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研究生:黃敬堯
研究生(外文):Ching-Yao Huang
論文名稱:山羊之山黃麻植物中毒
論文名稱(外文):Trema Orientalis Intoxication in Goats
指導教授:鄭謙仁龐飛龐飛引用關係
指導教授(外文):Chian-Ren Jeng, D.V.M., Ph. DVictor Fei Pang, D.V.M., Ph. D
學位類別:碩士
校院名稱:國立臺灣大學
系所名稱:獸醫學研究所
學門:獸醫學門
學類:獸醫學類
論文種類:學術論文
論文出版年:2001
畢業學年度:89
語文別:中文
論文頁數:101
中文關鍵詞:山黃麻植物中毒山羊肝小葉中心區壞死毛狀粒線體
外文關鍵詞:Trema Orientalisplant poisoninggoatcentrilobular necrosisflocculent mitochondria
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山黃麻(Trema orientalis)為落葉喬木,屬於榆科及山黃麻屬,為食用及藥用植物。近年本省東部曾有疑似山羊攝食山黃麻等植物之中毒病例,此和澳洲地區許多草食動物因誤食榆科植物Trema aspera的中毒報告在病灶上有些異同之處。為了解本省山黃麻於山羊的中毒表現,我們以人工餵養山羊不同劑量的本省山黃麻樹葉,以臨床觀察、血液學、血清生化學及病理學等項目進行急性中毒與低劑量長期攻毒的研究。實驗結果顯示,山羊攝食10g/kgBW/day以上劑量的山黃麻樹葉後臨床上會出現精神抑鬱、活動力降低等,並於出現症狀後一至二天內死亡,而攻毒劑量在4g/kgBW/day以下時並不引起明顯的臨床症狀。於血清生化學表現,攻毒組之山羊其Gamma glutamytransferase(GGT)值的提昇與臨床表現及肝臟病變有相關性。血液學檢查方面,於急性攻毒組山羊(攻毒劑量達4g/kgBW/day以上)之白血球、紅血球、血紅素與血容比值皆出現不等程度的提昇。在肉眼病變上,攻毒組羊隻之肝臟較為腫脹,同時色澤偏黃,偶見數個出血斑或大區域的出血灶。組織病理學主要是肝臟的病變,可見高劑量攻毒組(10g/kgBW/day)之自然死亡山羊有不同程度之中央靜脈區為主的肝小葉大區域壞死,其特徵包括急性肝細胞溶解、壞死、肝細胞核濃縮、破裂、和壞死區出現四散的均質粉紅色細胞碎片,及殘存的細胞有脂肪變性等。中(4g/kgBW/day)、低劑量(1g/kgBW/day)之攻毒組山羊並無自然死亡,只有輕微的肝小葉中心區細胞壞死病變。在低劑量長期攻毒組(50g/goat/day)山羊之肝臟病變則為肝細胞腫脹及零星的肝細胞變性壞死。肝臟組織以PAS染色顯示中毒山羊的肝醣儲存量嚴重減少。在電子顯微鏡觀察下,攻毒之撒能羊於肝細胞傷害為脂肪滴(lipid droplets)聚集、類髓鞘體之膜狀構造(myelinoid bodies)、溶素體(lysosome)與殘餘體(residual bodies)及杯狀粒線體(cup-shaped mitochondria)及毛狀粒線體(mitochondria flocculation)的出現為主,而以相同劑量攻毒之臺灣山羊則無明顯異樣出現。由以上結果得知本省山黃麻會引起山羊的中毒,主要致害器官為肝臟,在短時間內攝食10g/kgBW/day以上的山黃麻葉可引起肝小葉中心區壞死的急性中毒病變,但在長期低劑量攻毒下並無明顯異樣,顯示山黃麻中毒在山羊可能不具累積性。由肝臟電子顯微鏡觀察,我們推測山黃麻中毒最後造成粒線體傷害,致產生能量代謝障礙之不可逆反應導致肝細胞死亡。另外,本土臺灣山羊雖在急性高劑量攻毒下亦無顯著之肝臟病變產生,此品系之山羊可能對於山黃麻中毒具有高耐受性。

Trema orientalis is a deciduous tree belonging to the family of Ulmaceae. The plant is edible and medicinal however, suspected cases of Trema orientalis intoxication in goats have been reported in eastern Taiwan recently. The lesions were somewhat similar to those caused by Trema aspera, the other plant of Ulmaceae, well known for its hepatotoxicity in herbivores in Australia. In order to clarify the possible toxicity of Trema orientalis in goats, a series of examination including clinical signs, hematology, blood chemistries, and pathology were performed in both short and long-term feeding studies. There were severe depression, anorexia, and weight loss in the goat fed leaves of Trema orientalis of a dose of 10g/kgBW/day or higher. The animals were dead one or two days after present with clinical signs. There were no significant clinical signs in the goat fed with 4g/kgBW/day or lower level of leaf. The increased serum level of gamma glutamytransferase (GGT) were correlated with the appearance of clinical signs and histopathological changes. Changes in hematological profiles did not correspond very well with injury of Trema orientalis. Grossly, swelling and yellow discoloration of the liver were the most significant lesions in the goat dying spontaneously after feeding Trema orientalis. Occasionally, petechia and ecchymosis presented in the liver of some of the goat. Histopthologically, there were multifocal lobular necroses in the liver featured with acute hepatocellular lysis, pyknosis and karyohexis in necrotic cells, presence of homogenous eosinophilic debris, and fatty change in the remaining viable cells. The extensiveness of hepatic lesions were in parallel with the amount of leaves consumped. In higher dose, the lesions were more extensive and only hepatocytes in the periportal area were spared. In the lower dose, the lesions more localized in the centrilobular area. Only individual cell necrosis and degeneration were found in the long-term study (50g/goat/day). Ultrastructurally, there were varied changes in the hepatocytes, which included lipid droplets, formation of myelinoid body, lysosomes and residual bodies, cup-shaped mitochondria, and flocculent densities in mitochondria. The study demonstrated that T. orientalis is indeed poisonous to goats with liver as the major target organ. The animal may suffer from acute liver damage and die soon after feeding with large amounts of leaves (10g/kgBW/day). However, the toxic effect of T. orientalis seems not accumulative since no significant hepatocellular injury was revealed functionally and morphologically following consumption of a low level of leaves at 50g/goat/day for a long period of time. The study suggests the hepatocellular injury caused by T. orientalis may be secondary to damage of mitochondria that may subsequently cause irreversible disturbance of energy metabolism and lead to hepatocellular necrosis. An incidental finding in this study was that native Taiwanese goat appeared to be insusceptible to T. orientalis because no functional or morphological hepatic injury was revealed even at a dose of 20g leaves/kgBW/day.

中文摘要 ---------------------------------------------I
英文摘要 ---------------------------------------------III
目錄 -------------------------------------------------V
表次 -------------------------------------------------VII
圖次 -------------------------------------------------VIII
第一章 緒言 -----------------------------------------1
第二章 文獻探討 -------------------------------------3
第一節 常見有毒植物之有毒成分種類及其作用機制介紹3
一、生物鹼(Alkaloids)-----------------------3
二、配醣體(Glycosides)---------------------7
三、倍半帖(Sesquiterpene)-------------------10
四、三帖類(Triterpenoid)--------------------10
五、微囊藻毒(Microcystins)------------------12
六、其它類 -----------------------------------14
第二節 山黃麻的介紹 -----------------------------15
一、山黃麻(Trema orientalis)的分類學、形態 ---------15
二、山黃麻的地理分佈與用途 -------------------16
三、澳洲山黃麻屬植物(Trema aspra)的致害及已知成分的
研究 -------------------------------------------------17
四、其它山黃麻屬(Trema)及榆科(Ulmaceae)相關植物
的用途與已知成分等研究 -------------------------------18
第三節 臺灣植物中毒病例於經濟動物的研究現況 -----19
第三章 實驗設計與材料方法 ---------------------------22
第一節 實驗設計 ---------------------------------22
第二節 材料 -------------------------------------23
一、實驗動物 ---------------------------------23
二、植物採集與鑑定 ---------------------------23
三、儀器設備與一般器材 -----------------------23
四、電子顯微鏡觀察所需藥品 -------------------24
第三節 方法 -------------------------------------25
一、動物觀察與記錄 ---------------------------25
二、血液化學檢查 -----------------------------26
三、血液學檢查 -------------------------------26
四、自然死亡與安樂死羊隻的處理 ---------------27
第四章 結果 -----------------------------------------29
第一節 採食量及臨床表現 -------------------------29
第二節 增重效率 ---------------------------------30
第三節 體溫變化 ---------------------------------31
第四節 血液化學檢查 -----------------------------31
第五節 血液學檢查 -------------------------------34
第六節 病理學檢查 -------------------------------35
第七節 組織病理學檢查 ---------------------------36
第八節 穿透式電子顯微鏡觀察 ---------------------38
第九節 瘤胃酸鹼度檢測 ---------------------------40
第十節 尿液檢測 ---------------------------------40
第五章 討論 -----------------------------------------42
第六章 結論 -----------------------------------------57
第七章 參考文獻 -------------------------------------88
附錄:嘗試萃取山黃麻毒素 -----------------------------89

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