国产罗格列酮对实验性树肝脂肪变性的保护作用  

The protective effects of rosiglitazone on tree shrew’s fatty liver

作　　者：蒙碧辉[1] 梁世坤[1] 黄松[1] 冼苏[1] 舒昌达[2] 

机构地区：[1]广西医科大学第一附属医院内分泌科,南宁530021 [2]重庆医科大学第一医院内分泌科

出　　处：《中华消化杂志》2003年第12期718-722,共5页Chinese Journal of Digestion

基　　金：广西壮族自治区卫生厅科研项目(Z2 0 0 10 2 2 )

摘　　要：目的　探讨国产罗格列酮对高糖高脂喂养诱导树肝脂肪变性干预治疗的效果。方法　36只树分为对照组 8只 (A组 ) ,喂常规鼠饲料。另 2 8只喂高糖高脂饲料 ,并于 2 2周将血糖≥ 11.1mmol/L的 19只动物再分为药物干预组 8只 (B组 )和非干预组 11只 (C组 )。B组以国产罗格列酮按每天 5mg/kg的剂量清晨一次性给药 ,用药 7周。实验前、后检测体重 (Wt)、空腹血糖 (FBG)、血脂 4项[总胆固醇 (TC) ,三酰甘油 (TG) ,高密度脂蛋白胆固醇 (HDL C) ,低密度脂蛋白胆固醇 (LDL C) ]、空腹血清胰岛素 (FINS)和血清转氨酶水平。实验结束时剖腹取肝标本 ,光镜下观察肝脏形态学改变 ,以免疫组化法检测肝脏解偶联蛋白 3(UCP3)和胰岛素受体 β(IR β)的表达水平 ,以计算机图像分析系统对UCP3、IR β表达作细胞阳性计数和面积密度及灰度分析。 结果　 (1)血生化改变 :B、C两组动物FBG均明显增高 ,实验结束时C组的血糖仍居高不下 ,同时血TC、TG增加值、FINS和自身稳定模型评估法胰岛素抵抗指数 (HOMA IR)也明显增高 ,而B组的FBG则显著下降 ,其他生化参数也均与对照组相似。 (2 )肝脏形态学 :B、C两组动物均出现弥漫性肝脂肪变性 ,脂肪变性的面积密度和肝细胞脂变率均在 30 %左右 ,两组差异均无显著性。实验结束时 ,B组肝脂?Objective To investigate the effects of rosiglitazone on tree shrew's fatty liver induced by high sugar and fat diet. Methods Thirty six tree shrews were assigned as the chow diet group (group A, 8 animals) and the high sugar and high fat fed group (28 animals). The latter were fed alternately with the mix food containing 40% saccharu and 20% fat by one day interval. In the high sugar and high fat fed group, 19 animals (67.86%), which had an increased FBG level equal to or more than 11.1 mmol/L 22 weeks after the diet, were divided into 2 subgroups: rosiglitazone supplemented group (group B), to which rosiglitazone was added at a dose of 5 mg·kg -1 ·d -1 for seven weeks, and non supplemented group (group C). Body weight, fasting serum insulin(FINS) and blood lipid including total cholesterol(TC), triglyceride (TG), high density lipoprotein cholesterol (HDL C) and low density lipoprotein cholesterol (LDL C) were examined during the experiment. Liver biopsies were carried out under general anaesthesia at 22 week and the end of the experiment in all animals. The samples of liver were fixed in 4% polymerisatum for 12 h, then through pathological routine processing. The expressions of uncoupling protein 3 (UCP3) and insulin receptor (IR) were analyzed by calculating the UCP3 and IR expressing positive cells and by analyzing the area density of positive cells using computer aided video system. Results Morphological alteration under light microscopy showed that all animals from both group B and C had a typical steatosis throughout the liver sections 22 week after high sugar and high fat feeding. The area density of steatosis and the proportion of involved hepatocytes were approximately 30% and reached higher degrees in group C ( P <0.05) at 29 week, while those in group B reduced markedly by more than 90%( P <0.01) after administration of rosiglitazone. A smaller proportion of hepatocytes from group C (27.6%±4.9%, P <0.01) was positive for UCP3 by immunohistochemistry, compared with

关 键 词：罗格列酮 实验 树嗣 肝脂肪 肝保护 胰岛素增敏剂 胰岛素抵抗 

分 类 号：R96[医药卫生—药理学]