[溴二氯甲烷诱导大鼠胆管纤维化的细胞增殖活性]。

K Yasuhara, K Mitsumori, Y Aida, H Onodera, M Takahashi
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摘要

为了明确溴二氯甲烷(BDCM)诱导的胆管纤维化是否进展为胆管癌,我们对先前实验中获得的肝脏进行了进一步的形态学检查。在第6、12、18和24个月时,对Wistar大鼠的肝脏进行检查,这些大鼠的饮食中含有2200、550、140或0 ppm的微胶囊BDCM。肝切片采用H-E、PAS和Azan染色,采用抗增殖细胞核抗原(PCNA)单克隆抗体免疫染色测定胆管上皮的PCNA标记指数,并对核仁组织区(AgNORs)进行银染色。6个月时,2200 ppm组非典型胆管上皮增生严重程度显著,其PCNA标记指数最高(68.5)。随着治疗时间的延长,胆管数量逐渐减少,纤维化程度更加明显。增生性胆管内PCNA标记指数在24个月时也降至31.5。2200ppm组胆管上皮细胞核中AgNORs的数量在第6个月时最高,但此后减少。本研究提示由胆管纤维化发展为肿瘤病变的可能性极低。
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[Cell proliferative activities of cholangiofibrosis induced in rats treated with bromodichloromethane].

To clarify whether bromodichloromethane (BDCM)-induced cholangiofibrosis progresses to cholangiocarcinoma, further morphological examinations were performed on the livers obtained from our previous experiment. The livers of Wistar rats fed diet containing 2200, 550, 140 or 0 ppm of microencapsulated BDCM up to 24 months were examined at months 6, 12, 18, and 24. The liver sections were stained with H-E, PAS and Azan, and were subjected to immunostaining using antiproliferating cell nuclear antigen (PCNA) monoclonal antibody for determination of the PCNA labeling index of bile duct epithelia, as well as silver staining for nucleolar organizer regions (AgNORs). At month 6, the severity of hyperplasia of atypical bile duct epithelia in the 2200 ppm group was marked, their PCNA labeling index being highest (68.5). The number of bile ducts gradually decreased, and the severity of fibrosis became more marked, with prolongation of the treatment. The PCNA labeling index in hyperplastic bile ducts in this group also decreased to 31.5 at month 24. The number of AgNORs in the nuclei of bile duct epithelia in the 2200 ppm group was highest at month 6, but decreased thereafter. The present study suggests that the possibility of the progression from cholangiofibrosis to neoplastic lesions is extremelly low.

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