Kato Akira, Bamba Hiromi, Shinohara Masahiko, Yamauchi Atsushi, Ota Shinichi, Kawamoto Chiaki, Yoshida Yukio
First Department of Internal Medicine, Saitama Medical Center, Saitama 350-8550, Japan.
J Gastroenterol Hepatol. 2005 Aug;20(8):1198-205. doi: 10.1111/j.1440-1746.2005.03829.x.
The mechanisms responsible for impaired regenerative ability after hepatic resection observed in chronic liver disease are not fully understood. We have examined the relationships between an altered expression of cell cycle-related proteins in regenerating liver after partial hepatectomy and the impaired regenerative process observed in fibrotic and cirrhotic rats.
We performed 70% partial hepatectomy in both control and porcine serum-induced fibrotic rats, and 45% partial hepatectomy in thioacetamide-induced cirrhotic rats because of the high mortality associated with 70% partial hepatectomy. Liver regeneration was monitored by proliferating cell nuclear antigen labeling index and the expression of G1 regulatory cell cycle-related proteins was determined by immunoblot analysis.
Compared with controls, hepatocyte DNA synthesis, and induction of cyclin D1 and p21(CIP1) proteins were delayed but not suppressed in porcine serum-induced fibrotic rats and markedly inhibited in thioacetamide-induced cirrhotic rats. p27(KIP1) protein levels were unaffected by partial hepatectomy and did not differ among all three groups.
Two distinct rat models of liver fibrosis and cirrhosis showed markedly different proliferative responses after partial hepatectomy. The delay or failure of cyclin D1 induction, but not the increase of p21(CIP1) or p27(KIP1) might be responsible for their impaired liver regeneration.
慢性肝病肝切除术后再生能力受损的机制尚未完全明确。我们研究了部分肝切除术后再生肝中细胞周期相关蛋白表达改变与纤维化和肝硬化大鼠再生过程受损之间的关系。
我们对对照组和猪血清诱导的纤维化大鼠进行70%的部分肝切除术,对硫代乙酰胺诱导的肝硬化大鼠进行45%的部分肝切除术,因为70%的部分肝切除术死亡率较高。通过增殖细胞核抗原标记指数监测肝再生,并通过免疫印迹分析确定G1期调节细胞周期相关蛋白的表达。
与对照组相比,猪血清诱导的纤维化大鼠肝细胞DNA合成以及细胞周期蛋白D1和p21(CIP1)蛋白的诱导延迟但未受抑制,而硫代乙酰胺诱导的肝硬化大鼠则明显受到抑制。p27(KIP1)蛋白水平不受部分肝切除术的影响,且在所有三组中无差异。
两种不同的肝纤维化和肝硬化大鼠模型在部分肝切除术后表现出明显不同的增殖反应。细胞周期蛋白D1诱导的延迟或失败,而非p21(CIP1)或p27(KIP1)的增加,可能是其肝再生受损的原因。