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Role of hepatic arterial ischaemia in biliary fibrosis following liver transplantation
  • ISSN号:0366-6999
  • 期刊名称:《中华医学杂志:英文版》
  • 时间:0
  • 分类:Q813[生物学—生物工程] O189.34[理学—数学;理学—基础数学]
  • 作者机构:[1]Department of Hepatobiliary Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China, Department of General Surgery, Second Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an, Shaanxi 710004, China, [2]Department of Hepatobiliary Surgery, Beijing Military Region General Hospital, Beijing 100700, China, [3]Department of General Surgery, Second Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an, Shaanxi 710004, China, [4]Department of Hepatobiliary Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China , [5]Department of Nosocomial Infection Management and Disease Control, Armed Police General Hospital, Beijing 100039, China
  • 相关基金:This study was supported by a grant from the National Natural Science Foundation of China (No. 30571765 ).Acknowledgements: We thank Mr. JI Hong and Mr. XU Jin-kai (Department of General Surgery, Second Affiliated Hospital of Medical College, Xi'an Jiaotong University) for skillful technical assistance.
中文摘要:

在临床的肝移植的背景,肝的动脉的 ischaemia 的延期是否增加胆汁的纤维变性,是争论的。我们设计了一个肝移植模型测试这争吵并且探索它的机制。12 条狗随机被划分成二个组的方法:肝的动脉的 ischaemia (HAI ) 和控制组。在 HAI 组,肝的动脉被酒在门灌注以后的 60 分钟,但是在控制组,,肝的动脉的灌注与门灌注是同时的。intrahepatic 胆汁管的病理学的变化被观察。转变生长因素贝它 1 (TGF-1 ) ,在 intrahepatic 胆汁管的上皮的房间表示了,被 immunohistochemical streptoadividin-biotin 检测复杂方法。Smad3, P-Smad3 和 alpha 的 transcriptional 层次的表达式弄平肌肉肌动朊(在 intrahepatic 胆汁管的 -SMA) mRNA 被与控制组,更多的骨胶原免职和 leucocytic 渗入相比的西方的弄污和 RT-PCR respectively.Results 检测能在胆汁的容器墙中被看见。显著地,更多的 buffy 粒子,是 TGF-1 的蛋白质,能在胆汁的上皮的房间被看见。P-Smad3 和 -SMA mRNA (作为到在 intrahepatic 的相应 -actin) 的比率,胆汁管是 1.82

英文摘要:

Background In clinical liver transplantation, whether the delay of hepatic arterial ischaemia increases biliary fibrosis or not is controversial. We designed a liver transplantation model to test this controversy and explore its mechanism. Methods Twelve dogs were divided into two groups randomly: hepatic arterial ischaemia (HAI) and control groups. In HAI group, hepatic artery was perfused 60 minutes after portal perfusion, but in control group, hepatic arterial perfusion was simultaneous with portal perfusion. The pathological changes of intrahepatic bile ducts were observed. Transforming growth factor beta 1 (TGF-β1), expressed in epithelial cells of intrahepatic bile duct, was detected by immunohistochemical streptoadividin-biotin complex method. Expressions of Smad3, P-Smad3 and the transcriptional levels of alpha smooth muscle actin (α-SMA) mRNA in intrahepatic bile ducts were detected by Western blotting and RT-PCR respectively.Results Compared with the control group, more collagen deposition and leucocytic infiltration could be seen in biliary vessel walls. Significantly more buffy particles, which are the proteins of TGF-β1, could be seen in biliary epithelial cells. P-Smad3 and α-SMA mRNA (as ratio to corresponding β-actin) in intrahepatic bile ducts were 1.82±0.18 and 1.86±0.73 respectively in HAI group, significantly higher than those in control group (0.59±0.09 and 0.46±0.18, respectively). Conclusions Hepatic arterial ischaemia could increase the deposition of collagen fibres, trigger the transdifferentiation of myofibroblasts in intrahepatic bile duct and might result in biliary fibrosis by activating the TGF-β1 signalling pathway.

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期刊信息
  • 《中华医学杂志:英文版》
  • 中国科技核心期刊
  • 主管单位:中国科协
  • 主办单位:中华医学会
  • 主编:
  • 地址:北京东四西大街四十二号
  • 邮编:100710
  • 邮箱:cmj@cma.org.cn
  • 电话:010-85158321
  • 国际标准刊号:ISSN:0366-6999
  • 国内统一刊号:ISSN:11-2154/R
  • 邮发代号:2-920
  • 获奖情况:
  • 1997、1998、1999年获中国科协优秀科技期刊择优资...,1992、1997年连续两年荣获全国优秀科技期刊和中国...,中国期刊方阵双高期刊
  • 国内外数据库收录:
  • 美国化学文摘(网络版),英国农业与生物科学研究中心文摘,荷兰文摘与引文数据库,荷兰医学文摘,美国生物医学检索系统,美国科学引文索引(扩展库),美国生物科学数据库,日本日本科学技术振兴机构数据库,中国中国科技核心期刊
  • 被引量:3319