Name: ileectomy-induced bile overaccumulation in mouse intestine
Uploaded: 2017-08-21T13:00:00.000+00:00
Duration: 6 min 55 s
Description: Watch this Scientific Journal Video about Ileectomy-induced Bile Overaccumulation in Mouse Intestine at JoVE.com

这项研究支持由汤姆皮特森基金会和美国国立卫生研究院授予 R01 HL119780 （耆那教、 MK）。

动物议定书 》 进行了审查和批准机构动物护理和使用委员会在凯斯西储大学医学院和按照国家卫生研究院 (NIH) 指南进行维护和使用的实验室动物 （2011 年第 8 版）。小鼠处死的方法符合美国兽医医疗协会 (AVMA) 准则为动物安乐死 （2013年版）。在本议定书中使用 C57BL/6J，男，8-16 周老小鼠。老鼠被安置在 12 h 黑暗/光照周期环境。
 1.手术前准备 <ol><li>转移小鼠到干净的笼子在手术前 24 小时。让动物免费的水。周食物替换软食物 （凝胶膳食补充剂） 4-6 小时前手术，以减少的小肠手术内容。</li>
	<li>消毒所有的外科手术器械、 一次性使用无菌手术材料准备。清洁手术范围和麻醉的鼻锥，用 70%乙醇。</li>
	<li>成立于解剖显微镜、 异氟醚麻醉汽化、 文书和温度控制小动物外科表体温度的保养。在手术期间组织文书、 缝线和注射器中自由访问的位置。</li>
	<li>设置光源为外科领域提供足够的光线。</li>
	<li>准备在 5 毫升注射器的肠道和腹部清洁无菌 0.9%的生理盐水。</li>
</ol> 2。回肠和吻合 <ol><li>Anesthetize 小鼠与异氟醚 （2-3%) 在小动物的孵化室。确定适当的麻醉用脚趾夹点技术，虽然这种动物是对异氟醚。</li>
	<li>采用脱毛产品脱毛腹部和擦干头发去维持麻醉时使用外科纱布。温度控制小动物在手术台上 ( 图 1) 以维持体温 鼠标置于 37 ° C.维持麻醉与异氟醚 （1-2%) 通过面罩。治疗老鼠的眼睛，用眼药膏。</li>
	<li>清洁皮肤使用聚维酮碘和 70%的酒精和覆盖与无菌手术纱布 ( 图 1 B) 腹部手术区域。</li>
	<li>使使用外科手术刀，一旦麻醉实际上是正中腹部切口。使用棉签来保护肠道和拉鼠标腹直肌与牵开器完全打开并公开 ( 图 1 C) 腹腔。</li>
	<li>定位盲肠。从盲肠，开始小心翼翼地连接的回肠和空肠的一部分从腹腔内 ( 图 1 D). 
	注: 盲肠容易被人识别由于规模庞大禁食后甚至。</li>
	<li>结扎肠系膜上动脉与 7-0 丝线以阻塞血供是切除回肠段上面的分支。回肠颜色变化从粉色到深紫色结扎后。( 图 1 E-F)。</li>
	<li>根据不同目的的实验中，利用剪刀，消费税和删除 50%或 90%的回肠。 
	注: 为假手术，不执行肠系膜上动脉结扎并不删除回肠。</li>
	<li>冲洗的 0.9%生理盐水回肠两端管腔. 
	注: 由于其余完好回肠仍在收集血液供应正常从肠系膜上动脉，极少量的血将会刷新过程。这也表明回肠末端的血液供应是正常的并确保没有缺血过程中吻合 ( 图 1 G)。</li>
	<li>定位在回肠两端直肠系膜。对齐的肠系膜和缝合在一起使用 8-0 缝合 ( 图 1 G-H) 回肠末端。</li>
	<li>缝合回肠保持回肠的对侧侧吻合以自然的方式 ( 图 1 我)。</li>
	<li>缝合上部和下部的双方之间两个原始缝合到彻底联接两个回肠末端在一起 ( 图 1 J)。</li>
	<li>确认是完成三个步骤的缝合后有无渗漏吻合部位 ( 图 1 G-我)。回盲肠和小肠入腹腔的原始的解剖位置。使用钝针的温暖 0.9%生理盐水清洗手术的地方。( 图 1 K)。</li>
	<li>关闭腹部肌肉层与 6-0 缝合的切口。对齐使用产钳的腹部皮肤切口和缝合腹部的皮肤，以便优化伤口愈合 ( 图 1 L)。</li>
</ol> 3。术后护理 <ol><li>转移手术后小鼠对重症监护病房的恢复。他们房子温控加热垫，一夜之间继续手术后恢复的纸-床上用品笼子里。供应小鼠软的食物，除了常规的食物和水。</li>
	<li>管理丁丙诺啡 (0.05-0.1 mg/kg) 与皮下注射每 8-12 h 为镇痛。 
	注: 安乐死老鼠的 CO 2，如果严重生病。</li>
	<li>在终点处，牺牲小鼠使用超剂量异氟醚和收获的样本，根据需要 （第 4 节）。</li>
</ol> 4。评价的回肠致胆汁积滞 <ol><li>权衡和解剖小鼠的 0%(sham)、 50%或 90%的回肠切除术后的一天。</li>
	<li>删除胃肠道和衡量它。计算 GI 重量和身体重量比例来评估的严重性胆盐吸收不良和积滞。</li>
	<li>将消化道转移到 15 毫升锥形管和把它们切成小段，用剪刀。切割后，10 分钟在 3,000 x g 离心机转移 （GI 液含胆汁酸盐） 上清液到清洁管。</li>
	<li>测量的总体积和重量的 GI 流体和计算胃肠道重量比，以便进一步评估胆积滞在胃肠道中的流体的重量。</li>
	<li>确定总胆汁量上清液中的胆汁酸测定在参考 8 所述。</li>
</ol>

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作者没有透露。

为了执行成功的回肠，必须预先结扎肠系膜上动脉来阻止对切除部分的血液供应。缺血性回肠段结扎后会变成暗紫色。然后必须完全切除回肠段。保留的两端必须保证正常的血液供应。这是必须避免出血和不当的去除，这可以很容易地导致手术失败由于缺血性坏死后缝合。期间吻合，它是重要的回肠末端一起加入他们自然的解剖位置。肠系膜被认为是为初始的缝合线，以避免可能发生的扭曲两端最可靠的具有里程碑意义。后侧的回肠末端第二次缝合，两端定位根据其自然的解剖结构。后肠吻合，吻合口区的颜色必须进行检查。该地区通常演示一个正常的粉红色。如果手术后，该地区变成紫色，缝合带可能患缺血。这可能是由于缺血性段不完整切除或扭曲的两端同时缝合。在这些条件下的手术有要立即纠正。
回肠手术的主要并发症是胆汁酸吸收不良所致的毒性、 术后肠梗阻和吻合口漏。回肠与肠道内的其他部分相比，包含多个结构和功能特点，更难以补偿由其余的肠道。与年轻的小鼠，相同的回肠切除可能会导致严重损坏年老的老鼠，可能因为在年老的老鼠产生更多的胆汁。例如，我们注意到，胆汁积累更大年龄 16 周龄小鼠比年龄 8 周龄小鼠。它是不清楚性别差异是否影响回肠诱导的不利影响，还需要进一步研究。
切除回肠的长度取决于实验的目的。在我们手中，50%回肠切除是足以引起重大胆汁淤积与减少收缩性肠。太多的去除，特别是多达 90%回肠、 原因过度胆汁淤积症和肠蠕动功能完全丧失。小鼠过度回肠切除术是通常无法存活超过五天。切除一短段 （例如，不超过 50%的回肠） 是一种有效修饰在利用作为一个相对长期的手术模型回肠。胆汁酸螯合剂等 （如消胆胺） 后手术治疗可能需要减轻胆汁积滞16。
我们探索了一系列不同切除长度回肠模型和确定导致轻度胆汁酸积滞和毒性在小肠内的最优切除条件。因此，这项研究提供了小鼠模型来进一步了解功能和分子的回肠引起的腹泻、 脂溶性维生素吸收不良和腹泻。然而，这项研究的限制是我们只进行了短期的实验。一项长期研究需要在未来进一步调查。
FGF15 据报为糖和蛋白质代谢重要长期胰岛素调节。此外，它在胆汁酸稳态17，18作用。目前的研究可能使我们能够了解 FGF15 介导糖和蛋白质中的代谢调节个人与回肠切除。最后，回肠切除也会影响合成和其他肽类激素参与代谢循环水平。例如，血药浓度的 PYY 和 glp 要求，通过在远端回肠内分泌 L 细胞合成，抑制胃酸分泌和胃肠蠕动，通常改变后手术6，19。
最后，我们建立了急性回肠切除模型诱导小鼠肠道中的中度至重度胆汁积滞。鼠标执法梯度切除可用于研究胆汁酸代谢和毒性等复杂短肠综合征肠系统中。此外，适度切除回肠是密切类似于用于克罗恩病患者的手术。因此，这些模型将有利于与外科手术切除小肠炎症和纤维化反应的研究。最后，小鼠手术模型研究和临床评估的回肠诱导的不利影响和疾病的治疗提供一个方便的平台。

在现代生物医学研究中，基因操纵的动物模型被广泛的应用，以收集洞察人类疾病。尤其是，组织或细胞特异性基因的增益损失功能已被用于研究分子调控，以及诱发的生物学效应。尽管操纵目标基因在体内的进步，有挥之不去的限制。第一，许多细胞或组织的特定缺失会影响多个器官。例如上, 皮基因缺失将消除多种组织中上皮细胞的表达。此外，即使删除仅限于为特定的组织，空间的控制是很少可行的。例如，在像肠组织，不同的部分进行十分具体的职能不能操纵与精度的体内。在这些情况下，基因包含组织切除术被认为是更有效的学习方法，以确定组织传播的机械和功能意义。
回肠是克罗恩病的主要是用于的患者和涉及回肠1，，23的炎症性疾病。回肠通常会产生几个能量存储激素样成纤维细胞生长因子 15/19 (FGF15/19)、 肽 (PYY) 和胰高血糖素样肽-1/2 (GLP1/2);这些激素许多生物学功能4，，56中发挥了重要的地方和内分泌作用。这些激素间 FGF15 已被确定为肝脏的胆汁酸合成鲁棒内分泌抑制剂。一旦进入回肠肠吸收，胆汁酸激活核受体法尼酯 X 受体 (FXR) 来刺激Fgf15的表达，随后导致的肝胆汁酸合成7反馈抑制。在最近的一项研究中，我们介绍了小鼠回肠模型为研究回肠 kruppel 样因子 (KLF15) 15-Fgf15信号调节昼夜节律的胆汁酸生产中肝8的轴。最重要的是，我们新的家庭，kruppel 样因子，特别是 KLF15，引入胆汁酸生物学。我们决定通过一种间接的非肝机制，KLF15 上调胆汁酸合成包括回肠手术的功能研究的基础。最后，回肠 KLF15 也被称为Fgf15第一内源性负性调节。
从近端到远端区域降序的肠段是负责吸收不同的营养。回肠是负责胆汁酸和维生素 B12 (VB12) 吸收9的主要部分。早先的研究中采用小鼠模型的近端肠切除术研究短肠综合征;提出了各种切除长度、 饮食和缝合类型，以保持最佳的手术后生存率10。此外，最近的审查表明，回肠切除通常会导致更严重的疾病比其他胃肠道 (GI) 段切除术由于剩余道11的自适应能力下降。本主题获得了集约化利益的基础和临床研究群体，而复苏和有效的治疗方法的了解仍然很有限。
胆汁酸腹泻结果从胆汁酸肝肠循环12，13稳态失衡。它可以是回肠切除术、 胃肠道疾病，或结果特发性胆汁酸吸收不良的后果。已发现了超过 80%的患者，切除回肠切除14后提出与腹泻。回肠有潜力成为重要手术模型为胆汁酸腹泻的调查。在此研究中，回肠切除一系列提供梯度评估 FGF15 不足以及肠胆盐吸收不良、 积滞和毒性损害。

<table><tbody><tr><td>Dissection microscope</td><td>Olympus</td><td>SZ61</td><td>For surgery&amp;nbsp;</td></tr><tr><td>Animal temperature controller</td><td>Physitemp Instruments, Inc.</td><td>TCAT-2LV</td><td>For body temperature control</td></tr><tr><td>Isoflurane anesthetic vaporizer</td><td>VetEquip</td><td>&amp;nbsp;911104</td><td>For anesthesia</td></tr><tr><td>Dissection forceps</td><td>&amp;nbsp;Fine Science Tools, Inc.</td><td>11274-20</td><td>For surgery&amp;nbsp;</td></tr><tr><td>Scissors</td><td>&amp;nbsp;Fine Science Tools, Inc.</td><td>14084-08</td><td>For surgery&amp;nbsp;</td></tr><tr><td>Needle holder</td><td>&amp;nbsp;Roboz Surgical Instrument Co.</td><td>RS-7882</td><td>For surgery&amp;nbsp;</td></tr><tr><td>Micro knives-needle blade</td><td>Fisher Scientific</td><td>10318-14</td><td>For surgery&amp;nbsp;</td></tr><tr><td>6-0 monofilament suture</td><td>Ethicon</td><td>1698G</td><td>For abdominal skin closure</td></tr><tr><td>7-0 silk suture</td><td>Ethicon</td><td>766G</td><td>For ligation</td></tr><tr><td>8-0 monofilament suture</td><td>Ethicon</td><td>1714G</td><td>For anastomosis</td></tr><tr><td>Surgical sponges</td><td>Dynarex Corp.</td><td>3333</td><td>For surgery&amp;nbsp;</td></tr><tr><td>Small cotton-tipped applicators&amp;nbsp;</td><td>Fisher Scientific</td><td>23-400-118</td><td>For surgery&amp;nbsp;</td></tr><tr><td>Isoflurane</td><td>Piramal Healthcare Limited</td><td>66794-013-25</td><td>For anasthesia</td></tr><tr><td>Buprenorphine hydrochloride</td><td>Reckitt-Benckiser Pharmaceuticals</td><td>12496-0757-1</td><td>For analgesia</td></tr><tr><td>0.9% sodium chloride Injection</td><td>B. Braun Medical Inc.</td><td>0264-7800-10</td><td>For washing/injection</td></tr><tr><td>Povidone iodine prep solution</td><td>Dynarex Corp.</td><td>1413</td><td>For skin preparation</td></tr><tr><td>Puralube vet ointment</td><td>Dechra Veterinary Products</td><td>17033-211-38</td><td>For eye pretection</td></tr><tr><td>Hair remover lotion</td><td>Church &amp;amp; Dwight Co., Inc.</td><td></td><td>For skin preparation</td></tr><tr><td>Intensive care unit</td><td>ThermoCare</td><td>FW-1</td><td>For post-surgery recovery</td></tr><tr><td>DietGel recovery</td><td>ClearH2O</td><td>72-06-5022</td><td>For post-surgery recovery</td></tr><tr><td>Aurum total RNA fatty and fibrous tissue kit</td><td>Bio-Rad</td><td>7326830</td><td>For RNA isolation</td></tr><tr><td>iScript reverse transcription supermix for RT-qPCR</td><td>Bio-Rad</td><td>1708841</td><td>For reverse transcription assay</td></tr><tr><td>TaqMan fast advanced master mix</td><td>Applied Biosystems/Life Technologies</td><td>4444965</td><td>For QPCR analysis</td></tr><tr><td>Total bile acid assay kit</td><td>Genzyme Diagnostic</td><td>DZ042A-K01</td><td>For bile acid assay</td></tr><tr><td>C57BL/6J&amp;nbsp;</td><td>The Jackson Laboratory</td><td></td><td></td></tr></tbody></table>

ileectomy-induced bile overaccumulation in mouse intestine

肠段切除术是常见的治疗方法，为人类的疾病，如肥胖、 炎症性肠病、 克罗恩病和结肠癌，往往导致严重的短肠综合征样不良反应包括胆汁酸腹泻脱水、 电解质紊乱、 营养吸收不良。在这里我们介绍一种小鼠回肠切除模型，称为回肠，评价组织通信和系统稳态的维持。回肠切除术后血液循环是永久没有回肠特定内分泌激素成纤维细胞生长因子 15 (FGF15)，释放出肝脏的胆汁酸合成及其内分泌抑制。与增加的生产和胆汁酸后删除回肠的废除的吸收相结合，接受手术的老鼠患胆盐积滞在肠和相关性的腹泻、 发病率和死亡率。小说使用的这项研究中引入的手术模型可能洞察机械和功能回肠控制的系统性代谢调控的生理和疾病。

回肠的程序如图 1所示。第一步包括制备小鼠腹部皮肤，使腹部的切口，并利用牵开器充分暴露肠 (图 1A C)。接下来，鼠标盲肠是位于 (图 1D);给出了它的大小和形状使其很容易辨认的一个里程碑。盲肠、 回肠与远端空肠的一部分被曝光并移除从腹腔内 (图 1D)。一旦确定切除回肠段，肠系膜上动脉供应血液到部分结扎和回肠段的颜色迅速改变到深紫色 (图 1E-F)，其余各肠保持一个正常的粉红色。整个的缺血性回肠段完全切除紧接着的洗伤口结束与 0.9%的生理盐水 (图 1G)。回肠两端然后被缝合在一起的三步缝合过程 (图 1H-J)。在图 1K-L，吻合口肠被返回到原始的解剖位置在腹腔和锐裂的肌肉和皮肤层被缝合在一起。
由肝脏产生的胆汁酸酶是由胆固醇合成和肝肠系统中的文件分发。他们是主要由远端回肠吸收，然后回到通过肝门静脉肝。图 2A中，总结了胆汁酸在肝脏的肝细胞和回肠肠上的皮之间的循环。在回肠，胆汁酸是通过顶端钠依赖胆汁酸转运蛋白 (ASBT) 一边管腔的上皮肠吸收和转移由回肠胆汁酸结合蛋白 （肝肠） 到基底外侧膜的外排入血液通过有机溶质转运蛋白 (OST)。在肠，胆汁酸还激活 FXR 诱导回肠特定激素 FGF15，这是胆汁酸合成特别由降糖内分泌抑制肝 CYP7A1，胆汁酸合成中的初始和速率限制酶肝脏的细胞。然而， Fgf15被压抑的回肠 KLF158。我们实时定量聚合酶链反应 (RT-qPCR) 分析检测到丰富的Fgf15、 Asbt、肝肠和Ostβ mRNA 表达的回肠和少以极低的在空肠和休息中的表达(图 2B 2E) 的肠壁。然而，性腺瘤性息肉病大肠杆菌 (Apc) mRNA 水平 （阴性对照） 仍可比整个小肠 (图 2F)。
这些数据与以前的研究15一致并且进一步支持肠道重吸收的胆汁酸主要见于回肠。这些数据表明胆汁对养分消化和乳化的高效吸收的脂溶性营养素在近端小肠，生物适合的十二指肠和空肠的主要消化和吸收作用至关重要.抵达后在远端小肠，胆汁已完成其消化功能，并可再吸收回肠代回到肝脏并保持肝肠循环的一部分。胆汁的重吸收也允许执行其信号转导功能之一通过刺激回肠生产辅助信号分子 FGF15，它旅行到肝脏的抑制胆汁酸合成的胆汁酸。在我们先前研究中，我们经回肠8~ 90%手术切除回肠的 KLF15-Fgf15轴对肝胆汁酸合成的调节作用。肝脏的胆汁酸合成失控抑制由 FGF15 后关键机械拆除的回肠，也在肠道内会导致胆汁酸吸收不良。因此，大量的胆汁被 overaccumulated 在肠道内会造成严重的不利影响，包括腹泻、 胆汁淤积和损失的胃肠活动。为了评估的切除程度影响并确定安全回肠模型，我们用 C57BL6/J 小鼠来执行 0%(sham)、 50%和 90%的回肠切除。后 24h，肠道形态学表现特征的梯度变化 (图 3A 3D)。在假手术肠是正常和非手术小鼠相媲美。删除 50%的回肠造成一些胆汁积累、 增加肠道大小和扩张术后的一天。然而，切除 90%的鼠标展出增加的胆汁积滞，增加肠道的大小和严重扩张。为了评估回肠切除致胆汁积滞在肠道内，收集了从术后消化道内部流体。流体卷展出从 0%到 90%(图 4A) 小鼠回肠梯度增强。GI 重量与体重的比例明显增高只是在 90%回肠切除小鼠 (图 4B)。GI 流体收集从术后消化道和 GI 流体的重量，以地理标志权道重量比表明，由于切除 （图 4C和4 D） 梯度增加。最后，胆汁酸测定证实胆汁酸的量在增加回肠切除 (图 4E) 上清液随中检测到。集体，结果表明，50%回肠切除是相对温和的不良作用，如轻度胆汁酸积累在肠道更适用于小鼠回肠。
<img alt="Figure 1" class="xfigimg" src="/files/ftp_upload/55728/55728fig1.jpg"> 
图 1:回肠手术。(A) 保持身体温度使用温度控制的小动物外科表。(B) 盖无菌纱布后腹部皮肤准备的手术区域。(C) 暴露小肠中线腹部切口。(D) 盲肠 （由白色虚线突出显示） 是一种显著的定位回肠。暴露的回肠 （黄色虚线） 和肠系膜上动脉分支 （黄色箭头）。(E) 结扎肠系膜上动脉，其中供应血液到回肠的分支。结扎网站由黄色箭头表示。回肠的颜色更改为暗紫色或黑色动脉结扎后。缺血性段强调了黄色虚线。(F) 虚线的线指示心肌缺血再灌流通常回肠; 的分界箭头指示缺血区的回肠。(G) 剪切和删除回肠的缺血性部分和用 0.9%的生理盐水冲洗结束 （黄色虚线）。黄色箭头指示肠系膜的双方。(> H） 一起缝合回肠末端和保持对齐的肠系膜。第一次的缝合线上肠系膜一边由黄色箭头表示。(我) 缝合侧的回肠 （黄色箭头）。(J) 缝合回肠末端完全一起加入回肠的上部和下部边。缝合线由黄色箭头表示。(K) 返回盲肠和小肠入腹腔。吻合口地区突出了黄色虚线圆圈。粉红色的颜色指示没有缺血的吻合地区。(L) 关闭腹部肌肉层的切口和缝合皮肤切口。<a href="//ecsource-jove-com.bdigitaluss.remotexs.co/files/ftp_upload/55728/55728fig1large.jpg" target="_blank">请点击这里查看此图的大版本。</a>
<img alt="Figure 2" class="xfigimg" src="/files/ftp_upload/55728/55728fig2.jpg"> 
图 2: 在肝细胞和重吸收由回肠肠上皮中的胆汁酸合成。(A) 示意图图片的胆汁酸在肝脏中的合成，主要是在回肠和返回到肝脏肝门静脉的重吸收。通过一系列的酶在肝细胞中包括初次和速率限制细胞色素 P450 酶 CYP7A1 由胆固醇合成胆汁酸。大多数的胆汁酸被再吸收通过转运蛋白 ASBT 在回肠肠上皮的腔面上。吸收的胆汁酸肝肠和 effluxed 相连成门静脉通过基底外侧的运输船 OST 回到肝脏。内肠，胆汁酸还激活核激素受体 FXR 诱导回肠特定激素 FGF15，一种鲁棒的内分泌抑制剂肝胆汁酸合成。相比之下，回肠 KLF15 抑制 FGF15 的表达。(B-F)Fgf15、 Asbt、肝肠， Ostβ和Apc mRNA 在整个小肠从近端到远端的部分，其中包括十二指肠 (D)、 (J) 空肠、 回肠 (I)，结肠 (C) 的相对表达 (n = 5)。误差线 ± 海峡 * P &#60; 0.05 与十二指肠由学生t-检验。<a href="//ecsource-jove-com.bdigitaluss.remotexs.co/files/ftp_upload/55728/55728fig2large.jpg" target="_blank">请点击这里查看此图的大版本。</a>
<img alt="Figure 3" class="xfigimg" src="/files/ftp_upload/55728/55728fig3.jpg"> 
图 3:梯度切除回肠和肠道内的胆汁淤积症。(A) 小鼠小肠展品没有扩张后假手术。内部内容显示消化道食糜。(B) 50%回肠切除后小肠显示显著的胆汁淤积症的适度扩张。(C) 90%回肠切除后小肠显示大量的胆汁积累和过度扩张。(D) 胃肠道 （从直肠胃） 是从小鼠中分离与假手术 （左）、 50%回肠切除 （中间） 和 90%回肠切除 （右）。<a href="//ecsource-jove-com.bdigitaluss.remotexs.co/files/ftp_upload/55728/55728fig3large.jpg" target="_blank">请点击这里查看此图的大版本。</a>
<img alt="Figure 4" class="xfigimg" src="/files/ftp_upload/55728/55728fig4.jpg"> 
图 4:引起回肠胆汁积滞。(A) 内部流体从小鼠肠道 24h 后深水、 50%和 90%的回肠。(B) 的比率 GI 重量与体重在深水、 50%和 90%的回肠手术 (n = 5)。(C) 胃肠液卷。(D) 的胃肠液比例重量与 GI 权重。(E) 总胆汁酸液中收集从肠道后深水、 50%和 90%的回肠 (n = 5)。GI: 胃肠道，GIW: 胃肠的重量，BW: 体重。误差线 ± 海峡 * P &#60; 与深水，# P 0.05 &#60; 0.05 与 50%回肠的单向方差分析。<a href="//ecsource-jove-com.bdigitaluss.remotexs.co/files/ftp_upload/55728/55728fig4large.jpg" target="_blank">请点击这里查看此图的大版本。</a>

Watch this Scientific Journal Video about Ileectomy-induced Bile Overaccumulation in Mouse Intestine at JoVE.com

Ileectomy-induced Bile Overaccumulation in Mouse Intestine

小肠依赖胆汁酸的重吸收和反馈抑制肝胆汁酸合成系统稳态和健康至关重要。在此研究中，我们描述为回肠切除回肠致胆汁吸收不良，积滞，和毒性小鼠肠道中的小鼠模型。

回肠致胆汁积滞在小鼠肠道中

Intestinal resection is a common therapeutic approach for human diseases such as obesity, inflammatory bowel disease, Crohn's disease, and colon cancer ...

ileectomy-induced-bile-overaccumulation-in-mouse-intestine

Universidad San Sebastian

Research

JoVE Journal

Medicine

9.4K 次观看.  Case Western Reserve University. 小肠依赖胆汁酸的重吸收和反馈抑制肝胆汁酸合成系统稳态和健康至关重要。在此研究中，我们描述为回肠切除回肠致胆汁吸收不良，积滞，和毒性小鼠肠道中的小鼠模型。

视频: Ileectomy-induced Bile Overaccumulation in Mouse Intestine

Determining Bile Duct Density in the Mouse Liver

Mouse is broadly used as a model organism to study biliary diseases. To evaluate the development and function of the biliary system, various techniques are used, including serum chemistry, histological analysis, and immunostaining for specific markers. Although these techniques can provide important information about the biliary system, they often do not present a full picture of bile duct (BD) developmental defects across the whole liver. This is in part due to the robust ability of the mouse liver to drain the bile even in animals with significant impairment in biliary development. Here we present a simple method to calculate the average number of BDs associated with each portal vein (PV) in sections covering all lobes of mutant/transgenic mice. In this method, livers are mounted and sectioned in a stereotypic manner to facilitate comparison among various genotypes and experimental conditions. BDs are identified via light microscopy of cytokeratin-stained cholangiocytes, and then counted and divided by the total number of PVs present in liver section. As an example, we show how this method can clearly distinguish between wild-type mice and a mouse model of Alagille syndrome. The method presented here cannot substitute for techniques that visualize the three-dimensional structure of the biliary tree. However, it offers an easy and direct way to quantitatively assess BD development and the degree of ductular reaction formation in mice.

We present a rather simple and sensitive method for accurate quantification of bile duct density in the mouse liver. This method can aid in determining the effects of genetic and environmental modifiers and the effectiveness of potential therapies in mouse models of biliary diseases.

确定小鼠肝脏中的胆汁密度

Mouse is broadly used as a model organism to study biliary diseases. To evaluate the development and function of the biliary system, various techniques ...

科研

发育生物学

Murine Ileocolic Bowel Resection with Primary Anastomosis

Intestinal resections are frequently required for treatment of diseases involving the gastrointestinal tract, with Crohn&#8217;s disease and colon cancer being two common examples. Despite the frequency of these procedures, a significant knowledge gap remains in describing the inherent effects of intestinal resection on host physiology and disease pathophysiology. This article provides detailed instructions for an ileocolic resection with primary end-to-end anastomosis in mice, as well as essential aspects of peri-operative care to maximize post-operative success. When followed closely, this procedure yields a 95% long-term survival rate, no failure to thrive, and minimizes post-operative complications of bowel obstruction and anastomotic leak. The technical challenges of performing the procedure in mice are a barrier to its wide spread use in research. The skills described in this article can be acquired without previous surgical experience. Once mastered, the murine ileocolic resection procedure will provide a reproducible tool for studying the effects of intestinal resection in models of human disease.

Ileocolic resection is commonly performed in several human diseases; however, little is known regarding the impact of intestinal resection on surgical illnesses. This article provides instruction on executing the procedure in mice with high success, providing a means to study the effects of ileocolic resection in models of disease.

鼠回结肠肠管切除原发性吻合

Intestinal resections are frequently required for treatment of diseases involving the gastrointestinal tract, with Crohn&#8217;s disease and colon cancer ...

医学

Bile Duct Ligation in Mice: Induction of Inflammatory Liver Injury and Fibrosis by Obstructive Cholestasis

In most vertebrates, the liver produces bile that is necessary to emulsify absorbed fats and enable the digestion of lipids in the small intestine as well as to excrete bilirubin and other metabolic products. In the liver, the experimental obstruction of the extrahepatic biliary system initiates a complex cascade of pathological events that leads to cholestasis and inflammation resulting in a strong fibrotic reaction originating from the periportal fields. Therefore, surgical ligation of the common bile duct has become the most commonly used model to induce obstructive cholestatic injury in rodents and to study the molecular and cellular events that underlie these pathophysiological mechanisms induced by inappropriate bile flow. In recent years, different surgical techniques have been described that either allow reconnection or reanastomosis after bile duct ligation (BDL), e.g., partial BDL, or other microsurgical methods for specific research questions. However, the most frequently used model is the complete obstruction of the common bile duct that induces a strong fibrotic response after 21 to 28 days. The mortality rate can be high due to infectious complications or technical inaccuracies. Here we provide a detailed surgical procedure for the BDL model in mice that induce a highly reproducible fibrotic response in accordance to the 3R rule for animal welfare postulated by Russel and Burch in 1959.

Disruption of bile flow results in severe inflammatory cholestatic liver injury with a characteristic time-dependent sequence of morphological alterations. Here we present a protocol for the surgical ligation of the common bile duct in mice that allows to induce a strong fibrotic response after 21 to 28 days.

胆管结扎小鼠:感应炎性肝损伤和纤维化的阻塞性胆汁淤积

In most vertebrates, the liver produces bile that is necessary to emulsify absorbed fats and enable the digestion of lipids in the small intestine as well ...

Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice

Diversion colitis (DC) is a frequent clinical condition occurring in patients with bowel segments excluded from the fecal stream as a result of a diverting enterostomy. The etiology of this disease remains ill-defined but appears to differ from that of classical inflammatory bowel diseases such as Crohn's disease and ulcerative colitis. Research aimed to decipher the pathophysiological mechanisms leading to the development of this disease has been severely hampered by the lack of an appropriate murine model. This protocol generates a murine model of DC that facilitates the study of the immune system's role and its interaction with the microbiome in the development of DC. In this model using C57BL/6 animals, distal parts of the colon are excluded from the fecal stream by creating a distal colostomy, triggering the development of mild to moderate inflammation in the excluded bowel segments and reproducing the hallmark lesions of human DC with a moderate systemic inflammatory response. In contrast to the rat model, a large number of genetically-modified murine models on the C57BL/6 background are available. The combination of these animals with our model allows the potential roles of individual cytokines, chemokines, or receptors of bioactive molecules (e.g., interleukin (IL)-17; IL-10, chemokine CXCL13, chemokine receptors CXCR5 and CCR7, and the sphingosine-1-phosphate receptor 4) to be assessed in the pathogenesis of DC. The availability of congenic mouse strains on the C57BL/6 background largely facilitates transfer experiments to establish the roles of distinct cell types involved in the etiology of DC. Finally, the model offers the opportunity to assess the influences of local interventions (e.g., modification of the local microbiome or local anti-inflammatory therapy) on mucosal immunity in affected and non-affected bowel segments and the on systemic immune homeostasis.

Murine distal colostomy provides a murine model for human diversion colitis, a predominantly lymphocytic colitis in colon segment excluded from the fecal stream.

小鼠远端结肠造口术, 一种新的 C57BL/6 老鼠转移性结肠炎模型

Diversion colitis (DC) is a frequent clinical condition occurring in patients with bowel segments excluded from the fecal stream as a result of a ...

Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch

The human appendix has been recently implicated to play important biological roles in the pathogenesis of various complex diseases, such as colorectal cancer, inflammatory bowel disease, and Parkinson&#8217;s disease. To study the function of the appendix, a gut disease-associated murine appendectomy model has been established and its step-by-step protocol is described here. This report introduces a facile protocol for caecal patch removal in mice followed by the chemical induction of chronic colitis-associated colorectal cancer using a combination of dextran sulfate sodium (DSS) and azoxymethane (AOM). IgA specific cells and IgA concentration were significantly reduced upon removal of the caecal patch in male C57BL/6 mice&#160;compared to those in the sham group. Simultaneously administering 2% DSS and AOM resulted in nearly 80% mice survival in both sham and appendectomy groups without significant body weight loss. Histological results confirmed colonic inflammation and different degrees of adenocarcinoma. This model can be used for the study of the functional role of the appendix in maintaining gut microbiota homeostasis and pathogenesis of gut colitis and malignancies, as well as for the potential development of drug targeting therapies.

The presented protocol describes a facile surgical removal of the appendix (caecal patch) in a mouse followed by the induction of inflammatory bowel disease-associated colorectal cancer. This murine appendectomy model enables investigation of the biological role of the appendix in the pathogenesis of human gastrointestinal disease.

慢性结肠炎相关结肠直肠癌的肿瘤切除术模型，通过卡卡贴片的精确定位

The human appendix has been recently implicated to play important biological roles in the pathogenesis of various complex diseases, such as colorectal ...

<meta charset="utf8"></head><body>通过肠道作研究术后肠梗阻的小鼠模型

Postoperative Ileus Murine Model

Most patients experience postoperative ileus (POI) after surgery, which is associated with increased morbidity, mortality, and hospitalization time. POI is a consequence of mechanical damage during surgery, resulting in disruption of motility in the gastrointestinal tract. The mechanisms of POI are related to aberrant neuronal sensitivity, impaired epithelial barrier function, and increased local inflammation. However, the details remain enigmatic. Therefore, experimental murine models are crucial for elucidating the pathophysiology and mechanism of POI injury and for the development of novel therapies.
Here, we introduce a murine model of POI generated via intestinal manipulation (IM) that is similar to clinical surgery; this is achieved by mechanical damage to the small intestine by massaging the abdomen 1-3 times with a cotton swab. IM delayed gastrointestinal transit 24 h after surgery, as assessed by FITC-dextran gavage and fluorescence detection of the segmental digestive tract. Moreover, tissue swelling of the submucosa and immune cell infiltration were investigated by hematoxylin and eosin staining and flow cytometry. Proper pressure of the IM and a hyperemic effect on the intestine are critical for the procedure. This murine model of POI can be utilized to study the mechanisms of intestinal damage and recovery after abdominal surgery.

<meta charset="utf8"></head><body>术后肠梗阻鼠模型

We describe a murine model of postoperative ileus generated via intestinal manipulation. Gastrointestinal transit function, pathologic changes, and immune cell activation were assessed 24 h after surgery.

术后肠梗阻鼠模型

Most patients experience postoperative ileus (POI) after surgery, which is associated with increased morbidity, mortality, and hospitalization time. POI ...

免疫与感染

Single-Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy Model in Mice

Obesity is a major health issue worldwide. As a response, bariatric surgeries have emerged to treat obesity and its related comorbidities (e.g., diabetes mellitus, dyslipidemia, non-alcoholic steatohepatitis, cardiovascular events, and cancers) through restrictive and malabsorptive mechanisms. Understanding the mechanisms by which these procedures allow such improvements often require their transposition into animals, especially in mice, because of the ease of generating genetically modified animals. Recently, the single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) has emerged as a procedure that uses both restrictive and malabsorptive effects, which is being used as an alternative to gastric bypass in case of major obesity. Thus far, this procedure has been associated with strong metabolic improvements, which has led to a marked increase in its use in daily clinical practice. However, the mechanisms underlying these metabolic effects have been poorly studied as a result of a lack of animal models. In this article, we present a reliable and reproducible model of SADI-S in mice, with a special focus on perioperative management. The description and use of this new rodent model will be helpful for the scientific community to better understand the molecular, metabolic, and structural changes induced by the SADI-S and to better define the surgical indications for clinical practice.

Single-anastomosis duodeno-ileal bypass (SADI-S) is an emerging bariatric procedure with important metabolic effects. In this article, we present a reliable and reproducible model of SADI-S in mice.

小鼠单吻合十二指肠回肠旁路与袖状胃切除术模型

Obesity is a major health issue worldwide. As a response, bariatric surgeries have emerged to treat obesity and its related comorbidities (e.g., diabetes ...

Partial Bile Duct Ligation in the Mouse: A Controlled Model of Localized Obstructive Cholestasis

In rodents, complete bile duct ligation (cBDL) of the common bile duct is an established surgical technique for studying obstructive cholestasis and bile duct proliferation. However, long-term experiments can lead to increased morbidity and mortality. In select mouse strains with underlying liver disease, meaningful comparisons can be made even with ligation of a single lobe of the liver, which can reduce animal losses and expenses. Here, we describe partial bile duct ligation (pBDL) in the mouse, in which only the left hepatic bile duct is ligated, causing biliary obstruction in the left lobe but not the remaining lobes. With careful microsurgical technique, pBDL experiments can be cost-effective, since the unligated lobe serves as an internal control to the ligated lobes, when subjected to the same conditions in the same animal. Unlike cBDL, a separate sham-operated control group is not necessary. pBDL is highly useful to directly compare localized versus systemic effects of cholestasis and other retained bile components. pBDL can also be repurposed as a novel method to investigate mechanisms related to medications and cell migration.

Here, we present partial bile duct ligation as a surgical model of liver injury and regeneration in rodents.

小鼠部分胆管结扎术: 局部梗阻性胆汁淤积症的对照模型

In rodents, complete bile duct ligation (cBDL) of the common bile duct is an established surgical technique for studying obstructive cholestasis and bile ...

回肠致胆汁积滞在小鼠肠道中

摘要

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此视频中的章节

确定小鼠肝脏中的胆汁密度

鼠回结肠肠管切除原发性吻合

胆管结扎小鼠:感应炎性肝损伤和纤维化的阻塞性胆汁淤积

小鼠远端结肠造口术, 一种新的 C57BL/6 老鼠转移性结肠炎模型

慢性结肠炎相关结肠直肠癌的肿瘤切除术模型，通过卡卡贴片的精确定位

术后肠梗阻鼠模型

术后肠梗阻鼠模型

术后肠梗阻鼠模型

小鼠单吻合十二指肠回肠旁路与袖状胃切除术模型

小鼠部分胆管结扎术: 局部梗阻性胆汁淤积症的对照模型