首页> 中文期刊>中华实验外科杂志 >脾动脉结扎对部分肝切除大鼠肝再生过程中转化生长因子-α表达的影响

脾动脉结扎对部分肝切除大鼠肝再生过程中转化生长因子-α表达的影响

摘要

Objective To observe the expression of transforming growth factor alpha (TGF-α) during liver regeneration after partial hepatectomy and splenic artery ligation,and study the influence of the splenic artery ligation on liver regeneration.Methods Seventy-two male rats were randomly divided into three groups:the sham operation group (A group) given the sham operation;70% hepatectomy group (B group) given 70% liver resection;70% hepatectomy and splenic artery ligation group (C group) griven splenic artery ligation and 70% liver resection.Each group was divided into subgroups of 24,48,72 h after the operation.The expression levels of TGF-α in liver tissues were measured by immunohistochemical methods.Serum TGF-α levels were determined by enzyme-linked immunosorbent assay (ELISA).Results As compared with A group,the levels of serum TGF-α at 24,48 and 72 h after the operation was significantly incressed in the B group [(242.35 ± 9.33),(163.64 ± 9.22),(206.42 ± 8.42) pg/ml] and C group [(259.00 ± 11.50),(170.77 ± 9.04),(212.12 ± 10.63) pg/ml,P =0.000].The ex pression levels of TGF-α in liver tissues were notably increased at 24,48 and 72 h after the operation in the B group and C group (P =0.000).As compared with B group,the level of serum TGF-α and the ex pression of TGF-α in liver tissues were both increased at 24 h after the operation in C group (P =0.006,P=0.019).There were no significant differences between B group and C group in the level of serum TGF-α and the expression of TGF-α in liver tissues at 48 and 72 h (P =0.163,P =0.074,P =0.194,P =0.096).Conclusion The expression of TGF-α at 24 h after the 70% hepatectomy was promoted by the splenic artery ligation.The finding demonstrated that the splenic artery ligation can promote liver regen eration at early stage (about 24 h) after 70% liver resection in rats.%目的 观察脾动脉结扎对部分肝切除大鼠肝脏再生过程中转化生长因子-α(TGF-α)表达的影响,探讨脾动脉结扎对肝再生的影响.方法 将72只雄性SD大鼠随机分为3组:假手术组(A组):假手术处理;70%肝切除组(B组):行70%肝切除;70%肝切除±脾动脉结扎组(C组):结扎脾动脉,其余操作同B组.每组再分为3个阶段检测:术后24h、术后48 h、术后72 h,采用免疫组织化学方法检测肝组织中TGF-α的表达,采用酶联免疫吸附试验(ELISA)检测血清中TGF-α的水平.结果 与A组比较,术后24、48和72 h血清TGF-α水平在B组[(242.35±9.33)、(163.64±9.22)、(206.42 ±8.42) pg/ml]和C组[(259.00±11.50)、(170.77±9.04)、(212.12± 10.63) pg/ml]均明显升高(P=0.000);术后24、48、72 h肝组织中TGF-α的表达水平均明显增高(P =0.000).与B组比较,C组术后24 h血清中TGF-α水平和肝组织中TGF-α的表达水平均增高(P=0.006,P=0.019),在术后48、72 h血清中TGF-α水平和肝组织中TGF-α的表达水平与C组比较差异无统计学意义(P=0.163、P=0.074;P =0.194、P=0.096).结论 结扎脾动脉可促进70%肝切除大鼠术后24 h TGF-α的表达,提示脾动脉结扎可能促进了70%肝切除大鼠术后早期(24 h)肝脏的再生.

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