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Deneysel Karaciğer Rezeksiyonu Oluşturulmuş Ratlarda Rejenerasyon ve Apoptozun Değerlendirilmesi

Yıl 2021, Cilt: 8 Sayı: 4, 621 - 626, 31.12.2021
https://doi.org/10.34087/cbusbed.886083

Öz

Giriş ve Amaç: Karaciğer rezeksiyonundan ve transplantasyondan hemen sonra apoptozis ve buna eşlik eden rejenerasyon başlar. DNA sentezinin ise rezeksiyondan sonra ilk 24-48 saatte maksimum düzeye ulaştığı bilinmektedir. Bu çalışma %70 karaciğer rezeksiyonu uygulanan ratların karaciğerinde 3 ve 7. günlerde ki rejenerasyonu ve apoptotik süreci incelemek üzere gerçekleştirildi.
Gereç ve Yöntemler: Wistar Albino cinsi erişkin 21 adet erkek sıçan kullanıldı. Karaciğer rezeksiyonu oluşturmak için deneklere üst orta hat insizyon ile laparotomi uygulandı. Kontrol (Grup I), rezeksiyondan 3 gün sonra sakrifiye edilen grup (Grup II) ve rezeksiyondan 7 gün sonra sakrifiye edilen grup (Grup III) olacak şekilde toplam 3 grup oluşturuldu.
Bulgular: Kontrol grubu dışında tüm deney gruplarının karaciğer dokularında sinüzoidal dilatasyon ve hepatositlerde vakuolizasyon görüldü. Ancak, bu histopatolojik bulguların 2. grupta diğer gruplardan daha fazla olduğu gözlemlendi. Apoptotik indeks ve proliferasyon indeks değerlerinin 2. grupta maksimum seviyeye ulaştığı görüldü. 3. grupta ise bu indeks değerlerinin giderek azaldığı görülmüştür. Kontrol grubunda bu parametrelere ait değerler oldukça düşük değerlerde bulunmuştur.
Sonuç: Sonuç olarak, rezeksiyon sonrası meydana gelen rejenerasyona eşlik eden mekanizmaların günlere göre karşılaştırılmaları immünohistokimyasal ve TUNEL metodlarıyla tespit edilmiş olup klinik uygulamalara ışık tutacak bulgular elde edilmiştir.

Destekleyen Kurum

Trakya Üniversitesi Bilimsel Araştırmalar Proje Birimi

Proje Numarası

TÜBAB/2011-125

Kaynakça

  • Kumar, V, Cotran, R.S, Robbins, S.L (Çeviri: Çevikbaş, U). Robbins Temel Patoloji, Nobel Yayınları, 7. Baskı, İstanbul, 2003, 596-9.
  • Michalopoulos, G.K, Principles of liver regeneration and growth homeostasis, Comprehensive Physiology, 2013, 3(1), 485-513.
  • Ishikawa, J, Takeo, M, Iwadate, A, Koya, J, Kihira, M, Oshima, M, et al., Mechanical homeostasis of liver sinusoid is involved in the initiation and termination of liver regeneration, Communications Biology, 2021, 4(1), 409.
  • Liu, Y, Shi, C, Cui, M, Yang, Z, Gan, D, Wang, Y, Different doses of partial liver irradiation promotes hepatic regeneration in rat, International Journal of Clinical and Experimental Pathology, 2015, 1, 8(6), 6554-9.
  • Duclos, J, Bhangui, P, Salloum, C, Andreani, P, Saliba, F, Ichai, et al., Ad Integrum Functional and Volumetric Recovery in Right Lobe Living Donors: Is It Really Complete 1 Year After Donor Hepatectomy?, American Journal of Transplantation, 2016, 16(1), 143-56.
  • Mizuno, S, Nakamura, T, HGF-MET cascade, a key target for inhibiting cancer metastasis: the impact of NK4 discovery on cancer biology and therapeutics, International Journal of Molecular Science, 2013, 14(1), 888-919.
  • Colle, I, Verhelst, X, Vanlander, A, Geerts, A, Van Vlierberghe, H, Berrevoet, F, Rogiers, X, et al., Pathophysiology and management of post resection liver failure, Acta Chirurgica Belgica, 2013, 113(3), 155-61.
  • George, M.K, Liver regeneration, Journal of Cellular Physiology, 2007, 213(2), 286-300.
  • Guo, Y.Y, Wu, Y, Jia, XW, An, W, Augmenter of liver regeneration potentiates doxorubicin anticancer efficacy by reducing the expression of ABCB1 and ABCG2 in hepatocellular carcinoma, Laboratory Investigation, 2017, 97(12), 1400-1411.
  • Zhang, G.Q, Zhang, Z.W, Lau, W.Y, Chen, X.P, Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS): a new strategy to increase resectability in liver surgery, International Journal of Surgery, 2014, 12(5), 437-41.
  • Araújo, T.G, Oliveira, A.G, Franchi Teixeira, A.R, Low-Power Laser Irradiation (LPLI): A Clinical Point of View on a Promising Strategy to Improve Liver Regeneration, Journal of Lasers in Medical Sciences, 2018, 9(4), 223-227.
  • Andiran, F, Ayhan, A, Tanyel, F.C, Abbasoğlu, O, Sayek, I, Regenerative capacities of normal and cirrhotic livers following 70% hepatectomy in rats and the effect of alpha-tocopherol on cirrhotic regeneration, Journal of Surgical Research, 2000, 89(2), 184-8.
  • van Rosmalen, B.V, Bieze, M, Besselink, M.G, Tanis, P, Verheij, J, Phoa, et al., Long-term outcomes of resection in patients with symptomatic benign liver tumours, Hepato-Pancreato-Biliary (HPB - Oxford), 2016, 18(11), 908-914.
  • Canbek, M, Uyanoglu, M, Canbek, S, Ceyhan, E, Ozen, A, Durmus, B. The effect of geraniol on liver regeneration after hepatectomy in rats, In Vivo, 2017, 31(2), 209-213.
  • Selzner, M, Clavien, P.A, Failure of regeneration of the steatotic rat liver: Disruption at two different levels in the regeneration pathway, Hepatology, 2000, 31, 35-42.
  • Akcan, A, The Effect of Amrinone on Liver Regeneration in Experimental hepatic resection model, Journal of Surgical Research, 2006, 130, 66–72.
  • Sowa, J.P, Best, J, Benko, T, Bockhorn, M, Gu, Y, Niehues, E.M, Extent of liver resection modulates the activation of transcription factors and the production of cytokines involved in liver regeneration, World Journal of Gastroenterology, 2008, 14(46), 7093-100.
  • Veteläinen, R, van Vliet, A.K, van Gulik, T.M, Severe steatosis increases hepatocellular injury and impairs liver regeneration in a rat model of partial hepatectomy, Annual Surgery, 2007, 245, 44-50.
  • Meyers, W.C, Jones, R.S, Anatomy: In Meyers, W.C, Jones, R.S (eds), Textbook of liver and biliary surgery, Press: JB Lippincott Company, Philadelphia, 1990, 18-38.
  • Fausto, N, Liver regeneration, Journal of Hepatology, 2000, 32, 19-31.
  • Michalopoulos, G.K, DeFrances, M.C, Liver regeneration, Science, 1996, 296, 60-6.
  • Court, F.G, Wemyss-Holden, S.A, Dennison A.R, Maddern G.J, The mystery of liver regeneration, British Journal of Surgery, 2002, 89, 1089-95.
  • Kountouras, J, Boura, P, Lygidakis, NJ, Liver regeneration after hepatectomy, Hepatogastroenterology, 2001, 48(38), 556-62.
  • Michalopoulos G.K, Bhushan B, Liver regeneration: biological and pathological mechanisms and implications, Nature Reviews Gastroenterology & Hepatology, 2021, 18(1), 40-55.
  • Hou, Z, Yanaga, K, Kamohara, Y, Eguchi, S, Tsutsumi, R, Furu, J, A new suppressive agent against interleukin-1b and tumor necrosis factor-a enhances liver regeneration after partial hepatectomy in rats, Hepatology Research, 2003, 26, 40- 46.
  • Tang, T.X, Hashimoto, T, Chao, L.Y, Itoh, K, Manabe, T, Effects of partial pancreatectomy on liver regeneration in rats, Journal of Surgical Research, 1997, 72(1), 8-14.
  • Junqueira, L.C, Carneiro, J, Kelley, R.O, Basic histology, 10th Ed. Connecticut: Lange; 2002, 237-40.
  • Assy, N, Minuk, G.Y, Liver regeneration: methods for monitoring and their applications, Journal of Hepatology, 1997, 26, 945-52.
  • Sydor S, Gu Y, Schlattjan M, Bechmann L.P, Rauen U, Best J, Paul A, Baba H.A, Sowa J.P, Gerken G, Canbay A, Steatosis does not impair liver regeneration after partial hepatectomy, Lab Invest., 2013, 93(1), 20-30.
  • Castro-e-Silva, O, Zucoloto, S, Ramalho, FS, Ramalho, L.N.Z, Reis, J.M.C, Bastos, A.A.C, Brito, M.V.H, Antiproliferative Activity of copaifera duckei oleoresin on liver egeneration in rats, Phytotherapy Research, 2004, 18, 92-94.
  • Kamer, E, Çöker, A, Sevinç, A.R, Özkara, E, Özer, E, Özzeybek, T, Effect of intraperitoneal dministration of gemcitabine and paclitaxel on hepatic regeneration in rats, Turkish Journal of Gastroenterology, 2003, 14(1), 1-6.
  • Veteläinen, R, van Vliet, A.K, van Gulik, T.M, Severe steatosis increases hepatocellular injury and impairs liver regeneration in a rat model of partial hepatectomy, Annual Surgery, 2007, 245, 44-50.
  • Kucuk C, Akcan A, Akyýldýz H, Akgun H, Muhtaroglu S, Sozuer E, Effects of amrinone in an experimental model of hepatic ischemia-reperfusion injury, J Surg Res., 2009, 151(1), 74-9.
  • Laurent S, Otsuka M, De Saeger C, Maiter D, Lambotte L, Horsmans Y, Expression of presumed specific early and late factors associated with liver regeneration in different rat surgical models, Laboratory Investigation, 2001, 81(9), 1299-307.

Evaluation of Regeneration and Apoptosis in Experimental Hepatic Resection of Rats

Yıl 2021, Cilt: 8 Sayı: 4, 621 - 626, 31.12.2021
https://doi.org/10.34087/cbusbed.886083

Öz

Objective: Apoptosis and accompanying regeneration begins immediately after liver resection and transpalantation. It is known that DNA synthesis reaches its maximum level in the first 24-48 hours after resection. This study was carried out to examine the regeneration and apoptotic process in the liver of rats that underwent 70% liver resection on days 3 and 7.
Materials and Methods: 21 adult male Wistar Albino rats were used. The laparotomy with an upper midline incision was performed on the subjects for liver resection. Three groups were formed as the control (Group I), the group that was sacrificed 3 days after resection (Group II), and the group that was sacrificed 7 days after resection (Group III).
Results: Sinusoidal dilatation and vacuolization in hepatocytes were observed in the liver tissues of all experimental groups except the control group. However, these histopathological findings were observed more in group II than other groups. It was observed that the apoptotic index and proliferation index values reached the maximum level in the group II. In group III, it was observed that these index values gradually decreased. Values of these parameters were found to be quite low in control group.
Conclusion: As a result, comparisons of the mechanisms accompanying the regeneration occurring after resection were determined by immunohistochemical and TUNEL methods, and findings that shed light on clinical applications were obtained day by day.

Proje Numarası

TÜBAB/2011-125

Kaynakça

  • Kumar, V, Cotran, R.S, Robbins, S.L (Çeviri: Çevikbaş, U). Robbins Temel Patoloji, Nobel Yayınları, 7. Baskı, İstanbul, 2003, 596-9.
  • Michalopoulos, G.K, Principles of liver regeneration and growth homeostasis, Comprehensive Physiology, 2013, 3(1), 485-513.
  • Ishikawa, J, Takeo, M, Iwadate, A, Koya, J, Kihira, M, Oshima, M, et al., Mechanical homeostasis of liver sinusoid is involved in the initiation and termination of liver regeneration, Communications Biology, 2021, 4(1), 409.
  • Liu, Y, Shi, C, Cui, M, Yang, Z, Gan, D, Wang, Y, Different doses of partial liver irradiation promotes hepatic regeneration in rat, International Journal of Clinical and Experimental Pathology, 2015, 1, 8(6), 6554-9.
  • Duclos, J, Bhangui, P, Salloum, C, Andreani, P, Saliba, F, Ichai, et al., Ad Integrum Functional and Volumetric Recovery in Right Lobe Living Donors: Is It Really Complete 1 Year After Donor Hepatectomy?, American Journal of Transplantation, 2016, 16(1), 143-56.
  • Mizuno, S, Nakamura, T, HGF-MET cascade, a key target for inhibiting cancer metastasis: the impact of NK4 discovery on cancer biology and therapeutics, International Journal of Molecular Science, 2013, 14(1), 888-919.
  • Colle, I, Verhelst, X, Vanlander, A, Geerts, A, Van Vlierberghe, H, Berrevoet, F, Rogiers, X, et al., Pathophysiology and management of post resection liver failure, Acta Chirurgica Belgica, 2013, 113(3), 155-61.
  • George, M.K, Liver regeneration, Journal of Cellular Physiology, 2007, 213(2), 286-300.
  • Guo, Y.Y, Wu, Y, Jia, XW, An, W, Augmenter of liver regeneration potentiates doxorubicin anticancer efficacy by reducing the expression of ABCB1 and ABCG2 in hepatocellular carcinoma, Laboratory Investigation, 2017, 97(12), 1400-1411.
  • Zhang, G.Q, Zhang, Z.W, Lau, W.Y, Chen, X.P, Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS): a new strategy to increase resectability in liver surgery, International Journal of Surgery, 2014, 12(5), 437-41.
  • Araújo, T.G, Oliveira, A.G, Franchi Teixeira, A.R, Low-Power Laser Irradiation (LPLI): A Clinical Point of View on a Promising Strategy to Improve Liver Regeneration, Journal of Lasers in Medical Sciences, 2018, 9(4), 223-227.
  • Andiran, F, Ayhan, A, Tanyel, F.C, Abbasoğlu, O, Sayek, I, Regenerative capacities of normal and cirrhotic livers following 70% hepatectomy in rats and the effect of alpha-tocopherol on cirrhotic regeneration, Journal of Surgical Research, 2000, 89(2), 184-8.
  • van Rosmalen, B.V, Bieze, M, Besselink, M.G, Tanis, P, Verheij, J, Phoa, et al., Long-term outcomes of resection in patients with symptomatic benign liver tumours, Hepato-Pancreato-Biliary (HPB - Oxford), 2016, 18(11), 908-914.
  • Canbek, M, Uyanoglu, M, Canbek, S, Ceyhan, E, Ozen, A, Durmus, B. The effect of geraniol on liver regeneration after hepatectomy in rats, In Vivo, 2017, 31(2), 209-213.
  • Selzner, M, Clavien, P.A, Failure of regeneration of the steatotic rat liver: Disruption at two different levels in the regeneration pathway, Hepatology, 2000, 31, 35-42.
  • Akcan, A, The Effect of Amrinone on Liver Regeneration in Experimental hepatic resection model, Journal of Surgical Research, 2006, 130, 66–72.
  • Sowa, J.P, Best, J, Benko, T, Bockhorn, M, Gu, Y, Niehues, E.M, Extent of liver resection modulates the activation of transcription factors and the production of cytokines involved in liver regeneration, World Journal of Gastroenterology, 2008, 14(46), 7093-100.
  • Veteläinen, R, van Vliet, A.K, van Gulik, T.M, Severe steatosis increases hepatocellular injury and impairs liver regeneration in a rat model of partial hepatectomy, Annual Surgery, 2007, 245, 44-50.
  • Meyers, W.C, Jones, R.S, Anatomy: In Meyers, W.C, Jones, R.S (eds), Textbook of liver and biliary surgery, Press: JB Lippincott Company, Philadelphia, 1990, 18-38.
  • Fausto, N, Liver regeneration, Journal of Hepatology, 2000, 32, 19-31.
  • Michalopoulos, G.K, DeFrances, M.C, Liver regeneration, Science, 1996, 296, 60-6.
  • Court, F.G, Wemyss-Holden, S.A, Dennison A.R, Maddern G.J, The mystery of liver regeneration, British Journal of Surgery, 2002, 89, 1089-95.
  • Kountouras, J, Boura, P, Lygidakis, NJ, Liver regeneration after hepatectomy, Hepatogastroenterology, 2001, 48(38), 556-62.
  • Michalopoulos G.K, Bhushan B, Liver regeneration: biological and pathological mechanisms and implications, Nature Reviews Gastroenterology & Hepatology, 2021, 18(1), 40-55.
  • Hou, Z, Yanaga, K, Kamohara, Y, Eguchi, S, Tsutsumi, R, Furu, J, A new suppressive agent against interleukin-1b and tumor necrosis factor-a enhances liver regeneration after partial hepatectomy in rats, Hepatology Research, 2003, 26, 40- 46.
  • Tang, T.X, Hashimoto, T, Chao, L.Y, Itoh, K, Manabe, T, Effects of partial pancreatectomy on liver regeneration in rats, Journal of Surgical Research, 1997, 72(1), 8-14.
  • Junqueira, L.C, Carneiro, J, Kelley, R.O, Basic histology, 10th Ed. Connecticut: Lange; 2002, 237-40.
  • Assy, N, Minuk, G.Y, Liver regeneration: methods for monitoring and their applications, Journal of Hepatology, 1997, 26, 945-52.
  • Sydor S, Gu Y, Schlattjan M, Bechmann L.P, Rauen U, Best J, Paul A, Baba H.A, Sowa J.P, Gerken G, Canbay A, Steatosis does not impair liver regeneration after partial hepatectomy, Lab Invest., 2013, 93(1), 20-30.
  • Castro-e-Silva, O, Zucoloto, S, Ramalho, FS, Ramalho, L.N.Z, Reis, J.M.C, Bastos, A.A.C, Brito, M.V.H, Antiproliferative Activity of copaifera duckei oleoresin on liver egeneration in rats, Phytotherapy Research, 2004, 18, 92-94.
  • Kamer, E, Çöker, A, Sevinç, A.R, Özkara, E, Özer, E, Özzeybek, T, Effect of intraperitoneal dministration of gemcitabine and paclitaxel on hepatic regeneration in rats, Turkish Journal of Gastroenterology, 2003, 14(1), 1-6.
  • Veteläinen, R, van Vliet, A.K, van Gulik, T.M, Severe steatosis increases hepatocellular injury and impairs liver regeneration in a rat model of partial hepatectomy, Annual Surgery, 2007, 245, 44-50.
  • Kucuk C, Akcan A, Akyýldýz H, Akgun H, Muhtaroglu S, Sozuer E, Effects of amrinone in an experimental model of hepatic ischemia-reperfusion injury, J Surg Res., 2009, 151(1), 74-9.
  • Laurent S, Otsuka M, De Saeger C, Maiter D, Lambotte L, Horsmans Y, Expression of presumed specific early and late factors associated with liver regeneration in different rat surgical models, Laboratory Investigation, 2001, 81(9), 1299-307.
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Şamil Öztürk 0000-0002-9435-8139

Latife Ceyda İrkin 0000-0001-6603-8413

Proje Numarası TÜBAB/2011-125
Yayımlanma Tarihi 31 Aralık 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 8 Sayı: 4

Kaynak Göster

APA Öztürk, Ş., & İrkin, L. C. (2021). Evaluation of Regeneration and Apoptosis in Experimental Hepatic Resection of Rats. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 8(4), 621-626. https://doi.org/10.34087/cbusbed.886083
AMA Öztürk Ş, İrkin LC. Evaluation of Regeneration and Apoptosis in Experimental Hepatic Resection of Rats. CBU-SBED. Aralık 2021;8(4):621-626. doi:10.34087/cbusbed.886083
Chicago Öztürk, Şamil, ve Latife Ceyda İrkin. “Evaluation of Regeneration and Apoptosis in Experimental Hepatic Resection of Rats”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8, sy. 4 (Aralık 2021): 621-26. https://doi.org/10.34087/cbusbed.886083.
EndNote Öztürk Ş, İrkin LC (01 Aralık 2021) Evaluation of Regeneration and Apoptosis in Experimental Hepatic Resection of Rats. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8 4 621–626.
IEEE Ş. Öztürk ve L. C. İrkin, “Evaluation of Regeneration and Apoptosis in Experimental Hepatic Resection of Rats”, CBU-SBED, c. 8, sy. 4, ss. 621–626, 2021, doi: 10.34087/cbusbed.886083.
ISNAD Öztürk, Şamil - İrkin, Latife Ceyda. “Evaluation of Regeneration and Apoptosis in Experimental Hepatic Resection of Rats”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8/4 (Aralık 2021), 621-626. https://doi.org/10.34087/cbusbed.886083.
JAMA Öztürk Ş, İrkin LC. Evaluation of Regeneration and Apoptosis in Experimental Hepatic Resection of Rats. CBU-SBED. 2021;8:621–626.
MLA Öztürk, Şamil ve Latife Ceyda İrkin. “Evaluation of Regeneration and Apoptosis in Experimental Hepatic Resection of Rats”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, c. 8, sy. 4, 2021, ss. 621-6, doi:10.34087/cbusbed.886083.
Vancouver Öztürk Ş, İrkin LC. Evaluation of Regeneration and Apoptosis in Experimental Hepatic Resection of Rats. CBU-SBED. 2021;8(4):621-6.

Cited By

Diyabetik Sıçan Deri Yara İyileşmesinde Probiyotik Etkisi
Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi
https://doi.org/10.34087/cbusbed.1078611