一种慢性肝衰竭大鼠动物模型的制备方法研究
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1. 广西中医药大学第一附属医院,中医临床研究重点实验室,南宁 530023;2. 广西壮族自治区民族医院,南宁 530001;3. 广西中医药大学研究生院,南宁 530299

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Preparation of a rat model of chronic liver failure
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1. Key Laboratory of Chinese Medicine Clinical Research, the First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, China; 2. Guangxi Zhuang Autono Mous Region Ethnic Hospital, Nanning 530001, China; 3.Graduate School of Guangxi University of Chinese Medicine, Nanning 530299, China

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    摘要:

    目的 制备稳定的慢性肝衰竭大鼠动物模型,为开展相关基础研究提供造模方法。 方法 取66只SPF级SD大鼠,随机分为正常组18只,造模组48只,造模组以50% CCl4橄榄油混合溶液腹腔注射,剂量为1.5 mL/kg,每周2次,分别于第8、16、24周B超观察各组大鼠的肝形态、测量肝硬度值、门静脉直径、出现腹水症状后,采集血清、血浆,剖取肝,肉眼观察各组大鼠肝组织变化,检测大鼠肝功能、凝血功能,苏木素伊红(HE)染色观察各时间点大鼠肝组织损伤情况,Masson染色观察肝组织纤维化程度,水迷宫实验检测各组大鼠肝性脑病发生情况,并统计不同时间点大鼠死亡情况。 结果 与正常组对比,造模组大鼠出现不同程度活动减少、食欲下降、尿液变黄、腹部变大等体征;随着造模时间延长,超声下可见大鼠肝实质回声逐渐增高、增粗,继发出现腹水,门静脉直径变宽并门脉高压形成;水迷宫及血氨检测发现造模组24周大鼠出现记忆力、定向力减退,在重度肝损伤基础上发生肝性脑病;肉眼观察造模组大鼠肝组织外观逐渐变粗糙、凹凸不平,最终肝体积缩小;肝组织HE染色见不同程度肝细胞肿胀、脂肪病变、坏死;Masson染色见肝纤维化程度逐渐加重,伴假小叶形成;肝功能AST、ALT、TBIL水平在造模周期持续攀升,凝血酶原时间延长,国际标准比值升高,血氨水平持续上升。 结论 50% CCl4橄榄油混合溶液大鼠腹腔注射24周(每周1.5 mL/kg),能较好地再现持续慢性肝损伤病理进程,且能在肝硬化失代偿的基础上出现慢性肝衰竭的典型病理改变及并发症,能较好模拟人体从肝炎→肝纤维化→肝硬化代偿期→肝硬化失代偿期→慢性肝衰竭的病理演变过程,可作为慢性肝衰竭基础研究的模型参考。

    Abstract:

    Objective To prepare a stable rat model of chronic liver failure to provide a tool for basic research. Methods Sixty-six SPF SD rats were divided into a normal group (n= 18) and a modeling group (n=48). Rats in the modeling group received an intraperitoneal injection of 50% CCl4 olive oil solution (1.5 mL/kg, twice a week). Multidimensional assessment was performed at 8, 16, and 24 weeks, respectively, including ultrasonic examination of liver morphology, hardness, portal vein diameter, and ascites, and collection of serum, plasma, and liver tissue to detect liver function, coagulation function, and blood ammonia levels. Liver tissue injury and fibrosis were observed by hematoxylin-eosin(HE) and Masson staining. Cognitive function was assessed using the water maze test. Survival were recorded simultaneously. Results Rats in the model group showed decreased activity and appetite, yellow urine, and increased abdominal circumference compared with the normal group. Ultrasound showed enhanced liver parenchyma echo in the model group that thickened with time, secondary ascites formation, portal vein dilation, and portal hypertension. Water maze and blood ammonia tests confirmed cognitive decline (memory and orientation loss) and hepatic encephalopathy in the model group. Gross observation showed that the liver in the model group was atrophied and appeared rough and uneven. HE staining showed hepatocyte swelling, steatosis, and necrosis, and Masson staining confirmed fibrosis progression with pseudolobule formation. The liver function indexes AST, ALT, TBIL and blood ammonia continued to increase, and coagulation dysfunction (prolonged PT and increased INR) gradually increased with the modeling process. Conclusions Intraperitoneal injection of 50% CCl4 olive oil solution (1.5 mL/kg,every week) for 24 weeks can stably simulate persistent chronic liver injury in rats and lead to the typical pathological changes and complications of chronic liver failure, based on the decompensation stage of cirrhosis. This model replicates the pathological evolution of human hepatitis from liver fibrosis → liver cirrhosis compensation → decompensation → chronic liver failure, providing a reliable modeling reference for the study of the mechanism of chronic liver failure.

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王娜,陆正峰,王明刚,吴凤兰,张日云,张荣臻,冯雯倩,刘好,杜洋,舒发明,蓝艳梅,毛德文.一种慢性肝衰竭大鼠动物模型的制备方法研究[J].中国实验动物学报,2025,33(6):811~822.

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  • 收稿日期:2024-10-23
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  • 在线发布日期: 2025-07-24
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