Polak W, Szyber P, Patrzałek D, Chudoba P
Katedry i Kliniki Chirurgii Naczyniowej Akademii Medycznej we Wrocławiu.
Pol Merkur Lekarski. 1999 Feb;6(32):70-2.
The aim of this study was to assess the influence of selected immunosuppressants on liver regeneration. In fifty experiments were performed on fifty male Buffalo strain rats, 12 weeks old and weighing between 206 and 266 grams. Partial hepatectomy (2/3) was carried out under ether anaesthesia. Rats were randomly assigned to one of six groups (10 rats per group) and treated orally as follows: group 1--without immunosuppressant (control group), group 2--ciclosporin A (CyA) 10 mg/kg/day, group 3--azathioprine (Aza) 3 mg/kg/day, group 4--tacrolimus (Tac) 0.1 mg/kg/day and group 5--prednisolone (Pred) 1 mg/kg/day. After 42 days observation all rats were killed. Resected liver tissue was weighed at the day of operation and also the remnant liver was weighed after sacrification of the animal. The regenerative rate was obtained by dividing the wet weight of the remaining liver by the estimated preoperative weight of the whole liver and multiplying by 100. Regenerative rate of liver tissue was significantly higher in rats treated with CyA and Tac and significantly lower in rats treated with Pred. There were no significant differences between control group and rats treated with Aza. This study has shown that among immunosupressant used in experiment only CyA and Tac stimulated liver regeneration after partial hepatectomy. On the other hand only Pred inhibited liver regeneration, whereas Aza had no influence on liver restoration.
本研究的目的是评估所选免疫抑制剂对肝脏再生的影响。对50只12周龄、体重在206至266克之间的雄性布法罗品系大鼠进行了50次实验。在乙醚麻醉下进行部分肝切除术(2/3)。将大鼠随机分为六组(每组10只),并按以下方式口服给药:第1组——不使用免疫抑制剂(对照组),第2组——环孢素A(CyA)10毫克/千克/天,第3组——硫唑嘌呤(Aza)3毫克/千克/天,第4组——他克莫司(Tac)0.1毫克/千克/天,第5组——泼尼松龙(Pred)1毫克/千克/天。观察42天后,处死所有大鼠。在手术当天称取切除的肝脏组织重量,在动物处死后也称取剩余肝脏的重量。再生率通过将剩余肝脏的湿重除以估计的术前全肝重量并乘以100得出。用CyA和Tac治疗的大鼠肝脏组织再生率显著更高,用Pred治疗的大鼠肝脏组织再生率显著更低。对照组和用Aza治疗的大鼠之间没有显著差异。本研究表明,在实验中使用的免疫抑制剂中,只有CyA和Tac在部分肝切除术后刺激了肝脏再生。另一方面,只有Pred抑制了肝脏再生,而Aza对肝脏恢复没有影响。