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To understand the relationship between the expression of HBV-markers andinjury of hepatocytes,we have examined HBsAg,HBcAg in liver tissue with PAPmethod and HBV-markers in serum with ELISA method of 70 patients with CH-B.The results showed that the expression patterns of HBsAg could be divided into 4types,those of HBcAg into 3 types.The positive percentages of HBsAg and HBcAgin CPH were higher than in CAH under which the expression patterns were notconsidered.When considering the expression patterns,positive... To understand the relationship between the expression of HBV-markers andinjury of hepatocytes,we have examined HBsAg,HBcAg in liver tissue with PAPmethod and HBV-markers in serum with ELISA method of 70 patients with CH-B.The results showed that the expression patterns of HBsAg could be divided into 4types,those of HBcAg into 3 types.The positive percentages of HBsAg and HBcAgin CPH were higher than in CAH under which the expression patterns were notconsidered.When considering the expression patterns,positive percentages of mem-brane type of HBsAg and cytoplasmic membrane type of HBcAg in CAH were higherthan in CPH.It was suggested that the expressions of HBV-Ag of these types wereconsistent with the degree of hepatocytic injury.The combination positive percen-tages of HBsAg+HBeAg+Anti-HBc,and HBsAg+Anti-HBc in serum in CAH,which indicated HBV replication,were higher than in CPH.The positive percen-tage of HBeAg increased along with the increase of SGPT.It revealed that HBV-markers in serum which indicated HBV replication could also reflect the conditionof hepatocyte injury.Target antigen and relation between the expression of HBV-markers in liver tissue and in serum were discussed. 为了探讨HBV标志的表达与肝细胞损伤的关系,本文应用 PAP 法和 ELISA 法检测了70例 CH-B 患者肝组织 HBsAg、HBcAg 和五项血清 HBV 标志。结果发现 HBsAg 在肝内有4种表达型式,HBcAg 有3种表达型式。HBsAg 和 HBcAg 在不分表达型式的情况下,CPH 的检出率高于 CAH,但按不同表达型式进行比较,则膜型 HBsAg 和浆膜型 HBcAg 的检出率反以CAH 为高,提示这二型抗原的表达与肝细胞损伤程度具有一致性。表示病毒复制的血清 HBsAg+HBeAg+抗-HBc 与 HBsAg+抗-HBc 联合检出率在 CAH 组高于 CPH 组,HBeAg 的检出率随着 SGPT 值的增高而增高。表明作为病毒复制指标的血清 HBV 标志也能反映肝细胞损伤情况。本文对靶抗原和肝组织与血清 HBV 标志表达的关系进行了讨论。 We studied the acetaminophen (AAP)-induced primary cultured rat hepatocyte injury and its mecha-nism. The results showed that in monolayer-culture condition, AAP-induced lactic dehydrogenase (LDH)escape from the hepotocytes happened only when intracellular GSH was significantly reduced. This sug-gested the intracellular GSH depletion might be the causc of AAP-induced hepatocyte injury. By directdetermination of GSH and [Ca~(2+)f]c synchronously, we demonstrated for the first time that AAP couldcause... We studied the acetaminophen (AAP)-induced primary cultured rat hepatocyte injury and its mecha-nism. The results showed that in monolayer-culture condition, AAP-induced lactic dehydrogenase (LDH)escape from the hepotocytes happened only when intracellular GSH was significantly reduced. This sug-gested the intracellular GSH depletion might be the causc of AAP-induced hepatocyte injury. By directdetermination of GSH and [Ca~(2+)f]c synchronously, we demonstrated for the first time that AAP couldcause GSH depletion and [Ca~(2+)f]c elevation in suspensionn-cultured hepatocytes. Dithiothreitol (DTT)could prevent the GSH depletion induced by AAP and completely antagonize the AAP-induced elevat-ion of [Ca~(2+)]c. It indicated that [Ca~(2+)f]c elevation could be the direct cause of AAP-induced rathepatocyte injury and that the elevation of [Ca~(2+)f]c might be linked with GSH depletion. 醋氨酚(AAP)引起大鼠肝细胞膜损伤发生在肝细胞还原型谷胱甘肽(GSH)明显下降之后,提示GSH下降是AAP损伤肝细胞的原因之一。同步测定培养大鼠肝细胞GSH和胞浆自由钙离子浓度([Ca~(2+)f]c)的结果证明:加10mmol/L AAP培养2.5小时可引起GSH显著降低,[Ca~(2+)f]c明显升高。二巯基苏糖醇(DTT)5mmol/L可使加AAP后,细胞内GSH仍维持较高水平,[Ca~(2+)f]c升高几乎被完全拮抗。首次直接证明AAP所致的[Ca~(2+)f]c升高与GSH等巯基物质被消耗有关。 We have studied pathologically 36 cases of carcinomas of extrahepatic bile ducts,ofwhich 27 were surgically removed,9 from a autopsy series.Of all 36 cases 24 were carcinomas aris-ing in the proximal portions of extrahepatic bile ducts.The gross appearence could be classified as inrta-luminal papillary and wall infiltrating carcinomas respectiverly.Histoloigcally,it is classified as 4types:(1)papillary adnocarcinoma with intraluminal growth;(2)well differentiated adnocarcino-ma;(3)poorly differentiated adenocarcinoma;(4)carcinoma... We have studied pathologically 36 cases of carcinomas of extrahepatic bile ducts,ofwhich 27 were surgically removed,9 from a autopsy series.Of all 36 cases 24 were carcinomas aris-ing in the proximal portions of extrahepatic bile ducts.The gross appearence could be classified as inrta-luminal papillary and wall infiltrating carcinomas respectiverly.Histoloigcally,it is classified as 4types:(1)papillary adnocarcinoma with intraluminal growth;(2)well differentiated adnocarcino-ma;(3)poorly differentiated adenocarcinoma;(4)carcinoma simplex.The latter 3 all showed infil-trating growth into the duct wall.Invasion of nerves were observed in 24 cases.Carcinomas arising inthe proximal portion of the bile ducts may extend into the liver.In 9 cases intrahepatic bile stasis wasfound in partially removed liver tissue which also showed various degrees of hepatocyte injury(atro-phy,degeneration and necrosis).The pathological features of the carcinomas of extrahepatic bileducts,their biological behavior and clinico-pathological correlation was discussed. 对我院近几年手术切除的27例肝外胆管癌及9例尸检肝外胆管癌进行了病理学研究。36例中以高位胆管癌为多(24例),占66.7%。在大体形态上,分为腔内乳头状型6例、管壁浸润型26例及结节型4例。组织学上分为4型:(1)乳头状腺癌(6例),(2)高分化腺癌(25例);(3)低分化腺癌(3例);(4)单纯癌(2例)。后3型均在胆管壁内浸润生长,其中24例见癌组织侵犯神经现象。高位胆管癌易侵及肝组织。在9例尸检及切除部分肝组织的9例中,均见有肝内淤胆现象,肝细胞有萎缩、变性甚至坏死。本文对肝外胆管癌的病理学特点、生物学行为及其与临床联系进行了讨论。
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