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部分肝切除术可增强肝脏的抗肿瘤反应。

Partial hepatectomy augments the liver's antitumor response.

作者信息

Doerr R, Castillo M, Evans P, Paolini N, Goldrosen M, Cohen S A

机构信息

Department of Surgery, State University of New York, Buffalo.

出版信息

Arch Surg. 1989 Feb;124(2):170-4. doi: 10.1001/archsurg.1989.01410020040006.

DOI:10.1001/archsurg.1989.01410020040006
PMID:2464982
Abstract

Despite adequate locoregional control, colorectal metastasis to the liver remains a significant cause of death. Resection of hepatic metastasis improves five-year survival 18% to 34%. A study of the impact of 40% partial hepatectomy on cytokine production in the liver was undertaken. Nonparenchymal liver cells (NPCs) were prepared by collagenase perfusion and metrizamide gradient from partially hepatectomized and laparotomized control C57BL/6Ros mice. Nonparenchymal cell from partially hepatectomized mice compared with laparotomized mice showed a twofold to threefold increase in interferon (IFN) activity. Both interferon alpha/beta and supernatants from cultured NPCs of partially hepatectomized mice suppressed the proliferation of liver-derived MCA-38 colon adenocarcinoma cells in vitro. This tumor has been shown to metastasize to the liver of C57BL/6Ros mice. The production of various cytokines by NPCs induced by partial hepatectomy may provide a possible antimetastatic mechanism.

摘要

尽管局部区域控制良好,但结直肠癌肝转移仍是一个重要的死亡原因。肝转移灶切除可使五年生存率提高18%至34%。本研究探讨了40%肝部分切除术对肝脏细胞因子产生的影响。通过胶原酶灌注和Metrizamide梯度法,从部分肝切除和剖腹手术对照的C57BL/6Ros小鼠中制备非实质肝细胞(NPC)。与剖腹手术小鼠相比,部分肝切除小鼠的非实质细胞中干扰素(IFN)活性增加了两倍至三倍。部分肝切除小鼠的干扰素α/β以及培养的NPC上清液均可在体外抑制肝源性MCA-38结肠腺癌细胞的增殖。该肿瘤已被证明可转移至C57BL/6Ros小鼠的肝脏。部分肝切除诱导的NPC产生的各种细胞因子可能提供了一种可能的抗转移机制。

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Partial hepatectomy augments the liver's antitumor response.部分肝切除术可增强肝脏的抗肿瘤反应。
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AsGM1+ NK cells prevent metastasis of invading LD-MCA-38 tumor cells in the nude mouse.抗神经节苷脂GM1+自然杀伤细胞可防止侵袭性低分化小鼠结肠癌38(LD-MCA-38)肿瘤细胞在裸鼠体内转移。
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引用本文的文献

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Multisciplinary management of patients with liver metastasis from colorectal cancer.结直肠癌肝转移患者的多学科管理
World J Gastroenterol. 2016 Aug 28;22(32):7215-25. doi: 10.3748/wjg.v22.i32.7215.
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Increased growth of colorectal liver metastasis following partial hepatectomy.肝部分切除术后结直肠癌肝转移的生长增加。
Clin Exp Metastasis. 2013 Jun;30(5):681-93. doi: 10.1007/s10585-013-9572-y. Epub 2013 Feb 6.
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Impact of the degree of liver resection on survival for patients with multiple liver metastases from colorectal cancer.
肝切除程度对结直肠癌多发肝转移患者生存的影响。
World J Surg. 2008 Sep;32(9):2057-69. doi: 10.1007/s00268-008-9610-0.
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Major but not minor hepatectomy accelerates engraftment of extrahepatic tumor cells.大肝切除术而非小肝切除术会加速肝外肿瘤细胞的植入。
Clin Exp Metastasis. 2007;24(1):39-48. doi: 10.1007/s10585-006-9054-6. Epub 2007 Jan 27.
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Major hepatic resection may suppress the growth of tumours remaining in the residual liver.大范围肝切除术可能会抑制残肝内残留肿瘤的生长。
Br J Cancer. 2000 Oct;83(8):1096-101. doi: 10.1054/bjoc.2000.1379.
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Minimal liver resection strongly stimulates the growth of human colon cancer in the liver of nude mice.最小限度肝切除强烈刺激裸鼠肝脏中人类结肠癌的生长。
Clin Exp Metastasis. 1999;17(6):497-500. doi: 10.1023/a:1006693224835.
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Expression of Bcl-2 family during liver regeneration and identification of Bcl-x as a delayed early response gene.肝脏再生过程中Bcl-2家族的表达及Bcl-x作为延迟早期反应基因的鉴定。
Am J Pathol. 1997 Jun;150(6):1985-95.