Wei Weiwei, Dirsch Olaf, Mclean Anna Lawson, Zafarnia Sara, Schwier Michael, Dahmen Uta
Department of General, Visceral and Vascular Surgery, Jena University Hospital, Jena, Germany.
Eur Surg Res. 2015;54(3-4):97-113. doi: 10.1159/000368573. Epub 2014 Nov 12.
The liver has the unique capability of regeneration from various injuries. Different animal models and in vitro methods are used for studying the processes and mechanisms of liver regeneration. Animal models were established either by administration of hepatotoxic chemicals or by surgical approach. The administration of hepatotoxic chemicals results in the death of liver cells and in subsequent hepatic regeneration and tissue repair. Surgery includes partial hepatectomy and portal vein occlusion or diversion: hepatectomy leads to compensatory regeneration of the remnant liver lobe, whereas portal vein occlusion leads to atrophy of the ipsilateral lobe and to compensatory regeneration of the contralateral lobe. Adaptation of modern radiological imaging technologies to the small size of rodents made the visualization of rodent intrahepatic vascular anatomy possible. Advanced knowledge of the detailed intrahepatic 3D anatomy enabled the establishment of refined surgical techniques. The same technology allows the visualization of hepatic vascular regeneration. The development of modern histological image analysis tools improved the quantitative assessment of hepatic regeneration. Novel image analysis tools enable us to quantify reliably and reproducibly the proliferative rate of hepatocytes using whole-slide scans, thus reducing the sampling error. In this review, the refined rodent models and the newly developed imaging technology to study liver regeneration are summarized. This summary helps to integrate the current knowledge of liver regeneration and promises an enormous increase in hepatological knowledge in the near future.
肝脏具有从各种损伤中再生的独特能力。不同的动物模型和体外方法被用于研究肝脏再生的过程和机制。动物模型通过给予肝毒性化学物质或手术方法建立。给予肝毒性化学物质会导致肝细胞死亡,随后引发肝脏再生和组织修复。手术包括部分肝切除术和门静脉结扎或分流:肝切除术会导致残余肝叶的代偿性再生,而门静脉结扎会导致同侧肝叶萎缩和对侧肝叶的代偿性再生。现代放射成像技术适应啮齿动物的小体型,使得可视化啮齿动物肝内血管解剖结构成为可能。对详细的肝内三维解剖结构的深入了解促成了精细手术技术的建立。同样的技术也能实现肝血管再生的可视化。现代组织学图像分析工具的发展改进了肝脏再生的定量评估。新型图像分析工具使我们能够通过全切片扫描可靠且可重复地量化肝细胞的增殖率,从而减少采样误差。在本综述中,总结了用于研究肝脏再生的精细啮齿动物模型和新开发的成像技术。这一总结有助于整合当前关于肝脏再生的知识,并有望在不久的将来极大地增加肝脏学知识。