Literature DB >> 18948810

Single administration of thrombopoietin prevents progression of liver fibrosis and promotes liver regeneration after partial hepatectomy in cirrhotic rats.

Soichiro Murata1, Ikuka Hashimoto, Yoritaka Nakano, Andriy Myronovych, Motonobu Watanabe, Nobuhiro Ohkohchi.   

Abstract

OBJECTIVE: To evaluate the effect of thrombopoietin on liver regeneration after hepatectomy and antifibrosis under conditions of liver cirrhosis in rats. SUMMARY BACKGROUND DATA: We revealed that platelets induced by thrombopoietin administration promote liver regeneration after hepatectomy in the normal liver.
METHODS: Seventy percent hepatectomy was carried out in rats, which were subsequently divided into 4 groups: (1) normal group without any treatment, (2) liver cirrhosis (LC) group, (3) combined thrombopoietin and liver cirrhosis (LC+TPO) group, and (4) combined thrombopoietin, antiplatelet serum and liver cirrhosis (LC+TPO+APS) group. Growth kinetics in the liver regeneration and growth factors were analyzed. Liver fibrotic area and activation of hepatic stellate cells were also investigated.
RESULTS: In LC group, liver regeneration was significantly delayed compared with normal group 24 hours after hepatectomy. On the other hand, liver regeneration of LC+TPO group increased significantly compared with LC group, to a level that was the same as that recorded in normal group. In LC group, liver fibrotic area before hepatectomy was significantly higher compared with the normal group. Liver fibrosis of LC+TPO group was significantly reduced compared with LC group. The antifibrotic and liver regeneration promoting effects of LC+TPO group were inhibited by antiplatelet serum in LC+TPO+APS group.
CONCLUSION: The administration of thrombopoietin reduces liver fibrosis and stimulates regeneration after hepatectomy through increment and accumulation of platelets in the cirrhotic liver. This could be a potentially useful treatment for liver cirrhosis.

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Year:  2008        PMID: 18948810     DOI: 10.1097/SLA.0b013e31818584c7

Source DB:  PubMed          Journal:  Ann Surg        ISSN: 0003-4932            Impact factor:   12.969


  25 in total

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Review 4.  Hemostasis and Liver Regeneration.

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9.  Fibrotic liver has prompt recovery after ischemia-reperfusion injury.

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10.  Low immediate postoperative platelet count is associated with hepatic insufficiency after hepatectomy.

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