Jia Changjun, Yang Hua, Dai Chaoliu, Xu Feng, Peng Songlin, Zhao Yang, Zhao Chuang, Zhao Liang
Department of Hepatobiliary-Splenic Surgery, General Surgery, Shengjing Hospital, China Medical University, Shenyang 110004, China.
Intensive Care Unit, Heze Municipal Hospital, Heze, Shandong 274000, China.
Life Sci. 2017 Dec 1;190:97-102. doi: 10.1016/j.lfs.2017.09.010. Epub 2017 Sep 27.
Portal vein ligation (PVL) has been used to effectively increase future liver remnant (FLR) in hepatectomy for treatment of liver cancer. However, the underlying molecular mechanisms have not been well characterized. The present study aimed to determine expression of hypoxia inducible factor-1alpha (HIF-1α) in response to PVL and assess the correlation of HIF-1α and phosphoenolpyruvate carboxykinase (PEPCK).
Male Sprague-Dawley rats underwent PVL and were sacrificed at different time points (12, 24, 48, 72, and 168h) after surgery. Hepatic HIF-1α expression in the regenerating liver was assessed by Western blot and immunohistochemistry, in parallel; PEPCK levels were quantified by ELISA.
We found that the ligated liver lobes diminished progressively, whereas the unligated lobes underwent compensatory regeneration after 70% ligation of portal vein branches in the PVL group. Hepatic HIF-1α and PEPCK levels in the unligated liver lobes were significantly increased in the PVL group compared to the hepatic artery ligation (HAL) and the sham (SH) operation groups. Pearson's correlation analysis revealed positive correlation between HIF-1α expression and PEPCK levels in the unligated lobes after PVL. Further analysis indicated that higher levels of HIF-1α and PEPCK in response to liver regeneration were paralleled by an increase in the ratio of the mass and volume of unligated lobes to the whole liver.
HIF-1α was up-regulated and positively correlated with PEPCK during liver regeneration after PVL in rats, suggesting that HIF-1α may modulate hepatic gluconeogenesis through PEPCK, which may ensure the energy supply required for liver regeneration.
门静脉结扎术(PVL)已被用于在肝癌肝切除术中有效增加未来肝残余量(FLR)。然而,其潜在的分子机制尚未完全阐明。本研究旨在确定缺氧诱导因子-1α(HIF-1α)对PVL的反应性表达,并评估HIF-1α与磷酸烯醇式丙酮酸羧激酶(PEPCK)的相关性。
雄性Sprague-Dawley大鼠接受PVL手术,并在术后不同时间点(12、24、48、72和168小时)处死。同时通过蛋白质免疫印迹法和免疫组织化学法评估再生肝中肝HIF-1α的表达;通过酶联免疫吸附测定法对PEPCK水平进行定量。
我们发现,在PVL组中,门静脉分支70%结扎后,结扎的肝叶逐渐缩小,而未结扎的肝叶进行代偿性再生。与肝动脉结扎(HAL)组和假手术(SH)组相比,PVL组未结扎肝叶中的肝HIF-1α和PEPCK水平显著升高。Pearson相关性分析显示,PVL术后未结扎肝叶中HIF-1α表达与PEPCK水平呈正相关。进一步分析表明,随着肝再生,HIF-1α和PEPCK水平升高,同时未结扎肝叶与全肝的质量和体积比增加。
大鼠PVL术后肝再生过程中HIF-1α上调并与PEPCK呈正相关,提示HIF-1α可能通过PEPCK调节肝糖异生,这可能确保肝再生所需的能量供应。