Institutional members access full text with Ovid®

Share this article on:

Platelet Administration Via the Portal Vein Promotes Liver Regeneration in Rats After 70% Hepatectomy

Matsuo, Ryota MD, PhD; Nakano, Yoritaka MD; Ohkohchi, Nobuhiro MD, PhD

doi: 10.1097/SLA.0b013e318211caf8
Original Articles

Objective: This study examines the applicability of platelet infusion therapy for liver regeneration in vivo.

Background: We recently reported that platelets accumulate in the liver immediately after extended hepatectomy and promote residual liver regeneration. Liver regeneration depends on the number of accumulated platelets in the sinusoids.

Methods: Male Sprague-Dawley rats underwent 70% hepatectomy and were then assigned to groups that were infused with 1 mL of either platelet-rich plasma (PRP; 1 × 109 platelets/mL) in normal saline (NS) or NS via the portal vein. We then analyzed liver regeneration and the signaling pathways that are related to liver regeneration and function. The dynamics of platelets infused via the portal vein were visualized before and after hepatectomy.

Results: The liver/body weight ratio after 70% hepatectomy was significantly higher and the Ki-67 labeling index was higher in the PRP, than in the NS group. The Akt pathway was activated earlier in the PRP, than in the NS group with concurrent ERK1/2 pathway activation, but this was prolonged in the PRP group. Many more platelets infused via the portal vein accumulated in the sinusoid after 70% hepatectomy, and serum liver function tests and histological findings revealed that portal infusion did not cause liver damage.

Conclusions: Platelets infused via the portal vein promoted liver regeneration after 70% hepatectomy in rats without liver damage. These findings indicate that PRP administration could be a useful part of liver regeneration therapy.

Supplemental digital content is available in the text.To examine the applicability of platelet infusion therapy for liver regeneration, platelet rich plasma was infused via the portal vein of male SD rats immediately after 70% hepatectomy and liver regeneration was analyzed. Platelet infusion via the portal vein promoted liver regeneration after hepatectomy in rats without causing liver damage.

From the Department of Surgery, Advanced Biomedical Applications, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan.

Reprints: Prof. Nobuhiro Ohkohchi, MD, PhD, Department of Surgery, Advanced Biomedical Applications, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennnodai, Tsukuba, Ibaraki 305-8575, Japan. E-mail: nokochi3@md.tsukuba.ac.jp.

Supported in part by Grants-in-Aid from the Ministry of Education, Culture, Sports, Science and Technology of Japan (MEXT).

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.annalsofsurgery.com).

© 2011 Lippincott Williams & Wilkins, Inc.