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Improved Hepatic Regeneration With Reduced Injury by Redox Factor‐1 in a Rat Small‐Sized Liver Transplant Model
Author(s) -
Guo Lei,
Haga Sanae,
Enosawa Shin,
Naruse Katsutoshi,
Harihara Yasushi,
Sugawara Yasuhiko,
Irani Kaikobad,
Makuuchi Masatoshi,
Ozaki Michitaka
Publication year - 2004
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/j.1600-6143.2004.00444.x
Subject(s) - liver regeneration , liver transplantation , transplantation , medicine , regeneration (biology) , hepatectomy , liver injury , liver function , bilirubin , reperfusion injury , pathology , alanine transaminase , immunology , cancer research , ischemia , surgery , biology , microbiology and biotechnology , resection
Redox factor‐1 (Ref‐1) has been shown to function in a redox‐dependent manner in the cell. This study was designed to examine the effects of Ref‐1 on liver regeneration as well as protection against postischemic injury in a rat model of 20% partial liver transplantation. Adenovirus carrying the full length of Ref‐1 gene was introduced into liver grafts by ex vivo perfusion via the portal vein during preservation. Liver graft weights were assessed, as well as graft histology, serum levels of alanine aminotransferase (ALT)/bilirubin, DNA binding activities of AP‐1 and Stat3. Redox factor‐1 successfully expressed in the liver graft, improved regeneration by promoting cell proliferation. Overexpression of Ref‐1 protein also reduced post‐transplant injury and inflammatory reactions in the grafts. The increased serum levels of ALT and bilirubin observed after transplantation were significantly reduced by Ref‐1 overexpression. Furthermore, adenovirally overexpressed Ref‐1 in mouse liver successfully promoted liver regeneration after simple partial hepatectomy. Interestingly, Ref‐1 significantly increased DNA binding of Stat3, but not AP‐1. Overexpressed Ref‐1 effectively promoted graft regeneration and reduced postischemic injury in a small‐sized liver transplantation model. The results of the present study may open a new avenue to clinical transplantation of disproportionately sized grafts in living‐related liver transplantation.