大鼠肝大部切除与D-氨基半乳糖肝中毒后肝细胞增殖及甲胎蛋白和白蛋白免疫细胞化学研究

大鼠肝大部切除后和D-氨基半乳糖肝中毒后第1～7天,逐日取肝组织及血液样本,观察两种类型损伤后肝再生中肝细胞的增殖分化,以及血清甲胎蛋白(AFP)与白蛋白(ALB)浓度变化及其免疫细胞化学变化。结果表明:1.肝大部切除后肝细胞分裂高峰(1.5％)出现于术后第2天,半乳糖肝中毒组的高峰在第3天,且峰值仅为前者的一半(0.8％)。2.半乳糖肝中毒后,门管区和小叶周边带出现许多小型细胞,而大部切除后的肝内无此种小型细胞。3.AFP与ALB免疫细胞化学观察表明,两种损伤后肝再生中均有AFP阳性肝细胞,于第2～3天增多,第4天后渐少。部分小型细胞呈AFP阳性。电镜下见粗面内质网、滑面内质网、高尔基复合体及核周隙等处显示AFP阳性。ALB阳性细胞第1～3天较少,于第4天起渐增多。4.血清AFP含量于第1天开始升高,第4天达高峰,此后下降,ALB含量变化恰与AFP相反,第3天下降至最低点,此后回升。

THE PROLIFERATION OF HEPATOCYTES AND IMMUNOHISTOCHEMICAL STUDY OF ALPHAFETOPROTEIN AND ALBUMIN AFTER SUBTOTAL HEPATECTOMY AND DGALACTOSAMINE INDUCED HEPATIC INJURY

Male Wistar rats were performed 70% partial hepatectomy (PH) or 1.5mg/g body weight D-galactosamine injection (Gal) intraperitoneally. From the 1st to the 7th day after treatment, the serum concentration of alpha-fetoprotein (AFP) and albumin (ALB) was measured and the liver sections were stained with routine and immunohistochemical methods and observed with light and electron microscopy. The mitotic index (MI) reached a maximum level (1.5%) on the 2nd day after PH, while the Gal group showed a lower (0.8%) and delayed (on the 3rd day) MI peak. On the 2nd and 3rd day after PH, AFP positive hepatocytes were predominantly observed in the periportal area and ALB positive cells mainly distributed around the central veins. In Gal group, AFP was detected both in hepatocytes near the necrotic areas and particularly in some special small cells which had not been seen in PH group. These small cells seemed to be able to transform into typical hepatocytes. Intracellular localization of AFP and ALB was observed in the perinuclear space, RER, and Golgi complex. Serum AFP and ALB levels in both groups presented reciprocal changes from the 1st to the 7th day after treatment.