Intestinal and hepatic response to combined partial hepatectomy and small bowel resection in mice

Background: Both partial-hepatectomy (PHx) and massive small bowel resection (SBR) are strong mitogenic signals to the remnant liver and intestine, respectively. This study tested the hypothesis that PHx was an additive signal for intestinal adaptation after massive SBR. Methods: Male mice underwent...

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Veröffentlicht in:The American journal of surgery 2002-04, Vol.183 (4), p.435-440
Hauptverfasser: Nelson, Lindsey A, O’Brien, David P, Kemp, Christopher J, Williams, Jodi L, Dunke-Jacobs, Erik, Erwin, Christopher R, Warner, Brad W
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container_end_page 440
container_issue 4
container_start_page 435
container_title The American journal of surgery
container_volume 183
creator Nelson, Lindsey A
O’Brien, David P
Kemp, Christopher J
Williams, Jodi L
Dunke-Jacobs, Erik
Erwin, Christopher R
Warner, Brad W
description Background: Both partial-hepatectomy (PHx) and massive small bowel resection (SBR) are strong mitogenic signals to the remnant liver and intestine, respectively. This study tested the hypothesis that PHx was an additive signal for intestinal adaptation after massive SBR. Methods: Male mice underwent either sham SBR or 50% proximal SBR. Mice from these two groups were then subjected to a 70% PHx or sham PHx. After 3 days, parameters of intestinal adaptation and liver regeneration were recorded in the remnant intestine and liver, respectively. Results: Intestinal adaptation following SBR occurred normally, but was not enhanced after concomitant PHx. On the other hand, SBR impaired the regenerative ability of the liver following PHx. Conclusions: Intestinal adaptation after SBR takes priority over liver regeneration after PHx. These data implicate a hierarchy with regard to adaptive alterations to organ loss and endorse an important role for the intestinal mucosa in the regulation of hepatic regeneration.
doi_str_mv 10.1016/S0002-9610(02)00809-7
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These data implicate a hierarchy with regard to adaptive alterations to organ loss and endorse an important role for the intestinal mucosa in the regulation of hepatic regeneration.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(02)00809-7</identifier><identifier>PMID: 11975933</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adaptation ; Adaptation, Physiological ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Animals ; Antibodies ; Antigens ; Biological and medical sciences ; Blotting, Western ; Emergency and intensive postoperative care (general aspects). 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This study tested the hypothesis that PHx was an additive signal for intestinal adaptation after massive SBR. Methods: Male mice underwent either sham SBR or 50% proximal SBR. Mice from these two groups were then subjected to a 70% PHx or sham PHx. After 3 days, parameters of intestinal adaptation and liver regeneration were recorded in the remnant intestine and liver, respectively. Results: Intestinal adaptation following SBR occurred normally, but was not enhanced after concomitant PHx. On the other hand, SBR impaired the regenerative ability of the liver following PHx. Conclusions: Intestinal adaptation after SBR takes priority over liver regeneration after PHx. 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subjects Adaptation
Adaptation, Physiological
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Animals
Antibodies
Antigens
Biological and medical sciences
Blotting, Western
Emergency and intensive postoperative care (general aspects). Pathophysiology of surgery
Enterectomy
Epidermal growth factor
Hepatectomy
Hepatectomy - methods
Histology
Intensive care medicine
Intestinal adaptation
Intestine
Intestine, Small - physiology
Intestine, Small - surgery
Laboratories
Liver
Liver - cytology
Liver - pathology
Liver - physiology
Liver regeneration
Liver Regeneration - physiology
Male
Medical sciences
Mice
Mice, Inbred ICR
Models, Animal
Organ Size
Proliferating Cell Nuclear Antigen - physiology
Regeneration
Signal transduction
Small bowel resection
Small intestine
title Intestinal and hepatic response to combined partial hepatectomy and small bowel resection in mice
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