Department of Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan.
J Surg Res. 2013 Mar;180(1):62-72. doi: 10.1016/j.jss.2012.11.030. Epub 2012 Dec 5.
Platelets contain several growth factors, including vascular endothelial growth factor (VEGF) and insulin-like growth factor. We examined the role of human platelets in liver regeneration with a focus on Kupffer cells (KCs).
Severe combined immunodeficiency mice were subjected to 70% hepatectomy and phosphate-buffered saline administration (PBS); 70% hepatectomy and human platelet transfusion (hPLT); 70% hepatectomy, KC depletion, and PBS administration (KD + PBS); 70% hepatectomy, KC depletion, and human platelet transfusion (KD + hPLT); or a sham operation and human platelet transfusion (sham). The groups were evaluated for liver regeneration, accumulation and activation of human platelets in the liver, and/or co-localization of platelets and KCs.
The liver-to-body weight ratio was significantly higher 48 h post-transfusion in the hPLT group compared with the PBS, KD + PBS, and KD + hPLT groups. Human VEGF concentrations were higher in liver tissues from the hPLT group, whereas VEGF was not detected in the other groups. Hepatic levels of KC-derived cytokines were elevated in the hPLT group compared with the PBS group. Molecules in signaling cascades downstream of these cytokines were phosphorylated earlier and more robustly in the hPLT group than in the PBS group. Activated human platelets accumulated in livers in the hPLT group, whereas fewer platelets accumulated and many were not activated in the sham and KD + hPLT groups. In the hPLT group, most human platelets were attached to KCs.
Human platelet transfusion promoted liver regeneration in severe combined immunodeficiency mice. Together, human platelets and KCs resulted in growth factor release and enhanced liver regeneration.
血小板含有多种生长因子,包括血管内皮生长因子(VEGF)和胰岛素样生长因子。我们研究了血小板在肝再生中的作用,重点关注枯否细胞(KCs)。
严重联合免疫缺陷小鼠接受 70%肝切除术和磷酸盐缓冲盐水(PBS)给药(PBS 组);70%肝切除术和人血小板输注(hPLT 组);70%肝切除术、KC 耗竭和 PBS 给药(KD+PBS 组);70%肝切除术、KC 耗竭和人血小板输注(KD+hPLT 组);或假手术和人血小板输注(sham 组)。评估各组的肝再生、人血小板在肝脏中的积累和激活情况,以及/或血小板和 KCs 的共定位。
hPLT 组在输注后 48 小时肝脏/体重比显著高于 PBS、KD+PBS 和 KD+hPLT 组。hPLT 组肝组织中 VEGF 浓度较高,而其他组未检测到 VEGF。hPLT 组肝组织中 KC 衍生细胞因子水平升高,高于 PBS 组。与 PBS 组相比,hPLT 组这些细胞因子下游信号通路中的分子更早且更强烈地磷酸化。在 hPLT 组,激活的人血小板在肝脏中积聚,而在 sham 和 KD+hPLT 组,血小板积聚较少且许多未被激活。在 hPLT 组,大多数人血小板附着在 KCs 上。
人血小板输注促进严重联合免疫缺陷小鼠的肝再生。人血小板和 KCs 共同导致生长因子释放并增强肝再生。