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中华移植杂志(电子版) ›› 2019, Vol. 13 ›› Issue (02) : 141 -145. doi: 10.3877/cma.j.issn.1674-3903.2019.02.013

所属专题: 文献

论著

小鼠肝脏体外复灌系统的建立
曾宪鹏1, 李世毅1, 杨韵颖1, 王胜杰1, 李敏丽2, 方泽鸿1, 范晓礼1, 王彦峰1, 叶啟发3,()   
  1. 1. 430071 武汉大学中南医院肝胆疾病研究院 武汉大学移植医学中心移植医学技术湖北省重点实验室
    2. 430071 武汉大学中南医院护理部
    3. 430071 武汉大学中南医院肝胆疾病研究院 武汉大学移植医学中心移植医学技术湖北省重点实验室;410013 长沙,中南大学湘雅三医院移植中心 卫生部移植医学工程技术研究中心
  • 收稿日期:2018-10-22 出版日期:2019-05-25
  • 通信作者: 叶啟发
  • 基金资助:
    国家自然科学基金重点项目(U1403222)

The establishment of reperfusion system in isolated mouse liver

Xianpeng Zeng1, Shiyi Li1, Yunying Yang1, Shengjie Wang1, Minli Li2, Zehong Fang1, Xiaoli Fan1, Yanfeng Wang1, Qifa Ye3,()   

  1. 1. Zhongnan Hospital of Wuhan University, Institute of Hepatobiliary Diseases of Wuhan University, Transplant Center of Wuhan University, Hubei Key Laboratory of Medical Technology on Transplantation, Wuhan 430071, China
    2. The Nursing Department, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
    3. Zhongnan Hospital of Wuhan University, Institute of Hepatobiliary Diseases of Wuhan University, Transplant Center of Wuhan University, Hubei Key Laboratory of Medical Technology on Transplantation, Wuhan 430071, China; The 3rd Xiangya Hospital of Central South University, Research Center of National Health Ministry on Transplantation Medicine Engineering and Technology, Changsha 410013, China
  • Received:2018-10-22 Published:2019-05-25
  • Corresponding author: Qifa Ye
  • About author:
    Corresponding author: Ye Qifa, Email:
引用本文:

曾宪鹏, 李世毅, 杨韵颖, 王胜杰, 李敏丽, 方泽鸿, 范晓礼, 王彦峰, 叶啟发. 小鼠肝脏体外复灌系统的建立[J/OL]. 中华移植杂志(电子版), 2019, 13(02): 141-145.

Xianpeng Zeng, Shiyi Li, Yunying Yang, Shengjie Wang, Minli Li, Zehong Fang, Xiaoli Fan, Yanfeng Wang, Qifa Ye. The establishment of reperfusion system in isolated mouse liver[J/OL]. Chinese Journal of Transplantation(Electronic Edition), 2019, 13(02): 141-145.

目的

建立小鼠肝脏体外复灌系统,并验证其有效性。

方法

6只雄性C57小鼠获取肝脏后冷保存45 min内行体外复灌,复灌前获取同种属小鼠血液配制复灌液。小鼠复灌系统以多轴蠕动泵作为动力,实行门静脉单通道灌注,在灌注系统中加入输液器滴斗以缓冲压力和排气,2个小动物膜式氧合器串联以达到携氧要求,灌注系统总液体量约30 mL,复灌流量设定为2.5 mL·min-1·g-1。采用双托盘形式,满足小鼠肝脏正常体位。应用生物机能实验系统记录入肝压力等灌注参数,监测灌注液ALT、AST、肝组织病理及细胞凋亡等指标。

结果

小鼠肝脏体外复灌过程中,门静脉压力低于8 mmHg,系统压力波动小于1 mmHg,灌注液pH值维持在7.40±0.05。复灌6 h结束时,灌注液ALT、AST和乳酸脱氢酶分别为(62±14)、(160±23)和(682±71) U/L,乳酸为(3.2±0.1) mmol/L。肝组织病理示肝小叶结构完整,实质细胞无明显坏死,病理学评分(1.1±0.7)分。原位缺口末端标记法检测肝细胞凋亡率为(0.57±0.22)%。

结论

本研究国内首次构建了小鼠肝脏体外复灌系统,操作简单、运行稳定,能够较长时间维持肝脏正常生理功能。

Objective

To establish the reperfusion system in isolated mouse liver and test its effectiveness.

Methods

The isolated livers of 6 male C57 mice were reperfused in vitro with cold preservation time less than 45 minutes, and the blood obtained from allogenic mice was made up into perfusate before reperfusion. The power of reperfusion system came from peristaltic pump, and a dripping bucket was added for stress-buffering and venting. Two animal membrane oxygenation were in series with the reperfusion system to meet oxygen requirements. The total liquid of reperfusion system was about 30 mL, and the rate of reperfusion was set as 2.5 mL·min-1·g-1. Related parameters, such as liver perfusion pressure were recorded by biological functional experiment system, and indexes like ALT, AST of perfusate, histopathology of livers and cell apoptosis were also monitored.

Results

During reperfusion in vitro, the portal vein pressure was lower than 8 mmHg, the system pressure fluctuation was lower than 1 mmHg, and the pH of the perfusion fluid was 7.40±0.05. At the end of reperfusion, the concentration of ALT, AST and lactate dehydrogenase of perfusion fluid were (62±14), (160±23) and (682±71) U/L, respectively, the concentration of lactic acid was (3.2±0.1) mmol/L. The pathology results of liver tissue showed that the structure of hepatic lobule was intact without obvious necrosis or apoptosis hepatocyte, and the pathological score was (1.1±0.7) scores. The apoptosis rate of hepatocyte was (0.57±0.22)%.

Conclusions

For the first time, the isolated reperfused mouse liver system was constructed. It is simple, stable, and could maintain normal physiological function of the liver for 6 hours.

图1 小鼠肝脏体外复灌系统
图2 小鼠肝脏体外复灌大体观
图3 小鼠肝脏体外复灌过程中灌注液肝功能及代谢指标
图4 小鼠肝脏体外复灌6 h后肝组织病理学检查及细胞凋亡检测结果(×100)
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