified, revealing an occurrence rate of 60% at periportal, and 5% at midseptal regions, closely compatible with the regional gradient of vitamin A-storing capacity. The interweaving between zonal and regional gradients results in a vitamin A-low territory, a compound area composed of centrilobular zones plus extensions into midseptal regions. Because the results could account for physiological and pathological events, we regard the 5Z/5R compartmentalization a model worth routine adoption for a precise description of any morphofunctionally demonstrable heterogeneity of the liver lobules.

摘要

人们对肝脏异质性的认识显著增加,然而,仍缺乏一种精确的方法来确定肝小叶内的位置。我们研究了用金浸渍法处理猪肝制剂,以观察肝星状细胞中储存维生素A的脂质滴。在油镜下进行液滴形态测量,并将计算出的体积绘制在计算机地图上。用五个同心区和五个放射状区域评估异质性结果;后者是根据门静脉注射显示的中隔来确定的。分区和分区域因此将肝小叶细分为5区/5区域(5Z/5R)分区。数值分布呈现出明显的区域梯度,在周边1区和2区升高,在中间3区向中央小叶4区和5区降低;峰值总是出现在2区。在单个区域内,变化明显,形成区域梯度。门静脉周围区域的值明显高于中隔区域。数字化绘图显示,低值集中在中央小叶区域,而高值集中在门静脉周围区域。沿着周边,对入口小静脉进行了量化,结果显示门静脉周围区域的出现率为60%,中隔区域为5%,这与储存维生素A能力的区域梯度密切相符。区域梯度和区域内梯度的交织形成了一个维生素A含量低的区域,这是一个由中央小叶区域加上向中隔区域延伸部分组成的复合区域。由于这些结果可以解释生理和病理事件,我们认为5Z/5R分区是一个值得常规采用的模型,用于精确描述肝小叶任何形态功能上可证明的异质性。

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