首页|运用复发型胆总管结石患者胆道细菌建立豚鼠胆石症模型

运用复发型胆总管结石患者胆道细菌建立豚鼠胆石症模型

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目的:运用复发型胆总管结石患者胆道细菌建立豚鼠胆石症模型,为研究胆道微生物在胆总管结石复发及胆石症形成的作用机制方面提供贴合临床的动物模型支撑。方法:普通级 Dunkin Hartley 豚鼠35 只,雌雄不限,第一阶段实验20 只,第二阶段实验15 只。两阶段造模方法均采用胆道插管、注射复发型胆总管结石患者胆道菌液的方式。第一阶段实验造模后第9 周时,观察动物模型术后存活率、动物模型胆汁性状及胆道系统内结石形成情况;留取动物胆汁样本做细菌培养。第二阶段实验从造模结束第2 天起,每日取材2 只动物模型观察其胆汁性状及胆道系统内结石形成情况。观察胆结石动物的肝脏、胆囊及胆总管组织的病理学变化;综合评估本实验方法建立胆石症动物模型的可行性。结果:与既往使用胆道插管注射大肠杆菌并结合不完全梗阻的造模方式相比,本实验使用的造模方法,更贴合临床胆总管结石患者结石复发及胆石症形成时的胆道微生物状态,且造模周期短,模型成功率高,操作难度相对较小,动物死亡率低。结论:本实验使用的造模方式可以成功建立豚鼠胆石症模型,能够为研究胆道微生物在ERCP 术后胆总管结石复发及胆石症形成中的作用机制提供可靠的动物模型支撑。
Establishment of a Guinea Pig Cholelithiasis Model Using Biliary Bacteria from Recurrent Common Bile Duct Stone Patients
Objective:To establish a guinea pig cholelithiasis model using biliary bacteria from patients with recurrent common bile duct stones,providing a clinically relevant animal model for investigating the role of biliary microbiota in the recurrence of common bile duct stones and the formation of cholelithiasis.Meth-ods:Thirty-five Dunkin Hartley guinea pigs,regardless of gender,were used in two stages of experiments(20 in the first stage and 15 in the second stage).Biliary bacteria from patients with recurrent common bile duct stones were introduced by biliary catheterization.In the first stage,observations were made at the 9th week post-modeling,including postoperative survival rate,bile characteristics,and intrahepatic and extrahe-patic stone formation in the animal model.Bile samples were collected for bacterial culture.In the second stage,two animals were sacrificed daily from the 2nd day post-modeling to observe bile characteristics and stone formation in the biliary system.Pathological changes in the liver,gallbladder,and common bile duct tis-sues of gallstone-bearing animals were examined,and the feasibility of the modeling method for establishing a cholelithiasis animal model was comprehensively evaluated.Results:Compared to previous modeling methods using biliary catheterization with injection of Escherichia coli combined with incomplete obstruction,the meth-od used in this study was more consistent with the biliary microbial status of patients with recurrent common bile duct stones during stone recurrence and cholelithiasis formation.Moreover,it had a shorter modeling peri-od,higher model success rate,relatively lower operational difficulty,and lower animal mortality rate.Con-clusion:The modeling method used in this study successfully established a guinea pig cholelithiasis model,providing a reliable animal model for studying the mechanisms underlying the role of biliary microbiota in the recurrence of common bile duct stones and the formation of cholelithiasis after ERCP procedures.

CholelithiasisGuinea pigRecurrent common bile duct stones

卞昊宇、韩冉、段学光、姚玉璞、吕福琪、魏骄阳、张立平

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北京中医药大学东方医院,北京 100078

北京中医药大学研究生院,北京 100029

胆石症 豚鼠 复发型胆总管结石

北京中医药大学重点公关项目北京中医药大学基本科研业务费专项

2020-JYB-ZDGG-1382023-JYB-JBZD-004

2024

河北医学
河北省医学会

河北医学

CSTPCD
影响因子:1.915
ISSN:1006-6233
年,卷(期):2024.30(1)
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