Laparoscopic surgery and Kupffer cell activation

Evidence tends to support a relative preservation of the systemic immune response with laparoscopy as compared with laparotomy. However, the role of hepatic macrophages, or Kupffer cells, in modulating this immune advantage is unknown. This study investigated the functions of Kupffer cells after eit...

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Veröffentlicht in:Surgical endoscopy 2000-12, Vol.14 (12), p.1171-1176
Hauptverfasser: VITTIMBERGA, F. J, NOLAN, B, PERUGINI, R. A, SPECTOR, L, CALLERY, M. P
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container_end_page 1176
container_issue 12
container_start_page 1171
container_title Surgical endoscopy
container_volume 14
creator VITTIMBERGA, F. J
NOLAN, B
PERUGINI, R. A
SPECTOR, L
CALLERY, M. P
description Evidence tends to support a relative preservation of the systemic immune response with laparoscopy as compared with laparotomy. However, the role of hepatic macrophages, or Kupffer cells, in modulating this immune advantage is unknown. This study investigated the functions of Kupffer cells after either laparoscopy or laparotomy in a rat model. Rats underwent laparoscopy, laparotomy, or control operations. Kupffer cells were harvested, cultured, and stimulated with lipopolysaccharide. Culture supernatants were analyzed for tumor necrosis factor (TNF-alpha) and interleukin-6 (IL-6). Cytoplasmic lysates were analyzed for activation of two mitogen-activated protein kinases (MAPKs). Production of TNF-alpha and IL-6 was similar in laparoscopy, laparotomy, and control groups. Both laparotomy and laparoscopy showed increased activation of p38 MAPK as compared with controls. Activation of ERK1/2 was decreased during laparotomy as compared with laparoscopy. Although cytokine production was similar in the laparoscopy and laparotomy groups, changes in MAPK activation suggest that intracellular pathways are more affected during laparotomy than during laparoscopy.
doi_str_mv 10.1007/s004640010065
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subjects Abdomen
Animals
Biological and medical sciences
Blotting, Western - methods
Blotting, Western - statistics & numerical data
Cell Separation - methods
Enzyme Activation - drug effects
Enzyme-Linked Immunosorbent Assay - methods
Enzyme-Linked Immunosorbent Assay - statistics & numerical data
Interleukin-6 - analysis
Interleukin-6 - biosynthesis
Kupffer Cells - drug effects
Kupffer Cells - metabolism
Laparoscopy
Laparotomy
Lipopolysaccharides - pharmacology
Macrophage Activation - drug effects
Medical sciences
Mitogen-Activated Protein Kinases - analysis
Mitogen-Activated Protein Kinases - drug effects
Mitogen-Activated Protein Kinases - metabolism
Pneumoperitoneum, Artificial
Rats
Rats, Sprague-Dawley
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Tumor Necrosis Factor-alpha - analysis
Tumor Necrosis Factor-alpha - biosynthesis
title Laparoscopic surgery and Kupffer cell activation
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