转化生长因子β对肝纤维化大鼠肝部分切除术后肝功能及肝脏再生的作用及机制
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1.华东师范大学附属芜湖医院/安徽省芜湖市第二人民医院 肝胆外科,安徽 芜湖 241000;2.皖南医学院生理学教研室,安徽 芜湖 241000;3.皖南医学院机能学实验实训中心,安徽 芜湖 241000

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凌林,华东师范大学附属芜湖医院(安徽省芜湖市第二人民医院)副主任医师,主要从事肝胆胰肿瘤方面的研究。

基金项目:

安徽省教育厅2020年度安徽高校科学研究基金资助项目(KJ2020A0606)。


Role of transforming growth factor β pathway in liver function and liver regeneration in rats with liver fibrosis after partial hepatectomy and the mechanism
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1.Department of Hepatobiliary Surgery, Wuhu Hospital Affiliated to East China Normal University/the Second Wuhu People's Hospital, Wuhu, Anhui 241000, China;2.Department of Physiology, Wannan Medical College ,Wuhu, Anhui 241000, China;3.Functional Experiment Training Center of Wannan Medical College, Wuhu, Anhui 241000, China

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    摘要:

    背景与目的 肝脏纤维化是肝脏内一系列纤维组织增生的病理反应,肝纤维化可能导致肝切除后出现肝脏再生不足或未再生。本研究探讨肝纤维化动物肝部分切除术后转化生长因子β(TGF-β)通路对肝功能及肝脏再生的作用和机制。方法 将40只SD大鼠用腹膜内注射CCl4方法构建肝纤维化模型后,将其中32只行70%肝切除手术,并分别在术后第1、3、5、7天,每个时间点取8只大鼠检测血清肝功能指标、肝组织TGF-β和Smad的mRNA和蛋白表达水平,另外8只大鼠行假手术作为对照组。此外,以相同的造模方法,观察TGF-β/Smad通路抑制剂(术前腹膜内注射GW788388)对肝纤维化大鼠部分肝切除后肝功能与肝再生能力的影响。结果 与假手术组比较,部分肝切除术组大鼠术后第1天天门冬氨酸氨基转移酶和丙氨酸氨基转移酶水平明显升高,此后随时间逐渐降低(均P<0.05);肝组织TGF-β和Smad的mRNA与蛋白水平明显升高,均在术后第3天达到峰值(均P<0.05),而后降低,并在术后第7天降低至假手术组水平(P>0.05)。肝切除术前注射GW788388的大鼠与单纯行肝切除术的大鼠比较,AST和ALT水平升高更为明显,且肝组织细胞增殖标志物Ki-67与干细胞标志物LGR5表达均明显减少(均P<0.05)。结论 TGF-β/Smad信号在通路在肝纤维化大鼠肝部分切除术后保护肝功能、促进肝再生方面起了重要作用,机制可能与该通路调节细胞增殖及干细胞的分化有关。

    Abstract:

    Background and Aims Liver fibrosis is a pathological reaction of a series of fibrous tissue proliferation in the liver, and it may cause insufficient or failed regeneration of the liver after hepatectomy. This study was conducted to investigate the effects of transforming growth factor β (TGF-β) pathway on liver function and liver regeneration in animal models of liver fibrosis after partial liver resection, and the possible mechanism.Methods Liver fibrosis was induced by intraperitoneal injection of CCl4 in 40 SD rats. Then, 32 of them underwent 70% partial resection of the liver, and were sacrificed at postoperative day (POD) 1, 3, 5, and 7 with 8 rats in each time point for determination of the serum liver function parameters, and the mRNA and protein expression levels of TGF-β1 and Smad in liver tissue. The other 8 rats underwent sham operation for control. In addition, using the same modeling procedure, the influence of TGF-β/Smad pathway inhibitor (intraperitoneal injection of GW788388 before operation) on liver function and liver regeneration capacity in rats with liver fibrosis after partial hepatectomy.Results In rats in partial hepatectomy group compared with those in sham operation group, the serum levels of aspartate aminotransferase (AST) and alanine aminotransferase (ALT) were significantly increased on POD 1, and the gradually decreased with time (all P<0.05); the mRNA and protein levels of TGF-β and Smad in the liver tissue were significantly increased, both reached a peak on POD 3 (both P<0.05), and then decreased, and returned to the levels of rats in sham operation group on POD 7 (both P>0.05). In rats undergoing GW788388 injection before hepatectomy compared with those undergoing hepatectomy alone, the increasing amplitudes of AST and ALT were greater, and the expressions of cell proliferation mark Ki-67 and stem cell mark LGR5 were significantly reduced (all P<0.05).Conclusion The TGF-β/Smad signaling pathway plays an important role in terms of liver function protection and liver regeneration promotion in rats with liver fibrosis after partial hepatectomy. The possible mechanism may be associated with the regulatory effect in cell proliferation and stem cell differentiation of this pathway

    图1 造模结果验证 A:HE染色(×100);B:Masson染色(×100)Fig.1 Verification of model establishment A: HE staining (×100); B: Masson staining (×100)
    图2 Western blot检测TGF-β、Smad蛋白表达Fig.2 Western blot analysis of TGF-β and Smad protein expressions
    图3 免疫组化检测(×100) A:Ki-67蛋白;B:LGR5蛋白Fig.3 Results of immunohistochemical staining (×100) A: Ki-67; B: LGR5
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凌林,胡明华,陈圣林,王静,董娟.转化生长因子β对肝纤维化大鼠肝部分切除术后肝功能及肝脏再生的作用及机制[J].中国普通外科杂志,2022,31(1):81-88.
DOI:10.7659/j. issn.1005-6947.2022.01.009

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  • 收稿日期:2021-07-16
  • 最后修改日期:2021-12-16
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  • 在线发布日期: 2022-01-27