Kanashima R, Kobayashi M
Department of Surgery I, Oita Medical College, Japan.
Eur Surg Res. 1989;21(3-4):190-5. doi: 10.1159/000129023.
The H2-blockers, cimetidine and ranitidine, are reported to inhibit liver regeneration. In this work, the effects of a new powerful H2-receptor antagonist, famotidine, on liver regeneration were studied in rats. The animals were divided into three groups: group I in which a standard two-thirds hepatectomy was performed, group II in which the rats were treated with famotidine (intramuscular dose of 0.8 mg/kg body weight) on the day of operation and 24 and 48 h after hepatectomy, and group III in which the animals were intramuscularly injected with a larger dose of famotidine (1.2 mg/kg body weight) in the same way as group II. The histology and mitotic index of remnant livers and serum levels of aminotransferase and albumin were examined from 24 h to 10 days after the operation. The treatment with famotidine (groups II and III) did not inhibit hepatocyte mitosis but, on the contrary, raised the index on day 3 after hepatectomy when compared with the controls (group I). The albumin synthesis was well preserved in the famotidine-treated animals. The noninhibitory effects of famotidine on liver regeneration are discussed.
据报道,H2受体阻滞剂西咪替丁和雷尼替丁可抑制肝脏再生。在本研究中,我们研究了一种新型强效H2受体拮抗剂法莫替丁对大鼠肝脏再生的影响。将动物分为三组:第一组进行标准的三分之二肝切除术;第二组在手术当天以及肝切除术后24小时和48小时给予法莫替丁(肌肉注射剂量为0.8mg/kg体重);第三组以与第二组相同的方式给动物肌肉注射更大剂量的法莫替丁(1.2mg/kg体重)。在术后24小时至10天期间,检查残余肝脏的组织学和有丝分裂指数以及血清转氨酶和白蛋白水平。法莫替丁治疗组(第二组和第三组)并未抑制肝细胞有丝分裂,相反,与对照组(第一组)相比,在肝切除术后第3天有丝分裂指数升高。在接受法莫替丁治疗的动物中,白蛋白合成得到良好保留。本文讨论了法莫替丁对肝脏再生的非抑制作用。