Senescence-related genes possibly responsible for poor liver regeneration after hepatectomy in elderly patients

Background and Aim Liver regeneration likely decreases with age by an, as yet, incompletely understood mechanism, restricting the extent of hepatectomy. We therefore analyzed the effect of aging on liver regeneration and investigated mechanisms associate with poor regeneration of human liver. Method...

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Veröffentlicht in:Journal of gastroenterology and hepatology 2014-05, Vol.29 (5), p.1102-1108
Hauptverfasser: Zhu, Chengzhan, Ikemoto, Tetsuya, Utsunomiya, Tohru, Yamada, Shinichiro, Morine, Yuji, Imura, Satoru, Arakawa, Yusuke, Takasu, Chie, Ishikawa, Daichi, Shimada, Mitsuo
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container_title Journal of gastroenterology and hepatology
container_volume 29
creator Zhu, Chengzhan
Ikemoto, Tetsuya
Utsunomiya, Tohru
Yamada, Shinichiro
Morine, Yuji
Imura, Satoru
Arakawa, Yusuke
Takasu, Chie
Ishikawa, Daichi
Shimada, Mitsuo
description Background and Aim Liver regeneration likely decreases with age by an, as yet, incompletely understood mechanism, restricting the extent of hepatectomy. We therefore analyzed the effect of aging on liver regeneration and investigated mechanisms associate with poor regeneration of human liver. Methods We assessed 130 patients who underwent hepatectomy at our institute between 2005 and 2012. The patients were divided into two groups, a younger (age  65 years, n = 71) group. The expression of hepatocyte growth factor (HGF), its ligand Met, and the senescence‐related genes p16, SIRT1 and SMP30 were assessed by qRT‐PCR. Simulated preoperative and 1 week and 6 month postoperative liver volumes were evaluated in 11 younger and 11 older patients using a 3D simulation imaging system. Regenerated liver volumes were calculated and compared with clinicopathological factors, and correlations between liver regeneration and gene expression were calculated. Results HGF and Met expression was significantly lower, and p16 expression significantly higher in older than in younger patients (P 
doi_str_mv 10.1111/jgh.12468
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We therefore analyzed the effect of aging on liver regeneration and investigated mechanisms associate with poor regeneration of human liver. Methods We assessed 130 patients who underwent hepatectomy at our institute between 2005 and 2012. The patients were divided into two groups, a younger (age &lt; 65 years, n = 59) and an older (age &gt; 65 years, n = 71) group. The expression of hepatocyte growth factor (HGF), its ligand Met, and the senescence‐related genes p16, SIRT1 and SMP30 were assessed by qRT‐PCR. Simulated preoperative and 1 week and 6 month postoperative liver volumes were evaluated in 11 younger and 11 older patients using a 3D simulation imaging system. Regenerated liver volumes were calculated and compared with clinicopathological factors, and correlations between liver regeneration and gene expression were calculated. Results HGF and Met expression was significantly lower, and p16 expression significantly higher in older than in younger patients (P &lt; 0.05 each). Mean increases in liver volume after 6 months were significantly greater in younger than in older patients (396.5 mL, 45.6% vs 159.4 mL, 23.3%, P &lt; 0.05) but did not differ significantly at 1 week. Furthermore, p16 expression was negatively correlated with liver regeneration in older patients (R = −0.67, P &lt; 0.05). Conclusion Poor liver regeneration in older patients may be associated with the upregulation of senescence‐related genes, such as p16, and the downregulation of regeneration‐promoting genes, such as HGF and Met.</description><identifier>ISSN: 0815-9319</identifier><identifier>EISSN: 1440-1746</identifier><identifier>DOI: 10.1111/jgh.12468</identifier><identifier>PMID: 24325248</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Aging - genetics ; Calcium-Binding Proteins - genetics ; Calcium-Binding Proteins - metabolism ; Cyclin-Dependent Kinase Inhibitor p16 ; Down-Regulation - genetics ; Female ; Gene Expression - genetics ; Hepatectomy ; Hepatocyte Growth Factor - genetics ; Hepatocyte Growth Factor - metabolism ; HGF ; Humans ; Intracellular Signaling Peptides and Proteins - genetics ; Intracellular Signaling Peptides and Proteins - metabolism ; liver regeneration ; Liver Regeneration - genetics ; Male ; Met ; Middle Aged ; Neoplasm Proteins - genetics ; Neoplasm Proteins - metabolism ; p16 ; Proto-Oncogene Proteins c-met - genetics ; Proto-Oncogene Proteins c-met - metabolism ; Reverse Transcriptase Polymerase Chain Reaction ; senescence ; Sirtuin 1 - genetics ; Sirtuin 1 - metabolism ; Up-Regulation - genetics</subject><ispartof>Journal of gastroenterology and hepatology, 2014-05, Vol.29 (5), p.1102-1108</ispartof><rights>2013 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd</rights><rights>2013 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4628-90cdb1c2a982b98434e5b30e6e6ad9778b353baef53860d6bde81e8ee033227b3</citedby><cites>FETCH-LOGICAL-c4628-90cdb1c2a982b98434e5b30e6e6ad9778b353baef53860d6bde81e8ee033227b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgh.12468$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgh.12468$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24325248$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, Chengzhan</creatorcontrib><creatorcontrib>Ikemoto, Tetsuya</creatorcontrib><creatorcontrib>Utsunomiya, Tohru</creatorcontrib><creatorcontrib>Yamada, Shinichiro</creatorcontrib><creatorcontrib>Morine, Yuji</creatorcontrib><creatorcontrib>Imura, Satoru</creatorcontrib><creatorcontrib>Arakawa, Yusuke</creatorcontrib><creatorcontrib>Takasu, Chie</creatorcontrib><creatorcontrib>Ishikawa, Daichi</creatorcontrib><creatorcontrib>Shimada, Mitsuo</creatorcontrib><title>Senescence-related genes possibly responsible for poor liver regeneration after hepatectomy in elderly patients</title><title>Journal of gastroenterology and hepatology</title><addtitle>J Gastroenterol Hepatol</addtitle><description>Background and Aim Liver regeneration likely decreases with age by an, as yet, incompletely understood mechanism, restricting the extent of hepatectomy. We therefore analyzed the effect of aging on liver regeneration and investigated mechanisms associate with poor regeneration of human liver. Methods We assessed 130 patients who underwent hepatectomy at our institute between 2005 and 2012. The patients were divided into two groups, a younger (age &lt; 65 years, n = 59) and an older (age &gt; 65 years, n = 71) group. The expression of hepatocyte growth factor (HGF), its ligand Met, and the senescence‐related genes p16, SIRT1 and SMP30 were assessed by qRT‐PCR. Simulated preoperative and 1 week and 6 month postoperative liver volumes were evaluated in 11 younger and 11 older patients using a 3D simulation imaging system. Regenerated liver volumes were calculated and compared with clinicopathological factors, and correlations between liver regeneration and gene expression were calculated. Results HGF and Met expression was significantly lower, and p16 expression significantly higher in older than in younger patients (P &lt; 0.05 each). Mean increases in liver volume after 6 months were significantly greater in younger than in older patients (396.5 mL, 45.6% vs 159.4 mL, 23.3%, P &lt; 0.05) but did not differ significantly at 1 week. Furthermore, p16 expression was negatively correlated with liver regeneration in older patients (R = −0.67, P &lt; 0.05). Conclusion Poor liver regeneration in older patients may be associated with the upregulation of senescence‐related genes, such as p16, and the downregulation of regeneration‐promoting genes, such as HGF and Met.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging - genetics</subject><subject>Calcium-Binding Proteins - genetics</subject><subject>Calcium-Binding Proteins - metabolism</subject><subject>Cyclin-Dependent Kinase Inhibitor p16</subject><subject>Down-Regulation - genetics</subject><subject>Female</subject><subject>Gene Expression - genetics</subject><subject>Hepatectomy</subject><subject>Hepatocyte Growth Factor - genetics</subject><subject>Hepatocyte Growth Factor - metabolism</subject><subject>HGF</subject><subject>Humans</subject><subject>Intracellular Signaling Peptides and Proteins - genetics</subject><subject>Intracellular Signaling Peptides and Proteins - metabolism</subject><subject>liver regeneration</subject><subject>Liver Regeneration - genetics</subject><subject>Male</subject><subject>Met</subject><subject>Middle Aged</subject><subject>Neoplasm Proteins - genetics</subject><subject>Neoplasm Proteins - metabolism</subject><subject>p16</subject><subject>Proto-Oncogene Proteins c-met - genetics</subject><subject>Proto-Oncogene Proteins c-met - metabolism</subject><subject>Reverse Transcriptase Polymerase Chain Reaction</subject><subject>senescence</subject><subject>Sirtuin 1 - genetics</subject><subject>Sirtuin 1 - metabolism</subject><subject>Up-Regulation - genetics</subject><issn>0815-9319</issn><issn>1440-1746</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUlPwzAQhS0EgrIc-AMoRzikeI9zRCwtqIDEIo6WnUzAkCbBToH-e1wK3BA-2KM33zzJ8xDaJXhI4jl8fnwaEsqlWkEDwjlOScblKhpgRUSaM5JvoM0QnjHGHGdiHW1QzqigXA1QewsNhAKaAlIPtemhTB4XUtK1IThbzxMPoWubRQ1J1frYiFft3sDH1oL1pndtk5iqj9ITdNGk6NvpPHFNAnUJPppE0UHTh220Vpk6wM73u4Xuz07vjsfp5Hp0fnw0SQsuqUpzXJSWFNTkitpcccZBWIZBgjRlnmXKMsGsgUowJXEpbQmKgALAjFGaWbaF9pe-nW9fZxB6PXXxm3VtGmhnQROpMqmEouR_VBAlKRWcRvRgiRY-bsdDpTvvpsbPNcF6EYWOUeivKCK79207s1Mof8mf3UfgcAm8uxrmfzvpi9H4xzJdTrjQw8fvhPEvWmYsE_rhaqT55fgkZw8TfcM-ARUbo7w</recordid><startdate>201405</startdate><enddate>201405</enddate><creator>Zhu, Chengzhan</creator><creator>Ikemoto, Tetsuya</creator><creator>Utsunomiya, Tohru</creator><creator>Yamada, Shinichiro</creator><creator>Morine, Yuji</creator><creator>Imura, Satoru</creator><creator>Arakawa, Yusuke</creator><creator>Takasu, Chie</creator><creator>Ishikawa, Daichi</creator><creator>Shimada, Mitsuo</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>RC3</scope></search><sort><creationdate>201405</creationdate><title>Senescence-related genes possibly responsible for poor liver regeneration after hepatectomy in elderly patients</title><author>Zhu, Chengzhan ; Ikemoto, Tetsuya ; Utsunomiya, Tohru ; Yamada, Shinichiro ; Morine, Yuji ; Imura, Satoru ; Arakawa, Yusuke ; Takasu, Chie ; Ishikawa, Daichi ; Shimada, Mitsuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4628-90cdb1c2a982b98434e5b30e6e6ad9778b353baef53860d6bde81e8ee033227b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging - genetics</topic><topic>Calcium-Binding Proteins - genetics</topic><topic>Calcium-Binding Proteins - metabolism</topic><topic>Cyclin-Dependent Kinase Inhibitor p16</topic><topic>Down-Regulation - genetics</topic><topic>Female</topic><topic>Gene Expression - genetics</topic><topic>Hepatectomy</topic><topic>Hepatocyte Growth Factor - genetics</topic><topic>Hepatocyte Growth Factor - metabolism</topic><topic>HGF</topic><topic>Humans</topic><topic>Intracellular Signaling Peptides and Proteins - genetics</topic><topic>Intracellular Signaling Peptides and Proteins - metabolism</topic><topic>liver regeneration</topic><topic>Liver Regeneration - genetics</topic><topic>Male</topic><topic>Met</topic><topic>Middle Aged</topic><topic>Neoplasm Proteins - genetics</topic><topic>Neoplasm Proteins - metabolism</topic><topic>p16</topic><topic>Proto-Oncogene Proteins c-met - genetics</topic><topic>Proto-Oncogene Proteins c-met - metabolism</topic><topic>Reverse Transcriptase Polymerase Chain Reaction</topic><topic>senescence</topic><topic>Sirtuin 1 - genetics</topic><topic>Sirtuin 1 - metabolism</topic><topic>Up-Regulation - genetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhu, Chengzhan</creatorcontrib><creatorcontrib>Ikemoto, Tetsuya</creatorcontrib><creatorcontrib>Utsunomiya, Tohru</creatorcontrib><creatorcontrib>Yamada, Shinichiro</creatorcontrib><creatorcontrib>Morine, Yuji</creatorcontrib><creatorcontrib>Imura, Satoru</creatorcontrib><creatorcontrib>Arakawa, Yusuke</creatorcontrib><creatorcontrib>Takasu, Chie</creatorcontrib><creatorcontrib>Ishikawa, Daichi</creatorcontrib><creatorcontrib>Shimada, Mitsuo</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><jtitle>Journal of gastroenterology and hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhu, Chengzhan</au><au>Ikemoto, Tetsuya</au><au>Utsunomiya, Tohru</au><au>Yamada, Shinichiro</au><au>Morine, Yuji</au><au>Imura, Satoru</au><au>Arakawa, Yusuke</au><au>Takasu, Chie</au><au>Ishikawa, Daichi</au><au>Shimada, Mitsuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Senescence-related genes possibly responsible for poor liver regeneration after hepatectomy in elderly patients</atitle><jtitle>Journal of gastroenterology and hepatology</jtitle><addtitle>J Gastroenterol Hepatol</addtitle><date>2014-05</date><risdate>2014</risdate><volume>29</volume><issue>5</issue><spage>1102</spage><epage>1108</epage><pages>1102-1108</pages><issn>0815-9319</issn><eissn>1440-1746</eissn><abstract>Background and Aim Liver regeneration likely decreases with age by an, as yet, incompletely understood mechanism, restricting the extent of hepatectomy. We therefore analyzed the effect of aging on liver regeneration and investigated mechanisms associate with poor regeneration of human liver. Methods We assessed 130 patients who underwent hepatectomy at our institute between 2005 and 2012. The patients were divided into two groups, a younger (age &lt; 65 years, n = 59) and an older (age &gt; 65 years, n = 71) group. The expression of hepatocyte growth factor (HGF), its ligand Met, and the senescence‐related genes p16, SIRT1 and SMP30 were assessed by qRT‐PCR. Simulated preoperative and 1 week and 6 month postoperative liver volumes were evaluated in 11 younger and 11 older patients using a 3D simulation imaging system. Regenerated liver volumes were calculated and compared with clinicopathological factors, and correlations between liver regeneration and gene expression were calculated. Results HGF and Met expression was significantly lower, and p16 expression significantly higher in older than in younger patients (P &lt; 0.05 each). Mean increases in liver volume after 6 months were significantly greater in younger than in older patients (396.5 mL, 45.6% vs 159.4 mL, 23.3%, P &lt; 0.05) but did not differ significantly at 1 week. Furthermore, p16 expression was negatively correlated with liver regeneration in older patients (R = −0.67, P &lt; 0.05). Conclusion Poor liver regeneration in older patients may be associated with the upregulation of senescence‐related genes, such as p16, and the downregulation of regeneration‐promoting genes, such as HGF and Met.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>24325248</pmid><doi>10.1111/jgh.12468</doi><tpages>7</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Aging - genetics
Calcium-Binding Proteins - genetics
Calcium-Binding Proteins - metabolism
Cyclin-Dependent Kinase Inhibitor p16
Down-Regulation - genetics
Female
Gene Expression - genetics
Hepatectomy
Hepatocyte Growth Factor - genetics
Hepatocyte Growth Factor - metabolism
HGF
Humans
Intracellular Signaling Peptides and Proteins - genetics
Intracellular Signaling Peptides and Proteins - metabolism
liver regeneration
Liver Regeneration - genetics
Male
Met
Middle Aged
Neoplasm Proteins - genetics
Neoplasm Proteins - metabolism
p16
Proto-Oncogene Proteins c-met - genetics
Proto-Oncogene Proteins c-met - metabolism
Reverse Transcriptase Polymerase Chain Reaction
senescence
Sirtuin 1 - genetics
Sirtuin 1 - metabolism
Up-Regulation - genetics
title Senescence-related genes possibly responsible for poor liver regeneration after hepatectomy in elderly patients
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