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    題名: 多巴胺第二型受器在高血壓老鼠以及非高血壓老鼠膽道結紮模型中在膽管上皮細胞的表現;The Expression of Dopamine Type Two Receptor in Cholangiocyte Between Spontaneously Hypertensive Rat and Wistar-Kyoto Rats After Bile Duct Ligation
    作者: 張正守;Jeng-Shou Chang
    貢獻者: 中國醫藥大學:醫學研究所
    關鍵詞: 膽管結紥;多巴安第二型受器;兒茶酚胺;膽管上皮細胞;Common bile duct ligation(BDL);Dopamine type two receptor(D2R);6-hydroxyldopamine(6-OHDA);immunohistochemistry(IHC)Spontaneously;hypertensive rat(SHR);Wistar-Kyoto rats(WKY)
    日期: 2008-06-11
    上傳時間: 2009-08-13 14:50:15 (UTC+8)
    摘要: 膽道結紮後會造成膽道增生已被大眾所認知,也是臨床上原發性膽道硬化(PBC)的動物實驗模式。許多神經傳導物質可以透過c-AMP/ PKA/ERK pathway 來調控膽道增生或抑制。dopamine可以透過活化PKC-γ/Ca2+ pathway且抑制PKA pathway來抑制膽道增生的表現。我們使用交感神經抑制劑6-hydroxyldopamine(6-OHDA)來抑制dopamine,預期是否dopamine下降將會影響膽管結紮老鼠之膽道增生。
    我們發現本態性高血壓老鼠(SHR)在膽道結紮三週後的膽道增生表現小於對照組非高血壓老鼠(WKY)。而在本態性高血壓老鼠中發現以dopamine量會高於非高血壓(WKY)老鼠。而膽道上皮細胞(cholan giocyte)只表現dopamine type two receptor(D2R)。所以想探討dopamine 跟D2R在膽道結紮後老鼠中扮演的角色。
    材料及方法
    探討(一)SHR及WKY膽道增生比較
    (二)6-OHDA注射後,D2R的調控角色。
    使用本態性高血壓老鼠以及非高血壓老鼠各分為三組,各分為正常組及膽道結紮三週組BDL(N=6),以及膽道結紮三週+6-OHDA(交感神經抑制劑) (N=6)。
    藉由觀察期血清生化值、型態學、免疫組織化學染色法(IHC)、聚合脢連鎖反應(PCR)觀察期D2R表現量差異及其中扮演之角色。
    結果
    經由Masson trichrome stain染膠原纖維,發現非高血壓老鼠(WKY)膽道增生量及纖維化程度均大於本態性高血壓老鼠(SHR),膽道增生表現量是WKY+ 6-OHDA膽道結紮3週+6-OHDA組大於WKY膽道結紮3週表現,再大於SHR膽道結紮3週+6-OHDA組,最後是SHR膽道結紮3周的表現。
    在血清生化值裡也發現膽道酵素如ALP及γ-GT值在非高血壓老鼠(WKY)中表現均大於本態性高血壓老鼠(SHR),打6-OHDA(交感神經抑制劑)後表現亦是非高血壓老鼠(WKY) 膽道結紮3周+6-OHDA大於本態性高血壓老鼠(SHR)膽道結紮3周+6-OHDA。
    在RT-PCR方面發現D2R表現,SHR膽道結紮3週表現會大於對照組,SHR膽道結紮3週+6-OHDA組別D2R表現也大於SHR膽道結紮3週表現。在非高血壓老鼠WKY組亦是相同情形,WKY+6-OHDA膽道結紮3週+6-OHDA組別D2R表現也大於WKY膽道結紮3週表現,WKY膽道結紮3周表現會大於正常組。免疫組織化學染色(IHC)中發現,D2R會表現在肝細胞(hepatocyte)、纖維母細胞(fibroblast)及膽管上皮細胞(cholangiovyte)。
    討論
    Dopamine會結合D2R達到抑制膽道增生效果,如果抑制dopamine,D2R將會代償性增加,但是還是不能與dopamine結合,所以將無法抑制膽道增生,最後造成膽道增生量增加。我們實驗發現D2R在本態性高血壓老鼠SHR及非高血壓老鼠WKY膽管結紮3週後調控膽道增生確實扮演一種要角色,特別是在本態性高血壓老鼠SHR中。本態性高血壓老鼠(SHR)膽道纖維化情形低於非高血壓老鼠(WKY);如應用於臨床肝膽疾病中,推測可以使病人服用D2R促效劑(agonist)去減緩膽道病程的惡化。

    Neurotransmitters and cytokines can modulate the bile duct proliferation through c-AMP /PKA/ERK pathway. Dopamine may bind with dopamine type two receptor(D2R) to increase PKC-γ expression and decrease PKA activity, them, it could inhibit bile duct proliferation.
    We used 6-hydroxyldopamine(6-OHDA) as bioaminergic depletor to lower dopamine level and evaluated that whether reduced endogenous dopamine level may influence the bile duct proliferation in rat bile duct ligated animal model. Previously, our laboratory found bile duct proliferation of Wistar-Kyoto rats(WKY) rats was much higher than Spontaneously hypertensive rat(SHR) rats after 3 weeks bile duct ligation (BDL) . Cholangiocyte expressed D2R and its expression was markedly upregulated after BDL. Our goal in this study was to find out that D2R regulate the cholangiocyte proliferation between SHR and WKY rats after BDL.
    Our results in immunohistochemistry(IHC), expression of D2R was upregulated after BDL and much higher after BDL + 6-ODDA (sympathetic inhibitor) and its expression of SHR rats was more than WKY rats. In Masson trichrome stain for collagen, the expression of bile duct proliferation in WKY was much more than SHR after BDL . Bile duct proliferation was ugregulated after 6-OHDA used. D2R would combine with dopamine to inhibit bile duct proliferation .After 6-OHDA injection , the D2R with decreased dopamine could not inhibit bile duct proliferation .So bile duct proliferation upregulated . Our finding suggested that D2R play a critical role in modulated bile duct proliferation after BDL, especially in hypertensive rats (SHR).
    顯示於類別:[醫學研究所] 博碩士論文

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