Zhang Biao, Inagaki Mitsuhiro, Jiang Bojian, Miyakoshi Masaaki, Arikura Jun, Ogawa Katsuhiro, Kasai Shinichi
Department of Surgery, Asahikawa Medical College, Japan.
J Surg Res. 2009 Nov;157(1):71-80. doi: 10.1016/j.jss.2008.12.013. Epub 2009 Jan 6.
The therapeutic effects of bone marrow and hepatocyte transplantation were investigated regarding the treatment of retrorsine-partial hepatectomy-induced liver injury.
Analbuminemic F344alb rats were given two doses of retrorsine 2 wk apart, followed 4 wk later by transplantation with F344 rat bone marrow cells or hepatocytes immediately after a two-thirds hepatectomy. The survival rate, liver regeneration rate, liver functions, albumin-positive hepatocytes, and normal albumin gene sequences in the liver and serum albumin levels were investigated in the recipients.
Although 65% retrorsine/partial hepatectomy-treated F344alb died between 1 and 11 d after the partial hepatectomy, only 27.5% of the animals died following bone marrow transplantation, and 50% with hepatocyte transplantation. Both bone marrow and hepatocyte transplantation ameliorated acute liver injury after a partial hepatectomy. Bone marrow transplantation yielded a very small increase in the number of albumin-positive hepatocytes in the liver, while hepatocyte transplantation resulted in massive replacement of the liver tissues by the donor hepatocytes associated with an elevation of serum albumin after an extended time.
Both bone marrow and hepatocyte transplantation could prevent acute hepatic injury, conceivably due to a paracrine mechanism.
研究了骨髓移植和肝细胞移植对反转录酶抑制剂诱导的部分肝切除所致肝损伤的治疗效果。
给无白蛋白血症的F344alb大鼠间隔2周注射两剂反转录酶抑制剂,4周后在三分之二肝切除术后立即移植F344大鼠骨髓细胞或肝细胞。观察受体的生存率、肝再生率、肝功能、白蛋白阳性肝细胞、肝脏中正常白蛋白基因序列以及血清白蛋白水平。
尽管65%接受反转录酶抑制剂/部分肝切除术治疗的F344alb大鼠在部分肝切除术后1至11天死亡,但骨髓移植后仅27.5%的动物死亡,肝细胞移植后50%的动物死亡。骨髓移植和肝细胞移植均改善了部分肝切除术后的急性肝损伤。骨髓移植使肝脏中白蛋白阳性肝细胞数量略有增加,而肝细胞移植导致供体肝细胞大量替代肝组织,并在较长时间后血清白蛋白升高。
骨髓移植和肝细胞移植均可预防急性肝损伤,可能是通过旁分泌机制实现的。