大鼠原发性肝癌模型的优效造模方法
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1.广西中医药大学;2.广西中医药大学第一附属医院

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A superior method for modelling primary liver cancer in rats
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1.Guangxi University of Chinese Medicine;2.The First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine

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    摘要:

    目的 使用3种不同剂量建立大鼠原发性肝癌(Hepatocellular carcinoma,HCC)模型,旨在构建一个高效、稳定、经济的HCC动物模型。方法 将雄性SD大鼠45只,随机分为4组,分别为正常组,二乙基亚硝胺(Diethylnitrosamine,DEN)50mg/Kg剂量组(低剂量组)、70mg/Kg剂量组(中剂量组)、200mg/Kg剂量组(高剂量组),正常组6只,其余组各13只。正常对照组不做任何处理。模型组低剂量组第1-4周,每周腹腔注射2次,第5-12周,每周注射1次;中剂量组每周腹腔注射1次,连续16周;高剂量组单次给药1次,各组大鼠观察至16周。通过生存率、病理学检测、生化检测、肝脾指数计算、免疫组化、ELisa等检测方法验证模型的建立及优化评价。结果 正常组大鼠存活率为100%,低剂量组为46.15%,中剂量组为69.23%,高剂量组为84.61%。肉眼观察正常组大鼠肝组织未见异常;低剂量组大鼠肝脏颜色变深,表面较粗糙,可见少量癌结节,质地稍硬;中剂量组大鼠肝脏表面粗糙,可见多个小的癌结节及散在块状占位性结节,质地坚硬;高剂量组大鼠肝脏颜色变浅,表面稍粗糙,未见明显癌结节。HE染色显示低、中剂量组肝组织结构紊乱,细胞异型性大,肿瘤细胞形成,高剂量组肝小叶结构不清晰,肝细胞呈不同程度的水肿、变性、坏死,未见明显肿瘤细胞形成。与正常组对比,低、中、高剂量组血清肝功能谷丙转氨酶(Alanine aminotransferase,ALT)、谷草转氨酶(Aspartate aminotransferase,AST)、总胆红素(Total bilirubin,TBIL) 均有升高,低剂量组ALT、AST升高显著,P<0.05,差异具有统计学意义,中剂量组ALT、AST、TBIL均显著升高,P<0.05,差异具有统计学意义,高剂量组虽有升高,但差异无统计学意义,P>0.05;与正常组相比,低剂量组血清(International Standardized Ratio,INR)水平明显增高,P<0.05,差异具有统计学意义,血清APTT(Activated partial thromboplastin time,APTT)、PT(Prothrombin time,PT)、AFP(Alpha-fetoprotein,AFP )均有升高,P>0.05,差异无统计学意义;中剂量组血清APTT、PT、INR、AFP水平显著增高,P<0.05,差异具有统计学意义;高剂量组血清PT、AFP水平增高,P<0.05,差异具有统计学意义,血清APTT水平略有升高,P>0.05,差异无统计学意义;中剂量组肝、脾指数均升高,P<0.05,低剂量组脾指数升高,P<0.05,高剂量组肝指数升高,P<0.05,差异具有统计学意义;低、中、高剂量组肝组织(Alpha fetoprotein,AFP)光密度值均明显升高,P<0.05,差异具有统计学意义。结论 低、中剂量组均可成功诱导HCC大鼠模型,但中剂量组的病理改变和生化检查结果更符合人HCC的发病机理,且给药次数更少,大鼠存活率更高,能建立更经济实惠的优效HCC模型。

    Abstract:

    Abstract:Objective: A rat model of primary hepatocellular carcinoma (HCC) was established using three different doses to establish an efficient, stable, and economical animal model of HCC. Methods: Forty-five male SD rats were randomly divided into four groups, namely the normal group, the diethylnitrosamine (DEN) 50 mg/kg dose group (low dose group), the 70 mg/kg dose group (medium dose group), the 200 mg/kg dose group (high dose group), 6 in the normal group and 13 in each of the remaining groups. The normal control group received no treatment. In the model group, the low dose group was injected intraperitoneally twice a week during weeks 1-4 and once a week during weeks 5-12; the intermediate dose group was injected intraperitoneally once a week for 16 consecutive weeks; and the high dose group was administered once in a single dose and the rats in each group were followed up to 16 weeks. The establishment of the model and optimal evaluation were verified by survival rate, pathological tests, biochemical tests, liver and spleen index calculation, immunohistochemistry, ELISA, and other assays. Results: The survival rate was 100% in the normal group, 46.15% in the low-dose group, 69.23% in the medium-dose group, and 84.61% in the high-dose group. The liver tissues of the rats in the normal group showed no abnormality to the naked eye; the liver of the rats in the low-dose group became darker in color, rougher in surface, with a small number of cancerous nodules and slightly hard texture; the liver of the rats in the medium-dose group was rough in surface, with several small cancerous nodules and scattered massive occupying nodules and hard texture; The liver of rats in the high-dose group became lighter in color, slightly rougher in surface, with no obvious cancerous nodules; HE staining showed that the liver tissues of rats in the low- and mid-dose groups were structurally disorganized, with large cellular heterogeneity and tumor cells. HE staining showed that the liver tissues of rats in the low and intermediate dose groups were structurally disorganized, with large cellular heterogeneity and tumor cell formation, while the structure of the liver lobules of the high dose group was unclear, with different degrees of edema, degeneration and necrosis of liver cells, and no obvious tumor cell formation was seen. Compared with the normal group, serum liver function (alanine aminotransferase, ALT), (aspartate aminotransferase, AST), (and total bilirubin, TBIL) were elevated in the low, medium, and high dose groups, and ALT and AST were significantly elevated in the low dose group, P<0.05, the difference was statistically significant. The difference was statistically significant, ALT, AST and TBIL were significantly elevated in the middle dose group, P<0.05, the difference was statistically significant, and the difference was not statistically significant in the high dose group, although it was elevated, P>0.05; compared with the normal group, the serum (International Standardised Ratio, INR) level of the low dose group was significantly elevated, P < 0. 05, the difference was statistically significant; serum APTT (activated partial thromboplastin time, APTT), PT (prothrombin time, PT), AFP (alpha-fetoprotein, AFP ) were increased, P > 0.05, the difference was not statistically significant; serum APTT, PT, INR and AFP levels were significantly increased in the mid-dose group, P < 0. 05, the difference was statistically significant; serum PT and AFP levels were increased in the high-dose group, P < 0.05, the difference was statistically significant, and serum APTT levels were slightly increased, P > 0.05, the difference was not statistically significant; liver and spleen indexes were increased in the middle-dose group, P<0. 05, the spleen index increased in the low dose group, P<0.05, and the liver index increased in the high dose group, P<0.05, the difference was statistically significant; the optical density value of liver tissue (alpha-fetoprotein, AFP) increased significantly in the low, medium and high dose groups, P<0.05, the difference was statistically significant. Conclusions: Both the low and mid-dose groups could successfully induce the HCC rat model, but the pathological changes and biochemical findings of the mid-dose group were more in line with the pathogenesis of human HCC, and with fewer administrations and higher survival rate of the rats, it was possible to establish a more cost-effective and superior HCC model.

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  • 收稿日期:2023-11-23
  • 最后修改日期:2024-08-02
  • 录用日期:2024-10-16
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