Changes in Plasma Amino Acid Concentration and Histopathological Findings in the Process of Carbon Tetrachloride-Induced Liver Injury in Rats.

Y. Mimaki, K. Eto, H. Kawasaki, Y. Gomita
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Abstract

The relationship between changes in plasma amino acid and histological findings in the process of carbon tetrachloride (CCl4)-induced liver injury was studied in rats intraperitoneally injected with CCl4 at 0.2 ml/kg twice a week for 5 weeks. The degree of CCl4-induced liver injury was evaluated by measuring serum GPT activity, and the correlation between serum GPT activity and histological changes was investigated. In the histopathological study, diffuse centrilobular necrosis, coagulation necrosis, acidophilic, ballooning and fatty degeneration, fibrosis, and the formation of pseudolobule of hepatocytes were observed in the liver after CCl4 administration. Serum GPT activity was elevated after CCl4 administration and well-correlated with the histologic score of liver injury (r=0.887, p< 0.01). The coagulation necrosis changes and the pseudolobule formation caused by fibrosis proliferation were marked in the rats showing serum GPT activity of more than 500 unit.The plasma amino acid concentrations increased in the development process of CCl4-induced liver injury except for that of branched chain amino acids, which decreased with an increase severity of liver damage. The molar ratio of Val+Ile+Leu/Tyr+Phe (Fischer ratio) decreased in parallel to the increase in severity of liver parenchymal damage. The decrease in the Fischer ratio was correlated with serum GPT (r=-0.800), serum GOT (r=-0.711) and histologic scores (r=-0.851). These results suggest that plasma amino acid imbalance occurs prior to liver cirrhosis induced by severe liver damage, and that serum GPT and GOT activities and the Fischer ratio are closely correlated to the histological findings in the development process of CCl4-induced liver injury.
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四氯化碳诱导大鼠肝损伤过程中血浆氨基酸浓度变化及组织病理学观察。
研究了四氯化碳(CCl4)致大鼠肝损伤过程中血浆氨基酸变化与组织学变化的关系,CCl4剂量为0.2 ml/kg,每周2次,连续5周。通过测定血清GPT活性来评价ccl4诱导肝损伤的程度,并探讨血清GPT活性与组织学变化的相关性。在组织病理学研究中,CCl4给药后肝脏可见弥漫性小叶中心坏死、凝血性坏死、嗜酸性、球囊性及脂肪变性、纤维化及肝细胞假小叶形成。CCl4给药后血清GPT活性升高,且与肝损伤组织学评分呈正相关(r=0.887, p< 0.01)。血清GPT活性大于500单位的大鼠出现凝血坏死改变和纤维化增殖引起的假小叶形成。在ccl4肝损伤的发展过程中,血浆氨基酸浓度升高,但支链氨基酸浓度随肝损伤严重程度的增加而降低。Val+Ile+Leu/Tyr+Phe的摩尔比(Fischer比值)随肝实质损伤程度的增加而降低。Fischer比值的降低与血清GPT (r=-0.800)、血清GOT (r=-0.711)和组织学评分(r=-0.851)相关。这些结果提示,在严重肝损伤导致肝硬化之前,血浆氨基酸失衡就已经发生,血清GPT和GOT活性及Fischer比值与ccl4肝损伤发展过程中的组织学表现密切相关。
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