Borel Rinkes I H, Bijma A, Kazemier G, Sinaasappel M, Valerio D, Terpstra O T
Department of Surgery, University Hospital Dijkzigt, Rotterdam, The Netherlands.
J Surg Res. 1994 May;56(5):417-23. doi: 10.1006/jsre.1994.1066.
Understanding the regenerative behavior of transplanted hepatocytes is of great importance for developing and improving such novel therapeutic strategies as hepatocellular transplantation and ex vivo gene therapy. In this study the proliferative responsiveness of transplanted syngeneic rat hepatocytes was examined in relation to the timing of the administration of a mitogenic stimulus. For this purpose nuclear bromodeoxyuridine incorporation after partial hepatectomy was investigated during the early post-transplant phase. The response of intrasplenically transplanted hepatocytes was compared to that of liver cells engrafted in polytetrafluoroethylene solid supports that had been implanted intraperitoneally 4 weeks prior to transplantation. Nonstimulated, engrafted hepatocytes exhibited a labeling index of approximately 0-1% independent of the transplantation technique used. This "spontaneous" labeling index did not change with time. Partial hepatectomy, executed simultaneously with hepatocyte transplantation through either technique, did not result in significant alteration of this proliferation index. Delayed kinetics were found not to be responsible for this lack of responsiveness. When the mitogenic stimulus was given between 2 and 6 weeks post-transplantation, a significant increase in labeling index was observed in comparison to sham-treated control animals. Maximal labeling indices of approximately 3-4% were found if the stimulus took place at 4 weeks post-transplantation. Both the pattern and the extent of the proliferative response seen in liver cells engrafted in solid supports were similar to the ones found in intrasplenic hepatocytes, indicating adequate vascularization of the supports. This data provides the first description of proliferative response in hepatocytes transplanted by the solid support technique, which may offer an attractive alternative to the intrasplenic route.(ABSTRACT TRUNCATED AT 250 WORDS)
了解移植肝细胞的再生行为对于开发和改进诸如肝细胞移植和体外基因治疗等新型治疗策略至关重要。在本研究中,研究了同基因大鼠移植肝细胞的增殖反应与促有丝分裂刺激给药时间的关系。为此,在移植后早期研究了部分肝切除术后核溴脱氧尿苷掺入情况。将脾内移植肝细胞的反应与移植前4周腹腔内植入的聚四氟乙烯固体支持物中植入的肝细胞的反应进行了比较。未受刺激的植入肝细胞的标记指数约为0-1%,与所用移植技术无关。这种“自发”标记指数不会随时间变化。通过任何一种技术与肝细胞移植同时进行的部分肝切除术,并未导致该增殖指数的显著改变。发现延迟动力学不是这种反应性缺乏的原因。当在移植后2至6周给予促有丝分裂刺激时,与假手术对照动物相比,观察到标记指数显著增加。如果在移植后4周给予刺激,最大标记指数约为3-4%。在固体支持物中植入的肝细胞中看到的增殖反应模式和程度与脾内肝细胞中的相似,表明支持物有足够的血管化。该数据首次描述了通过固体支持技术移植的肝细胞中的增殖反应,这可能为脾内途径提供有吸引力的替代方案。(摘要截断于250字)