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人脂肪间充质干细胞可减轻肝脏缺血再灌注损伤并促进肝脏再生。

Human adipose-derived mesenchymal stem cells attenuate liver ischemia-reperfusion injury and promote liver regeneration.

作者信息

Saidi Reza F, Rajeshkumar Barur, Shariftabrizi Ahmad, Bogdanov Alexei A, Zheng Shaokuan, Dresser Karen, Walter Otto

机构信息

Division of Organ Transplantation, Department of Surgery, Alpert Medical School of Brown University, Providence, RI.

Department of Medicine, University of Massachusetts Medical School, Worcester, MA.

出版信息

Surgery. 2014 Nov;156(5):1225-31. doi: 10.1016/j.surg.2014.05.008. Epub 2014 Sep 26.

Abstract

BACKGROUND

Ischemia-reperfusion injury (IRI) of the liver is a well-known cause of morbidity and mortality after liver transplantation. Effective treatment strategies aimed at decreasing hepatic IRI injury and accelerating liver regeneration could offer major benefits in liver transplantation, especially in the case of partial allografts. Human adipose-derived mesenchymal stem cells (HADMSCs) are an attractive source for regenerative medicine because of their anti-inflammatory and regenerative properties. We hypothesized that HADMSCs attenuate IRI and promote liver regeneration.

METHODS

Mice were subjected to 60 minutes of partial IRI with or without 70% partial hepatectomy. Animals were treated with HADMSCs. Liver IRI was evaluated with serum levels of alanine aminotransferase, serum interleukin-6, and histopathology. Liver samples were stained for specific markers of liver regeneration.

RESULTS

Histology, serum interleukin-6, and alanine aminotransferase release revealed that treatment with HADMSCs attenuated liver injury compared with control patients. Improved animal survival and increased number of regenerating cells were observed in HADMSC-treated animals who underwent IRI and partial hepatectomy compared with the control group.

CONCLUSION

HADMSC represents a potential therapeutic strategy to decrease IRI and promote regeneration in liver transplantation.

摘要

背景

肝脏缺血再灌注损伤(IRI)是肝移植后发病和死亡的一个众所周知的原因。旨在减少肝脏IRI损伤并加速肝脏再生的有效治疗策略可为肝移植带来重大益处,尤其是在部分同种异体移植的情况下。人脂肪间充质干细胞(HADMSCs)因其抗炎和再生特性,是再生医学中一个有吸引力的来源。我们假设HADMSCs可减轻IRI并促进肝脏再生。

方法

对小鼠进行60分钟的部分IRI,伴或不伴70%部分肝切除术。动物接受HADMSCs治疗。通过血清丙氨酸转氨酶水平、血清白细胞介素-6和组织病理学评估肝脏IRI。肝脏样本用肝脏再生的特异性标志物染色。

结果

组织学、血清白细胞介素-6和丙氨酸转氨酶释放显示,与对照患者相比,HADMSCs治疗减轻了肝脏损伤。与对照组相比,在接受IRI和部分肝切除术的HADMSCs治疗动物中观察到动物存活率提高和再生细胞数量增加。

结论

HADMSC是一种减少肝脏移植中IRI并促进再生的潜在治疗策略。

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