Background/Aims
The aim of this study was to investigate the effect and the mechanism of hyperbaric
oxygen treatment on regenerating rat liver after partial hepatectomy (PH).
Methods
Wistar rats underwent a 70% PH, followed by treatment with hyperbaric oxygen starting
8 h after PH. The regenerated liver weight and serum parameters were compared. Proliferation
of both hepatocytes and sinusoidal endothelial cell (SEC) was also monitored by evaluating
the proliferating cell nuclear antigen (PCNA) labeling index. Furthermore, the hepatic
adenosine triphosphate levels and vascular endothelial growth factor (VEGF) protein
expression were analyzed at different times.
Results
Hyperbaric oxygen treatment significantly reduced the serum alanine aminotransferase
levels at 24 h, total bilirubin and total bile acid levels at 48 and 72 h, respectively. No significant differences in the hepatic adenosine triphosphate
levels, the restitution of liver weight, or PCNA positive hepatocytes were observed
between the two groups. The PCNA positive SEC, in contrast, was significantly increased
in the hyperbaric oxygen group at 48 h, furthermore, the hyperbaric oxygen treatment significantly increased the expression
of VEGF protein in the regenerating liver at 24 and 48 h.
Conclusions
Hyperbaric oxygen treatment can be considered as a therapeutic modality after massive
PH.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of HepatologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Extended hepatectomy for hepatocellular carcinoma.Br J Surg. 1990; 77: 1247-1250
- Morbidity and mortality after hepatic resection in the modern era.Hepatogastroenterology. 1995; 42: 456-460
- Liver regeneration: from myth to mechanism.Nat Rev. 2004; 5: 836-847
- Liver regeneration.Science. 1997; 276: 60-66
- Proliferation of mononuclear phagocytes (Kupffer cells) and endothelial cells in regenerating rat liver.Am J Pathol. 1975; 80: 349-366
- Sinusoidal ultrastructure evaluated during the revascularization of regenerating rat liver.Hepatology. 2001; 33: 363-378
- Spatiotemporal expression of angiogenesis growth factor receptors during the revascularization of regenerating rat liver.Hepatology. 2001; 34: 1135-1148
- Liver regeneration is an angiogenesis associated phenomenon.Ann Surg. 2002; 236: 703-711
- Angiogenesis in wound repair: angiogenic growth factors and extracellular matrix.Microsc Res Tech. 2003; 60: 107-114
- Blood coagulation equilibrium in rat liver microcirculation as evaluated by endothelial cell thrombomodulin and macrophage tissue factor.Thromb Res. 1995; 80: 113-123
- Increased expression of vascular endothelial growth factor and its receptors, flt-1 and KDR/flk-1, in regenerating rat liver.Biochem Biophys Res Commun. 1996; 226: 176-179
- Sinusoidal endothelial cell proliferation and expression of angiopoietin/Tie family in regenerating rat liver.J Hepatol. 2001; 34: 690-698
- A new communication system between hepatocytes and sinusoidal endothelial cells in liver through vascular endothelial growth factor and Flt tyrosine kinase receptor family (Flt-1 and KDR/Flk-1).Oncogene. 1994; 9: 2683-2690
- Tumor cells secrete a vascular permeability factor that promotes accumulation of ascitic fluid.Science. 1983; 219: 983-985
- Angiogenesis-independent endothelial protection of liver: role of VEGFR-1.Science. 2003; 299: 890-893
- Interplay among cardiotrophin-1, prostaglandins, and vascular endothelial growth factor in rat liver regeneration.Hepatology. 2005; 41: 460-469
- Hyperbaric-oxygen therapy.N Engl J Med. 1996; 334: 1642-1648
- Hyperbaric oxygen therapy for hepatic artery thrombosis after liver transplantation in children.Liver Transpl Surg. 1999; 5: 429-436
- Effect of hyperbaric oxygen on the growth factor profile of fibroblasts.Arch Facial Plast Surg. 2004; 6: 31-35
- Hyperbaric oxygen treatment attenuates cytokine induction after massive hemorrhage.Am J Endocrinol Metab. 2000; 278: E811-E816
- Hyperoxia improves microvascular perfusion in a murine wound model.Wound Rep Reg. 2005; 13: 303-308
- Systematic review of hyperbaric oxygen in the management of chronic wounds.Br J Surg. 2005; 92: 24-32
- Hyperbaric oxygenation after portal vein embolization for regeneration of the predicted remnant liver.J Surg Res. 2001; 100: 63-68
- Beneficial effect of hyperbaric oxygen therapy on liver regeneration after 90% hepatectomy in rats.Eur Surg Res. 2004; 36: 350-356
- Experimental pathology of liver: restoration of liver of the white rat following partial surgical removal.Arch Pathol. 1934; 12: 186-202
- Failure of regeneration of the steatotic rat liver: disruption at two different levels in the regeneration pathway.Hepatology. 2000; 31: 35-42
- Energy requirement in regenerative and atrophic processes of the liver in man and other mammals.Surg Gynecol Obstet. 1974; 139: 234-240
- Effect of hyperoxia on vascular endothelial growth factor levels in a wound model.Arch Surg. 2000; 135: 1293-1297
- Hyperbaric oxygen selectively induces angiopoietin-2 in human umbilical vein endothelial cells.Biochem Biophys Res commun. 2002; 296: 710-715
- Endothelial-directed hepatic regeneration after partial hepatectomy.Ann Surg. 2003; 237: 530-535
- The fms-like tyrosine kinase, a receptor for vascular endothelial growth factor.Science. 1992; 255: 989-991
- Identification of the KDR tyrosine kinase as a receptor for vascular endothelial cell growth factor.Biochem Biophys Rec Commun. 1992; 187: 1579-1586
- Vascular endothelial growth factor secreted by replicating hepatocytes induces sinusoidal endothelial cell proliferation during regeneration after partial hepatectomy in rats.J Hepatol. 2001; 34: 683-689
- Effect of vascular endothelial growth factor on hepatic regenerative activity following partial hepatectomy in rats.J Heptol. 1999; 30: 911-915
- Expression and role of vascular endothelial growth factor in liver regeneration after partial hepatectomy in rats.J Histochem Cytochem. 2001; 49: 121-130
- Oxygen and healing.Am J Surg. 1969; 118: 521-525
- Protection by vascular endothelial growth factor against sinusoidal endothelial damage and apoptosis induced by cold preservation.Transplantation. 2000; 69: 141-147
- Impact of portal venous pressure on regeneration and graft damage after living-donor liver transplantation.Liver Transpl. 2005; 11: 68-75
- Apoptosis of hepatocytes is a main cause of including lethal hepatic failure after excessive hepatectomy in rats.Transplant Proc. 1999; 31: 558-559
- Expression of bcl-2 family reduces apoptotic hepatocytes after excessive hepatectomy.Eur Surg Res. 2001; 33: 8-15
- Induction of VEGF and VEGF receptor gene expression by hypoxia: divergent regulation in vivo and vitro.Kidney Int. 1997; 51: 448-453
- Vascular endothelial growth factor mRNA increases in alveolar epithelial cells during recovery from oxygen injury.Am J Respir Cell Mol Biol. 1995; 13: 377-386
- Oxygen in wound healing—more than a nutrient.World J Surg. 2004; 28: 294-300
- Oxidant-induced vascular endothelial growth factor expression in human keratinocytes and cutaneous wound healing.J Biol Chem. 2002; 277: 33284-33290
- Antioxidant and redox regulation of gene transcription.Fed Am Soc Exp Biol J. 1996; 10: 709-720
Article info
Publication history
Published online: February 03, 2006
Accepted:
December 15,
2005
Received in revised form:
December 13,
2005
Received:
October 7,
2005
Identification
Copyright
© 2006 European Association for the Study of the Liver. Published by Elsevier Inc. All rights reserved.