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低强度激光照射增强大鼠 HGF/Met 轴和 Akt、Erk 通路后可改善部分肝切除术后的肝再生。

Liver regeneration following partial hepatectomy is improved by enhancing the HGF/Met axis and Akt and Erk pathways after low-power laser irradiation in rats.

机构信息

Department of Internal Medicine, State University of Campinas, 13081-970, Campinas, São Paulo, Brazil.

出版信息

Lasers Med Sci. 2013 Nov;28(6):1511-7. doi: 10.1007/s10103-013-1264-y. Epub 2013 Jan 20.

Abstract

A simple, easy, and safe procedure aiming to improve liver regeneration could be of great clinical benefit in critical situations such as major hepatectomy, trauma, or hemorrhage. Low-power laser irradiation (LPLI) has come into a wide range of use in clinical practice by inducing regeneration in healthy and injured tissues. However, the effect of LPLI on the process of liver regeneration, especially those related to the molecular mechanisms, is not fully understood. Thus, the aim of the present study was to investigate the main molecular mechanisms involved in liver regeneration of partially hepatectomized rats exposed to LPLI. We used Wistar male rats, which had their remaining liver irradiated or not with LPLI (wavelength of 632.8 nm and fluence of 65 mW/cm(2)) for 15 min after a 70% hepatectomy. We subsequently investigated hepatocyte growth factor (HGF), Met, Akt, and Erk 1/2 signaling pathways through protein expression and phosphorylation analyses along with cell proliferation (proliferating cell nuclear antigen (PCNA) and Ki-67) using immunoblotting and histological studies. Our results show that LPLI can improve liver regeneration as shown by increased HGF protein expression and the phosphorylation levels of Met, Akt, and Erk 1/2 accompanied by higher levels of the PCNA and Ki-67 protein in the remnant livers. In summary, our results suggest that LPLI may play a clinical role as a simple, fast, and easy-to-perform strategy in order to enhance the liver regenerative capacity of a small liver remnant after hepatectomy.

摘要

一种旨在改善肝脏再生的简单、易用且安全的方法,在重大肝切除术、创伤或出血等危急情况下可能具有重要的临床意义。低强度激光照射(LPLI)通过诱导健康组织和受损组织的再生,已广泛应用于临床实践。然而,LPLI 对肝脏再生过程的影响,特别是与分子机制相关的影响,尚未完全了解。因此,本研究旨在探讨 LPLI 照射部分肝切除大鼠肝脏再生过程中的主要分子机制。我们使用 Wistar 雄性大鼠,在 70%肝切除后对其剩余肝脏进行 15 分钟的 LPLI(波长 632.8nm,照度 65mW/cm²)照射或不照射。随后,我们通过蛋白质表达和磷酸化分析以及细胞增殖(增殖细胞核抗原(PCNA)和 Ki-67)的免疫印迹和组织学研究,研究了肝细胞生长因子(HGF)、Met、Akt 和 Erk 1/2 信号通路。我们的结果表明,LPLI 可以改善肝脏再生,表现为 HGF 蛋白表达增加,Met、Akt 和 Erk 1/2 的磷酸化水平升高,同时剩余肝脏中的 PCNA 和 Ki-67 蛋白水平升高。总之,我们的结果表明,LPLI 可能作为一种简单、快速且易于实施的策略,在肝切除后增强小肝残余的肝脏再生能力方面发挥临床作用。

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