Funakoshi R
Hokkaido Igaku Zasshi. 1985 May;60(3):327-34.
To clarify the functional recovery of the liver after partial hepatectomy, serum c-AMP responses to glucagon were investigated after hepatectomy in rats. Serum glucagon, insulin and weight of the regenerating liver were simultaneously measured. Wistar strain male rats, weighing 120-130 g, were divided into three groups; I 30% hepatectomy, II 70% hepatectomy and III sham operation. On the first postoperative day, cyclic AMP response to glucagon was remarkably decreased in I and II groups. In group I, c-AMP response returned to the normal level 2 weeks after operation. In group II the response returned to normal at the sixth postoperative week. The liver weights were almost normal after two weeks in the both groups. Levels of serum glucagon sharply increased 24 hours after operation and returned to the normal level after 7 days. However the levels of serum insulin showed no remarkable changes. In conclusion, the complete functional recovery of the liver after hepatectomy needed 6 weeks in cyclic AMP response to glucagon and was delayed 4 weeks to that of the liver weight after 70% hepatectomy. Insulin seems to have no direct effect of the liver regeneration.
为阐明部分肝切除术后肝脏的功能恢复情况,对大鼠肝切除术后血清中胰高血糖素诱导的环磷酸腺苷(c-AMP)反应进行了研究。同时测定血清胰高血糖素、胰岛素水平以及再生肝脏的重量。将体重120 - 130克的雄性Wistar大鼠分为三组:I组为30%肝切除术,II组为70%肝切除术,III组为假手术组。术后第一天,I组和II组中胰高血糖素诱导的环磷酸腺苷反应显著降低。I组中,术后2周环磷酸腺苷反应恢复至正常水平。II组中,术后第6周反应恢复正常。两组术后2周肝脏重量几乎均恢复正常。术后24小时血清胰高血糖素水平急剧升高,7天后恢复至正常水平。然而,血清胰岛素水平未见明显变化。总之,肝切除术后肝脏环磷酸腺苷对胰高血糖素反应的完全功能恢复需要6周时间,70%肝切除术后这一恢复过程较肝脏重量的恢复延迟4周。胰岛素似乎对肝脏再生无直接影响。