首都医科大学学报 ›› 2008, Vol. 29 ›› Issue (4): 440-444.

• 基础研究 • 上一篇    下一篇

急性内毒素性肝衰竭大鼠肝细胞凋亡形态学观察

刘旭华1, 段钟平1, 孙异临2, 赵丽莉3, 蔡青3, 鲁强3, 张晶1, 王泰龄4   

  1. 1. 首都医科大学附属北京佑安医院人工肝中心;2. 北京市神经外科研究所;3. 首都医科大学电镜室;4. 中日友好医院病理科
  • 收稿日期:2007-06-08 修回日期:1900-01-01 出版日期:2008-08-24 发布日期:2008-08-24

Morphological Observation of Hepatocyte Apoptosis of Rats with D-galactosamine/lipopolysaccharide-induced Acute Liver Failure

Liu Xuhua1, Duan Zhongping1, Sun Yilin2, Zhao Lili3, Cai Qing3, Lu Qiang3, Zhang Jing1, Wang Tailing4   

  1. 1. Liver Treatment & Training Center, Beijing You'an Hospital, Capital Medical University;2. Beijing Neurosugical Institute;3. Department of Electronic Microscopy, Capital Medical University;4. Department of Pathology, China-Japan Friendship Hospital
  • Received:2007-06-08 Revised:1900-01-01 Online:2008-08-24 Published:2008-08-24

摘要: 目的 用透射电镜观察急性肝衰竭大鼠肝脏超微结构改变,了解肝细胞凋亡的形态学改变.方法 雌性Wistar大鼠予以D-氨基半乳糖/脂多糖联合腹腔注射,计算其死亡率及生存时间,动态观察给药后4、8、12h时肝功能和病理学改变,并以TUNEL法检测原位细胞凋亡情况,给药后4、8h取肝脏组织做电镜检测.结果 80%大鼠死于急性肝衰竭,平均生存时间为(15.6±1.8)h.给药后4h电镜观察可见肝细胞线粒体肿胀、内质网扩张,胞质包含体形成,部分细胞核呈早期凋亡表现,细胞内凋亡小体早期形成为其特征.给药后8h肝细胞凋亡明显增多并呈不同阶段表现,凋亡肝细胞内线粒体病变程度不一.TUNEL结果表明,给药后8h肝细胞凋亡指数最高,与电镜检测结果一致.结论 肝细胞凋亡是D-氨基半乳糖/脂多糖致急性肝衰竭大鼠主要病理表现,与HBV感染引起的急性肝衰竭类似,该模型为急性肝衰竭研究提供了良好的实验平台.

关键词: 大鼠, 急性肝衰竭, D-氨基半乳糖, 脂多糖, 超微结构

Abstract: Objective To study liver ultrastructure in acute liver failure of rats and understand morphological characteristic of apoptosic cells in the particular environment.Methods Acute liver failure were induced by D-galactosamine/lipopolysaccharide intraperitoneal injection in Wistar Rats,Mortality and survival time were recorded,Ten rats were sacrificed at 4,8,and 12 hours after injection,respectively,Liver function tests and liver pathological changes were measured after treatment with D-galactosamine/lipopolysaccharide,cell apoptosis was detected by Tunnel assay.Ultrastruture changes were observed in 4,8 hours after treatment.Results 80% of rats died from liver failure,the mean survival time is 15.6±1.8 hours.The ultrastructure changes in 4 hours included swollen mitochondria,enlargement of endoplasmic reticulum,cytoplasmic inclusion bodies,condensation and margination of chromatin,as well as characteristic formation of intracellular apoptotic bodies.Hepatocyte apoptosis became significant at 8 hours after treatment,with different stages and different mitochondrial changes.Index of apoptosis was significantly higher in 8 hours group,in accordance with electronic microscopy results.Conclusion In D-galactosamine/lipopolysaccharide-induced acute liver failure rats,hepatocytes apoptosis were main histopathologic representation,which is similar with acute liver failure caused by hepatitis B virus in human.

Key words: rat, acute liver failure, D-galactosamine, lipopolysaccharide, ultrastructure

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