[Pathogenetic mechanisms of bacterial cholangitis in mechanical jaundice (experimental histological study)]

A A Tret'iakov1, A A Stadnikov, N I Slepykh

  • 1Department of Surgery, Department of Histology, Cytology and Embryology, Orenburg State Medical Academy.

Insights

In rats with jaundice, E. coli aggravated liver inflammation and tissue damage, while B. subtilis did not. This highlights how specific gut bacteria impact liver health during cholestasis.

Area of Science:

  • Microbiology
  • Gastroenterology
  • Pathology

Background:

  • Mechanical jaundice can alter the gut microbiome and increase infection risk.
  • The translocation of gut bacteria to internal organs is a concern in cholestasis.
  • Understanding bacterial interactions with liver tissue is crucial for managing complications.

Purpose of the Study:

  • To investigate the dissemination routes and tissue interactions of E. coli and B. subtilis in rats with experimentally induced mechanical jaundice.
  • To assess the impact of these bacteria on liver tissue during cholestasis and after biliary decompression.

Main Methods:

  • Experimentally induced mechanical jaundice in 89 rats.
  • Intragastric administration of E. coli and B. subtilis.
  • Tracking microbial dissemination using 3H-thymidine labeling.
  • Histopathological examination of liver tissue.

Main Results:

  • Viable bacteria translocated from the alimentary tract to peritoneal organs via blood and lymph flow in jaundiced rats.
  • Escherichia coli exacerbated inflammatory and necrobiotic processes in the liver.
  • Bacillus subtilis did not induce inflammatory or pathological changes in liver tissue.

Conclusions:

  • Mechanical jaundice facilitates bacterial translocation from the gut to internal organs.
  • E. coli acts as an endogenous agent that worsens liver injury in cholestasis.
  • B. subtilis appears to be non-pathogenic to liver tissue in this model.

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