Department of Hepatobiliopancreatic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan Province, China.
Dig Dis Sci. 2013 Aug;58(8):2205-11. doi: 10.1007/s10620-013-2664-3. Epub 2013 Apr 30.
The study used a model of 90 % portal branch ligation (PBL) in rats to study the effect of losartan on portal vein pressure (PVP) and liver regeneration in rats after PBL.
A total of 144 male Sprague-Dawley rats were arbitrarily designated into three treatment method groups: a sham operation group (Sham), a PBL treatment group (PBL), and a PBL plus losartan treatment group (PBL + L). Losartan (2 mg/day) was intragastrically gavaged 3 days before the PBL or sham operation to time points of study.
Both the PBL and PBL + L groups showed an intense surge in PVP after PBL treatment, peaking at 12 h postsurgery, then lessening progressively afterwards. PVP was substantially greater in these two groups compared with the Sham group at 6-72 h postsurgery (p < 0.01). Compared with the PBL group, the PBL + L group showed a noticeable reduction in PVP 6-48 h postsurgery (p < 0.05); the PBL group showed considerably raised levels of plasma ALT and AST 6-72 h postsurgery (p < 0.01). Compared to the PBL group, the PBL + L group showed drastically reduced plasma ALT and AST levels 12-72 h postsurgery (p < 0.05).
Losartan supports liver regeneration in 90 % of rats that underwent PBL. The mechanism may be related to losartan's ability to regulate PVP and increase serum hepatocyte growth factor levels.
本研究采用大鼠 90%门静脉结扎(PBL)模型,研究氯沙坦对 PBL 后大鼠门静脉压力(PVP)和肝再生的影响。
将 144 只雄性 Sprague-Dawley 大鼠任意分为三组:假手术组(Sham)、PBL 治疗组(PBL)和 PBL+氯沙坦治疗组(PBL+L)。PBL 或假手术前 3 天,氯沙坦(2mg/天)经胃内灌胃给药至研究时间点。
PBL 和 PBL+L 组大鼠 PBL 后 PVP 均出现强烈的急剧升高,术后 12 小时达高峰,随后逐渐降低。与 Sham 组相比,术后 6-72 小时这两组的 PVP 显著升高(p<0.01)。与 PBL 组相比,PBL+L 组术后 6-48 小时的 PVP 明显降低(p<0.05);术后 6-72 小时,PBL 组血浆 ALT 和 AST 水平明显升高(p<0.01)。与 PBL 组相比,PBL+L 组术后 12-72 小时血浆 ALT 和 AST 水平明显降低(p<0.05)。
氯沙坦支持 90%PBL 大鼠的肝再生。其机制可能与氯沙坦调节 PVP 和增加血清肝细胞生长因子水平有关。