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Study for the renmant liver dysfunciton after extensive hapatectomy using isolated hepatocytes

Research Project

Project/Area Number 05671060
Research Category

Grant-in-Aid for General Scientific Research (C)

Allocation TypeSingle-year Grants
Research Field Digestive surgery
Research InstitutionMie University

Principal Investigator

KAWARADA Yoshifumi  Fist dept.of Surgery, Mie University, Faculty of Medicin Professor, 医学部, 教授 (40024814)

Co-Investigator(Kenkyū-buntansha) YOKOI Hajime  Fist dept.of Surgery, Mie University, Faculty of Medicine lecturer, 医学部, 講師 (60174843)
Project Period (FY) 1993 – 1995
Project Status Completed (Fiscal Year 1995)
Budget Amount *help
¥2,200,000 (Direct Cost: ¥2,200,000)
Fiscal Year 1995: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1994: ¥200,000 (Direct Cost: ¥200,000)
Fiscal Year 1993: ¥1,500,000 (Direct Cost: ¥1,500,000)
Keywordsextensive hepatectomy / hepatocytes / Kupffer cells / splenic macrophage / TxA_2 inhibitor / PGI_2 analog / co-culture / 残存肝障害 / 細胞培養 / 肝細胞 / プロスタノイド / PGI2アナログ / TxA2アナログ / TxA2合成阻害剤
Research Abstract

In in vivo experiment, we have reported that the levels of TxB_2 and 6-KF in peripheral blood increased after extensive hepatectomy, especially in cases with liver failure and that the adminisitration of TxA_2 inhibitor or PGI_2 analog improved the remnant liver funcition and the survival rate. Then we undertook to clarify the cause of liver injury after extensive hepatectomy and to evaluate the effects of TxA_2 inhibitor and PGI_2 analog for the liver, using isolated cells. (Methods) Using mongrel dogs, hepatocytes and Kuppfer cells were isolated after 84% hepatectomy and cultured in the presence of TxA_2 analog (STA_2) , TxA_2 inhibitor (OKY-046) or PGI_2 analog (OP-2507) and then we evaluated the degree of hepatocyte damage. Moreover, we evaluated the indirect effects of these drugs using the co-culture system with these cells. (Results) STA_2 has a cytotoxic effect on hepatocytes isolated after extensive hepatectomy, injuring the plasma membrane and the mitochondria, while OP-2507 … More has a cytoprotective effect on these cells, inhibiting these change. And OP-2507 has an ability to inhibit the TxA_2 production by Kuppfer cells. Though OKY-046 has no direct effect on hepatocytes, it has a ability to inhibit the TxA_2 production by Kuppfer cells. It was showed in the experiment with co-culture system that both of OP-2507 and OKY-046 have cytoprotective effects on hepatocytes. We concluded that OP-2507 has both direct and indirect effect, while OKY-046 has a indirect effect. Our previous in vivo experiment revealed the increase of the levels TxB_2 in portal blood. We were interested in the role of portal organs, especially of the spleen. Then splenic macrophages were isoloated and the evaluation of the capacity of TxA_2 production by these cells. It revealed the increase of TxA_2 production by the cells isolated after extensive hepatectomy and the inhibitory effect of OKY-046 on the TxA_2 production by the cells. We conclude that OKY-046 has a inhibitory effect of the TxA_2 production not only by Kuppfer cellls but also by splenic macrophages. Now, we are trying to clarify the role of intestine after extensive hepatectomy and the cause of liver injury in obstructive jaundice, using simillar cellbiological method. Less

Report

(4 results)
  • 1995 Annual Research Report   Final Research Report Summary
  • 1994 Annual Research Report
  • 1993 Annual Research Report
  • Research Products

    (10 results)

All Other

All Publications (10 results)

  • [Publications] 谷川健次 ほか: "消化器外科手術、特に肝切除術後合併症とIL-6,エンドトキシン,CRPとの相関" エンドトキシン臨床研究の最近の展開(中外メディカル情報). 51-57 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] 吉峰修時 ほか: "肝広範切除後の病態と切除限界の拡大" 肝臓・胆道・膵臓の外科-研究と臨床-(医学図書出版). 114-132 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Iwata M: "Pathophysiology of Dogs after 84% Hepatectomy with Emphasis on Prostaglandin Metabolites and the Effect of a Thromboxane A2 Synthesis Inhibitor and a Prostaglandin 12 Analog." Jpn J Surg. 21. 1056-1067 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] 川原田嘉文 ほか: "手術侵襲とプロスタグランジン - 肝" 現代医療. 27. 2115-2120 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Ido M.,et al.: "Cell Biological Evaluation of Biliary Drainage prior to Hepatectomy in Obstructive Jaundice." Hepato-Gastroenterology. 42. 300-307 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Iwata M.: "Pathophysiology of Dogs after 84% Hepatectomy with Emphasis on Prostaglandin Metabolites and the Effect of a Thromboxane A2 Synthesis Inhibitor and a Prostaglandin I2 Analog." Jpn J Surg. 21. 1056-1067 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Yokoi H., et.al.: "Surgical damage and Prostaglandings - Liver" Gendai-Eryo. 27(7). 2115-2120 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Ido M., et.al.: "Cell Biological Evaluation of Biliary Drainage prior to Hepatectomy in Obstructive Jaundice." Hepato-Gastroenterology. 42(4). 300-307 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Tanigawa K., et.al.: The relation among IL-6, Endotoxin and CRP after digestive surgery, especially after hepatectomy. Endotosikin-rinshoukennkyu no saikin no tennkai. 51-57 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Yoshimine S., et.al.: Pathophysiology after extensive hepatectomy and espansin of the limitation of hepatectomy Sugery of liver, biliary tract and pancreas. Igakutoshoshuppan, 114-132 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary

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Published: 1993-04-01   Modified: 2016-04-21  

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