目的 观察小鼠骨髓间充质干细胞(MSC)在肝脏特定微环境下是否向具肝细胞表型与功能的细胞横向分化,并探讨其治疗肝功能损伤的可行性。方法 20只裸小鼠,随机分为4组,每组5只:A组:CCl4与橄榄油1:1混合,按1ml/kg腹腔注射,每周2次。1周后经尾静脉移植1×10^6GFP阳性MSC,术后继续注射CCl4,每周2次;B组:CCl4注射同A组,经尾静脉注入等量生理盐水;C组:正常小鼠,细胞移植同A组;D组:正常对照。术后4周处死全部受试动物,血清检测肝功能,HE、Masson染色行组织学观察,双荧光染色确认GFP阳性细胞并观察其是否表达肝细胞特异性蛋白。结果 A、B组受体肝纤维组织增生显示肝功能损伤模型制作成功,二组胶原分布百分比差异并无统计学意义(10.5±1.5vs12.7±1.6,t=-2.238,P〉0.05)。A组镜下可见GFP阳性细胞主要分布于汇管区及小叶间隔周围,部分同时表达白蛋白(35%±7%);B、C、D组镜下均未见绿色荧光细胞。A组白蛋白水平明显高于B组(24.4g/L±3.3g/Lvs18.6g/L±2.9g/L,P〈0.05),两组血清丙氨酸转氨酶(ALT)水平差异有统计学意义(121U/L±21U/Lvs192U/L±29U/L,P〈0.05)。结论 持续肝功能损伤可以有效诱导MSC向肝迁移增殖,部分MSC在肝细胞持续损伤的微环境下有向肝样细胞横向分化的潜能,提示MSC移植可以在一定程度上修复受损肝功能。
Objective To observe whether bone mesenehymal stem cells (MSCs) have the potential to transdifferenfiate into functional hepatocyte-like cells in the special "niche" as well as the therapeutic feasibility to repair damaged liver in mice. Methods 20 nude mice were randomly divided into four groups (n =5 in each group) : Group A: 1.0 ml/kg of carbon tetrachloride(CCl4) (dessolved in olive oil by ratio of 1:1 ) was injected into the peritoneum of mice twice a week for 5 weeks. GFP-positive MSCs( 1 ×10^6 cells) were injected into the caudal tail vein 1 week after the first dose of CCl4 ;Group B: treated with CCl4 as in A, but received the same volume of saline ; Group C : normal nude mice with GFP-positive MSCs Transplanted in the same way as in A. Group D : normal controls. 4 weeks after the cell transplantation, all animal subjects were killed. Liver function tests (LFT) , histology of HE and Masson staining as well as double immunofluorescent staining for GFP and albumin were studied in all groups. Results The hepatic fibrosis in group A & B confirmed the success of model for liver damage and there was no marked difference in the percent of the area occupied by collagen between two groups( 10.5 ± 1.5 vs 12. 7 ± 1.6,t = -2. 238 ,P 〉 0. 05). GFP-positive MSCs were mainly observed around portal area or interspace of lobules in group A. Some of GFP-positive cells also express albumin(35% +7% ). While in group B,C or D,there is no such findings. The level of serum albumin in group A was higher than that in group B ( 24. 4 g/L ±3.3 g/L vs 18.6 g/L ±2. 9 g/L,P 〈0. 05) while the level of ALT was also different between two groups ( 121 U/L±21 U/L vs 192 U/L ± 29 U/L, P 〈 0.05 ) . Conclusion The stimulus of persistent liver damage might enhances the migration of MSCs to the liver , in which some of the MSCs have the potential to transdifferentiate into hepatocyte-like cells. Transplantation of MSCs might amend the damaged tissue of host liver to a cert