Suppr超能文献

抑制 TGFβ1 加速新型两阶段肝切除诱导的肝纤维化大鼠的再生。

Inhibition of TGFβ1 accelerates regeneration of fibrotic rat liver elicited by a novel two-staged hepatectomy.

机构信息

Department of General Surgery, Key Laboratory of Hepatosplenic Surgery, Ministry of Education, The First Affiliated Hospital of Harbin Medical University, Harbin 150000, China.

Department of Hepatobiliary Surgery, Anhui Province Key Laboratory of Hepatopancreatobiliary Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230001, China.

出版信息

Theranostics. 2021 Mar 4;11(10):4743-4758. doi: 10.7150/thno.52102. eCollection 2021.

Abstract

Emerging evidence is demonstrating that rapid regeneration of remnant liver elicited by associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) may be attenuated in fibrotic livers. However, the molecular mechanisms responsible for this process are largely unknown. It is widely acknowledged that the TGFβ1 signaling axis plays a major role in liver fibrosis. Therefore, the aims of this study were to elucidate the underlying mechanism of liver regeneration during ALPPS with or without fibrosis, specifically focusing on TGFβ1 signaling. ALPPS was performed in rat models with -diethylnitrosamine-induced liver fibrosis and no fibrosis. Functional liver remnant regeneration and expression of TGFβ1 were analyzed during the ALPPS procedures. Adeno-associated virus-shTGFβ1 and the small molecule inhibitor LY2157299 (galunisertib) were used separately or in combination to inhibit TGFβ1 signaling in fibrotic rats. Liver regeneration following ALPPS was lower in fibrotic rats than non-fibrotic rats. TGFβ1 was a key mediator of postoperative regeneration in fibrotic liver. Interestingly, AAV-shTGFβ1 accelerated the regeneration of fibrotic functional liver remnant and improved fibrosis, while LY2157299 only enhanced liver regeneration. Moreover, combination treatment elicited a stronger effect. Inhibition of TGFβ1 accelerated regeneration of fibrotic liver, ameliorated liver fibrosis, and improved liver function following ALPPS. Therefore, TGFβ1 is a promising therapeutic target in ALPPS to improve fibrotic liver reserve function and prognosis.

摘要

越来越多的证据表明,联合肝脏分隔和门静脉结扎的分阶段肝切除术(ALPPS)引起的残余肝脏快速再生在纤维化肝脏中可能会减弱。然而,负责这一过程的分子机制在很大程度上尚不清楚。人们普遍认为 TGFβ1 信号轴在肝纤维化中起主要作用。因此,本研究的目的是阐明有无纤维化的情况下 ALPPS 期间肝再生的潜在机制,特别是聚焦于 TGFβ1 信号。在二乙基亚硝胺诱导的肝纤维化和无纤维化大鼠模型中进行了 ALPPS。在 ALPPS 过程中分析了功能性肝残余物的再生和 TGFβ1 的表达。分别或联合使用腺相关病毒-shTGFβ1 和小分子抑制剂 LY2157299(galunisertib)抑制纤维化大鼠中的 TGFβ1 信号。纤维化大鼠的术后再生低于非纤维化大鼠。TGFβ1 是纤维化肝术后再生的关键介质。有趣的是,AAV-shTGFβ1 加速了纤维化功能性肝残余物的再生并改善了纤维化,而 LY2157299 仅增强了肝再生。此外,联合治疗产生了更强的效果。抑制 TGFβ1 加速了纤维化肝脏的再生,改善了肝纤维化,并在 ALPPS 后改善了肝功能。因此,TGFβ1 是 ALPPS 中改善纤维化肝脏储备功能和预后的有前途的治疗靶点。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验