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;2.广西医科大学附属民族医院;3.广西中医药大学研究生院

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广西重点研发计划项目(桂科AB25069020),广西自然科学基金(2023GXNSFAA026176,2024GXNSFBA010218,2021GXNSFAA220112);国家中医药传承创新中心建设项目——肝衰竭“毒浊致病”学说物质基础及解毒化浊法的验证研究;广西中医肝病临床医学研究中心;国家自然科学基金(82274434,82360912,82160881);广西高校中青年教师科研基础能力提升项目(2024ky0123);广西壮族自治区民族医院孵化项目(民科FY202404),广西中药大学青年基金项目(2023QN007),广西中药大学第一附属医院青年基金项目(2022QN009)。


Study on the preparation method of a rat model of chronic liver failure
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1.The First Affiliated Hospital of Guangxi University of Chinese Medicine;2.Guangxi Medical University Affiliated Hospital for Nationalities;3.Graduate School of Guangxi University of Traditional Chinese Medicine

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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 将66只SPF级SD大鼠分为正常组(18只)与造模组(48只),造模组通过腹腔注射50% CCl4橄榄油溶液(1.5 ml/kg,每周2次),分别于第8、16、24周进行多维度评估。评估内容包括:超声检测肝脏形态、硬度、门静脉直径及腹水;采集血清、血浆及肝组织检测肝功能(AST、ALT、TBIL)、凝血功能(PT、INR)及血氨水平;通过HE染色和Masson染色观察肝组织损伤及纤维化程度;水迷宫实验评估认知功能;同步记录生存率及肉眼肝组织病理变化。结果 与正常组相比,模型组大鼠逐渐出现活动减少、食欲减退、尿液黄染及腹围增大。超声显示随时间推移,模型组肝实质回声增强增粗,继发腹水形成、门静脉扩张及门脉高压。24周时水迷宫及血氨检测证实模型组存在认知功能下降(记忆力、定向力减退)及肝性脑病。大体观察显示模型组肝脏外观渐呈粗糙凹凸不平且体积萎缩。组织学方面:HE染色显示肝细胞肿胀、脂肪变性和坏死;Masson染色证实纤维化进展伴假小叶形成。肝功能指标AST、ALT、TBIL及血氨持续升高,凝血功能异常(PT延长、INR升高)随建模进程逐渐加重。结论 采用50% CCl4橄榄油溶液(1.5 ml/kg/周)腹腔注射24周构建的大鼠模型,可稳定模拟持续性慢性肝损伤,并在肝硬化失代偿期基础上引发慢性肝衰竭的典型病理改变及并发症。该模型完整复现人体肝炎→肝纤维化→肝硬化代偿期→失代偿期→慢性肝衰竭的病理演变链,为慢性肝衰竭机制研究提供可靠建模参考。

    Abstract:

    Objective To prepare a stable rat model of chronic liver failure and provide a method for basic research. Methods 66 SPF SD rats were divided into normal group (18 rats) and modeling group (48 rats). The modeling group was intraperitoneally injected with 50% CCl4 olive oil solution (1.5 ml/kg, twice a week), and multidimensional assessment was performed at 8, 16 and 24 weeks, respectively. The evaluation included: ultrasonic examination of liver morphology, hardness, portal vein diameter and ascites; Serum, plasma and liver tissue were collected to detect liver function (AST, ALT, TBIL), coagulation function (PT, INR) and blood ammonia level. The degree of liver tissue injury and fibrosis was observed by HE staining and Masson staining. Water maze test to assess cognitive function; The survival rate and pathological changes of gross hepatic tissue were recorded simultaneously. Results Compared with the normal group, the rats in the model group showed decreased activity, decreased appetite, yellow urine and increased abdominal circumference. Ultrasound showed that the liver parenchymal echo of the model group was enhanced and thickened with time, secondary ascites formation, portal vein dilation and portal hypertension. At 24 weeks, water maze and blood ammonia tests confirmed cognitive decline (memory and orientation loss) and hepatic encephalopathy in the model group. The gross observation showed that the liver in the model group was rough and uneven in appearance and atrophied in volume. Histologically, HE staining showed hepatocyte swelling, steatosis and necrosis. Masson staining confirmed fibrosis progression with pseudolobule formation. 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. Conclusion The rat model constructed by intrabitoneal injection of 50% CCl4 olive oil solution (1.5 ml/kg/ week) for 24 weeks can stably simulate persistent chronic liver injury, and lead to the typical pathological changes and complications of chronic liver failure based on the decompensation stage of cirrhosis. The model completely replicates the pathological evolution chain of human hepatitis → liver fibrosis → liver cirrhosis compensation → decompensation → chronic liver failure, providing a reliable modeling reference for the study of chronic liver failure mechanism.

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  • 收稿日期:2024-10-23
  • 最后修改日期:2025-05-20
  • 录用日期:2025-06-11
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