1. Reperfusion stress induced during intermittent selective clamping accelerates rat liver regeneration through JNK pathway
- Author
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Stéphane Grandadam, Catherine Ribault, Claire Piquet-Pellorce, Hélène Duval, Claire Legendre, Sasse-Fanie Mbatchi, Pascal Loyer, Karim Boudjema, Christiane Guguen-Guillouzo, Anne Corlu, Service d'anatomie et cytologie pathologiques [Rennes] = Anatomy and Cytopathology [Rennes], CHU Pontchaillou [Rennes], Régulations des équilibres fonctionnels du foie normal et pathologique, Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM), Service de Chirurgie Hépatobiliaire et Digestive [Rennes] = Hepatobiliary and Digestive Surgery [Rennes], Foie, métabolismes et cancer, Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Signalisation et Réponses aux Agents Infectieux et Chimiques (SeRAIC), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), and Université de Rennes (UR)
- Subjects
Male ,MESH: Signal Transduction ,MESH: Cyclin D1 ,medicine.medical_treatment ,Gene Expression ,Nitric Oxide Synthase Type II ,MESH: Rats, Sprague-Dawley ,medicine.disease_cause ,S Phase ,Rats, Sprague-Dawley ,MESH: Hepatocytes ,0302 clinical medicine ,Cyclin D1 ,MESH: Animals ,MESH: Stress, Physiological ,MESH: Superoxide Dismutase ,0303 health sciences ,MESH: Heme Oxygenase-1 ,MESH: Proto-Oncogene Proteins c-fos ,MESH: G0 Phase ,MESH: S Phase ,MESH: STAT3 Transcription Factor ,MESH: Hepatectomy ,Surgical Instruments ,Liver regeneration ,Nitric oxide synthase ,Reperfusion Injury ,MESH: Cell Division ,MESH: Liver Regeneration ,MESH: Nitric Oxide Synthase Type II ,030211 gastroenterology & hepatology ,Proto-Oncogene Proteins c-fos ,Signal Transduction ,STAT3 Transcription Factor ,medicine.medical_specialty ,MESH: Gene Expression ,Cell division ,MESH: Rats ,MESH: Surgical Instruments ,JUNB ,Reperfusion stress ,Intermittent clamping ,SOD2 ,Ischemia ,Biology ,Resting Phase, Cell Cycle ,MESH: G1 Phase ,03 medical and health sciences ,Stress, Physiological ,Internal medicine ,medicine ,Animals ,Hepatectomy ,030304 developmental biology ,Hepatology ,Interleukin-6 ,Superoxide Dismutase ,G1 Phase ,JNK Mitogen-Activated Protein Kinases ,[SDV.MHEP.HEG]Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology ,MESH: JNK Mitogen-Activated Protein Kinases ,medicine.disease ,MESH: Interleukin-6 ,MESH: Male ,Rats ,Surgery ,Endocrinology ,Hepatocytes ,biology.protein ,MESH: Reperfusion Injury ,Selective clamping ,Reperfusion injury ,Heme Oxygenase-1 ,Oxidative stress - Abstract
International audience; BACKGROUND & AIMS: Liver resection includes temporal vascular inflow occlusion resulting in ischemia/reperfusion injury in the remnant liver. Here, we developed a rat model of selective lobe occlusion to isolate reperfusion stress from ischemia and to analyze its effect on liver regeneration. METHODS: Left lateral and median lobes of liver were either mobilized or subjected twice for 10min to ischemia followed by 5min reperfusion prior to resection while the regenerative lobes were only subjected to reperfusion. RESULTS: Although intermittent reperfusion stress induced higher levels of serum transaminases, analysis of cell cycle regulators revealed accelerated regenerative response compared to standard partial hepatectomy. The G0/G1 transition occurred before tissue resection, as evidenced by c-fos, junB, and IL-6 induction. Following hepatectomy, Cyclin D1 up-regulation, G1/S transition, and cell division occurred earlier than normal. Unexpectedly, liver mobilization, a component of the clamping procedure, also resulted in earlier G1/S transition. The shortened G1-phase was driven by the c-Jun N-terminal Kinase pathway and was associated with an oxidative stress response as evidenced by the expression of inducible nitric oxide synthase. CONCLUSION: Intermittent selective clamping of lobes to be resected induced reperfusion stress on remnant liver that was beneficial for liver regeneration, suggesting this procedure could be applied in clinical practice.
- Published
- 2010
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