冷冻肝细胞移植治疗大鼠肝硬化和急性肝衰竭效果的比较
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李伟明 E-mail:quantianyi8181@126.com

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广东省科学事业费计划项目(2006B36030012);广东省卫生厅(A2008287);广东省科技计划项目(粤科规划字[2009]198号)。


Comparing the treatment effect of cirrhosis and acute hepatic failure of rats by transplantation of frozen hepatocytes
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    摘要:

    目的:探讨冷冻肝细胞移植治疗大鼠肝硬化和急性肝衰竭的可行性,并比较其对该两种疾病的治疗效果。
    方法:通过原位两步灌流法分离大鼠肝细胞,采用程序冷冻法冷冻肝细胞。利用四氯化碳(CCl4)及D-氨基半乳糖分别建立大鼠肝硬化及急性肝衰竭模型。实验分组:Ⅰ组为正常对照组;Ⅱa为肝硬化门静脉注射生理盐水组;Ⅱb组为肝硬化肝细胞移植组。Ⅲa组为肝衰竭门静脉注射生理盐水组,Ⅲb组为肝衰竭肝细胞移植组。检测各组门静脉压力、肝功能及病理学变化,并行统计学分析。
    结果:冷冻的肝细胞复苏率为50%~70%。Ⅱb组,移植7 d与未移植0 d比较,肝功能、病理检查、门静脉压力等无显著变化。Ⅲb组,移植7 d与未移植0 d比较,ALT下降,总蛋白及清蛋白升高(P<0.05)。
    结论:冷冻肝细胞移植有助于急性肝衰竭大鼠肝功能的恢复,对肝硬化大鼠未发现明显疗效。

    Abstract:

    Objective:To evaluate the treatment effect of transplantation of  frozen hepatocytes on cirrhosis and acute hepatic failure of rats.
    Methods:The isolated  hepatocytes were harvested by in situ perfusion and frozen by programme freezing. A cirrhosis and acute hepatic failure (HF) model of rats was established, then the rats were divided into three groups: group I (control group);  group II (cirrhosis group) and group III (HF group), the latter 2 group were subdivided into two groups (group IIa,IIb, and group IIIa, IIIb) according to without or with transplantation of frozen hepatocyte into portal vein. Portal venous pressure, liver function and pathology results were observed before and after the hepatocyte transplantation, and data were analyzed by statistical methods.
    Results:The recovery of frozen hepatocyte was 50 to 70 percent. In the cirrhosis group, 7 days after the transplantation (group IIa), portal venous pressure, liver function and pathology results showed no significant changes comparing with group IIa. Compared with non-transplantation group (group IIIa),  in group IIIb (hepatocyte transplantation for acute hepatic failure) after 7 days of transplantion, the  ALT level was lower, while the total protein and albumin were significantly improved(P<0.05).
    Conclusions:Frozen hepatocyte transplantation is conducive to the recovery of liver function in rats with acute hepatic failure, while it has no significant effect in the rats with cirrhosis.

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徐学虎|李伟明|全天一|蒋永华|乔安意|孙筱放.冷冻肝细胞移植治疗大鼠肝硬化和急性肝衰竭效果的比较[J].中国普通外科杂志,2010,19(7):763-767.
DOI:10.7659/j. issn.1005-6947.2010.07.011

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  • 收稿日期:2009-12-14
  • 最后修改日期:2010-03-01
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  • 在线发布日期: 2010-07-15