肝癌组织和正常肝组织缺血再灌注损伤的比较研究
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赵佐庆

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Comparative study of the injury to hepatocarcinoma and normal liver tissues following ischemia and reperfusion 〖STBZ〗
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    摘要:

    目的:比较肝癌和正常肝组织的缺血再灌注损伤。方法:兔肝脏注射VX2肿瘤组织混悬液建立肝脏肿瘤,和缺血再灌注模型。测定再灌注各时点组织中超氧化物歧化酶(SOD)和丙二醛(MDA)的含量;用HE和TUNEL染色观察和比较两种组织的细胞凋亡情况。结果:缺血再灌注后癌组织中的SOD浓度下降显著,于再灌注1 h即达最低水平(64.59±4.97NU/mgprot),其后逐渐恢复,但至再灌注7 d仍低于再灌注前(121.12±6.88NU/mgprot)。与正常肝组织比,癌组织缺血再灌注后MDA的浓度下降,变化与SOD相似;凋亡细胞数量明显增加,至1 d时达最高水平;至再灌注7 d时阳性细胞仍多于缺血再灌注前,其凋亡细胞数量多于正常肝组织。结论:癌组织对缺血再灌注的影响和损伤较正常肝组织更为敏感。

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    Objective:To compare the injury to hepatocarcinoma and normal liver tissues following ischemia and reperfusion. Methods:The hepatocarcinoma(HC) models were established by injectin of VX2 tumor tissue suspension fluid into the leftmiddle lobe of liver of rabbits. After the models were established, the models left hepatic vessels were occluded for 60 minus, then followed by various intervals of reperfusion, and the levels of superoxide dismutase (SOD) and malondialdehyde (MDA) were measured, and apoptotic changes in the hepatocarcinoma and normal hepatic tissues were observed by means of HE staining and TUNEL method. Results:The concentration of SOD decreased significantly in hepatocarcinoma tissue and reached the lowest point at 1h after ischemia and reperfusion (64.59±4.97NU/mgprot), then gradually rebounded, but, at 7d after reperfusion, it still retained at a lower level(121.12±6.88NU/mgprot) than that before reperfusion. In contrast with normal liver tissues,the concentration of MDA decreased in the hepatocarcinoma tissues following ischemia and reperfusion, the changs of MDA were similar to SOD. The apoptotic cells in hepatocarcinoma tissues increased to the highest point at 1 day following reperfusion, but 7d after reperfusion, the number of positive cells were more than before reperfusion, and the apoptotic rate was higher in hepatocarcinoma tissues compared with the normal liver tissues. Conclusions:In comparison with normal liver tissue, hepatocarcinoma tissue is more suscepible to the injury of ischemia and reperfusion.

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赵佐庆,陈洪茂.肝癌组织和正常肝组织缺血再灌注损伤的比较研究[J].中国普通外科杂志,2005,14(7):6-.
DOI:10.7659/j. issn.1005-6947.2005.07.006

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  • 在线发布日期: 2005-07-25