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重组人红细胞生成素对大鼠肝切除后肝再生的影响
引用本文:赵晖,金慧涵,季沅,华志元,胡明华,包嘉凌.重组人红细胞生成素对大鼠肝切除后肝再生的影响[J].江苏医药,2010,36(1).
作者姓名:赵晖  金慧涵  季沅  华志元  胡明华  包嘉凌
作者单位:南京医科大学附属无锡市第二人民医院肝胆外科,无锡,214002
摘    要:目的 探讨重组人红细胞生成素(rhEPO)对大鼠肝切除后肝再生的促进作用.方法 大鼠建立70%肝切除模型后分为两组:实验组术后30 min经尾静脉注射累计4000 IU/kg rhEPO(每天1333 IU/kg rhEPO,连用3 d);对照组给予相同容量的生理盐水.术后1、3、5、7、14 d随机各取5只大鼠处死,称取并计算肝再生率,采用速率法检测血清丙氨酸转氨酶(ALT)和白蛋白(Alb),免疫组化检测肝组织增殖细胞核抗原(PCNA)表达.结果 术后1、3、5、7、14 d实验组肝再生率较实验组明显增高(P<0.05),实验组血清ALT水平术后5、7、14 d较对照组有降低(P<0.05),实验组血清Alb术后7、14 d高于对照组(P<0.05),术后1、3、5、7 d实验组PCNA标记指数均高于对照组(P<0.05和P<0.01).结论 rhEPO对大鼠肝切除后肝再生有促进作用.

关 键 词:重组人红细胞生成素  肝再生

Effects of rhEPO on hepatic regeneration in rats after partial hepatectomy
Abstract:Objective To investigate the effects of recombinant human erythropoietin(rhEPO) on the hepatic regeneration in rats after partial hepatectomy.Methods Rats undergoing 70% hepatectomy were divided into 2 groups.rhEPO 4000 IU/kg was administered via vena caudalis immediately 30 minutes after operation in group T,while the same volume of saline was given in group C as the control.Five rats in each group were selected randomly and killded on the 1~(st),3~(rd),5~(th),7~(th) and 14~(th) day after operation.The ratio of hepatic regeneration,serum levels of alanine aminotransferase (ALT)and albumin(Alb),the proliferating cell nuclear antigen(PCNA)labeling index were determined.Results The ratio of hepatic regeneration in group T was significantly higher than that in group C at all time points after operation(P<0.05).The serum ALT was significantly lower in group T than that in group C on the 5~(th),7~(th) and 14~(th) day after operation(P<0.05),while Alb was significantly higher than that in group C on the 7~(th) and 14~(th) day after operation(P<0.05).PCNA labeling index was significantly higher in group T than that in group C on the 1~(st),3~(rd),5~(th) and 7~(th) day after operation(P<0.05 or P<0.01).Conclusion rhEPO can promote the hepatic regeneration in rats after partial hepatectomy.
Keywords:Recombinant human erythropoietin  Hepatic regeneration
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