肝胆转运系统在肝移植术后胆汁排泌功能障碍中的作用
摘要
肝移植是治疗终末期肝胆疾病的有效手段,但术后淤胆和胆管并发症仍是棘手问题。肝胆转运系统在胆盐、磷脂和胆固醇等分泌和排出中起关键作用,但肝移植中的缺血冷保存及免疫反应等不可避免地造成肝细胞、胆管细胞及其转运蛋白的功能障碍,影响术后的胆汁排泌。临床上可因胆汁中脂质和胆盐比例失衡,使疏水性胆盐损伤细胞膜和线粒体,造成淤胆、胆泥和结石形成、
出处
《中华外科杂志》
CAS
CSCD
北大核心
2007年第15期1031-1033,共3页
Chinese Journal of Surgery
参考文献20
-
1Palmeira CM, Rolo AP. Mitochondrially-mediated toxicity of bile acids. Toxicology ,2004. ,203 : 1-15.
-
2Guiehelaer MM, Benson JT, Malinehoc M, et al. Risk factors for and clinical course of non-anastomotic biliary strictures after liver transplantation. Am J Transplant ,2003,3:885-890.
-
3Plosch T, van der Veen JN, Havinga R, et al. Abcg5/Abcg8independent pathways contribute to hepatobiliary cholesterol secretion in mice. Am J Physiol Gastrointest Liver Physiol,2006, 291 : G414-G423.
-
4Tietz PS,McNiven MA, Splimer PL, et al. Cytoskeletal and motor proteins facilitate trafficking of AQP1-containing vesicles in cholangiocytes. Biol Cell,2006,98:43-52.
-
5Doctor RB, Dahl RH, Salter KD, et al. Reorganization of eholangiocyte membrane domains represents an early event in rat liver ischemia. Hepatology, 1999,29 : 1364-1374.
-
6Benkoel L, Dodero F, Hardwigsen J, et al. Effect of ischemiareperfusion on Na ^+ , K^+ -ATPase expression in human liver tissue allograft : image analysis by confocal laser scanning microscopy. Dig Dis Sci ,2004,49 : 1387-1393.
-
7Perez LM, Milkiewicz P, Elias E, et al. Oxidative stress induces internalization of the bile salt export pump, Bsep, and bile salt secretory failure in isolated rat hepatocyte couplets: a role for protein kinase C and prevention by protein kinase A. Toxicol Sci, 2006,91 : 150-158.
-
8Sekine S, ho K, Horie T. Oxidative stress and Mrp2 internalization. Free Radie Biol Med ,2006,40:2166-2174.
-
9Tanaka Y, Chen C, Maher JM, et al. Kupffer cell-mediated downregulation of hepatic transporter expression in rat hepatic ischemia-reperfusion. Transplantation, 2006,82 : 258 -266.
-
10Kudo A, Kashiwagi S, Kajimura M, et al. Kupffer cells alter organic anion transport through multidrug resistance protein 2 in the postcold ischemic rat liver. Hepatology ,2004,39 : 1099-1109.
-
1黄瀛.危重新生儿院前急救护理与安全转运[J].现代医药卫生,2009,25(16):2490-2491.
-
2张新国,朱晓丹,贾元利.经皮下空肠盲襻胆道镜治疗胰十二指肠切除术后严重并发症10例报告[J].中国微创外科杂志,2005,5(1):63-64. 被引量:1
-
3李幼生,李宁,李元新,罗开,李为苏,倪小冬,朱亮,蒋峰,黎介寿.肝肠联合移植供肠、供肝的获取与保存[J].医学研究生学报,2004,17(8):707-710. 被引量:1
-
4舒志军,黎介寿.大鼠腹腔感染时对全肠外营养所致淤胆的影响[J].中华实验外科杂志,1990,7(2):59-60.
-
5张光全,程泰煦,王勇强,易康民,李小云,吴德琼.胆囊管综合征ERCP诊断及治疗36例[J].世界华人消化杂志,1994,3(3):176-176. 被引量:2
-
6王红,徐旭,王栓科,马靖琳,沈海丽,王天成,汪静.A转运系统在大鼠神经病理性疼痛形成中的作用[J].临床麻醉学杂志,2014,30(5):485-489. 被引量:1
-
7茹素娟,傅青春.肝脏损伤的机制(下)[J].肝脏,1997,2(4):249-251.
-
8钟祖缋.胆囊取石前后顺应性比较[J].现代医药卫生,2002,18(3):178-180.
-
9隆电熙,莫曾南.性激素在良性前列腺增生发病机制中的作用[J].广西医学,2005,27(9):1394-1396. 被引量:2
-
10陈继业,马正伟,董家鸿.肝缺血再灌注中微循环障碍的发生机制[J].肝胆胰外科杂志,2005,17(1):84-86. 被引量:5