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Abstract
General recognition of the presence of a specific hepatotrophic factor in portal blood
that is necessary for liver regeneration was delayed by two major problems. First,
there was a long period of confusion regarding liver atrophy, liver hypertrophy, and
cellular hyperplasia. Second, because only exposure to other liver tissue destroys
the hepatotrophic activity, all of the studies that were based on bypassing the portal
blood into the systemic circulation merely diluted the active substance, which still
was available to the hepatocytes by recirculation through the hepatic artery. These
problems have been resolved by the development of more sophisticated methods by which
to assay liver regeneration and by the introduction of the double liver model to study
regeneration. During the time when liver weight alone was used to assess regeneration,
the regenerative capacity of the liver was reported to be much greater after portacaval
transposition than after end-to-side portacaval shunt, a finding that is inconsistent
with current knowledge of the hepatotrophic portal blood factor. To re-evaluate the
effect on liver regeneration of providing a compensatory systemic venous inflow after
complete portal diversion, 40 partially hepatectomized inbred rats which had previously
undergone either a sham operation and end-to-side portacaval shunt or a portacaval
transposition were compared on the basis of six separate criteria of regeneration.
Alf of the livers actively regenerated and no significant advantage of providing a
substitute systemic venous inflow to the liver could be detected by any of the criteria.
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References
- Regeneration of mammalian liver.Int. Rev. Cytol. 1963; 15: 245
- The inter-liver competition and portal blood in regeneration of auxiliary liver transplants.in: ed. 2. Surg. Forum. 22. 1971: 341
- Liver regeneration following portacaval transposition in dogs.Ann. Surg. 1953; 138: 600
- Portal blood factor as the humoral agent in liver regeneration.Science. 1971; 171: 575
- Evaluation of a humoral factor in liver regeneration utilizing liver transplants.Cancer Res. 1971; 31: 322
- Auxiliary liver transplantation: Effect of host portacaval shunt.Arch. Surg. 1966; 93: 107
- Experimental pathology of the liver: Restoration of the liver of the white rat following partial surgical removal.Arch. Pathol. 1931; 12: 186
- Portacaval transposition in the rat.Biomedicine. 1973; 19: 318
- The role of afferent blood supply in regeneration of liver isografts in rats.in: ed. 2. Surg. Forum. 19. 1968: 360
- Influence of blood supply on regeneration of liver transplants.in: ed. 2. Surg. Forum. 20. 1968: 369
Lee, S., Chandler, J. G., Broelsch, C. E., et al.: Portal-systemic anastomosis in the rat, J. Surg. Res. In press.
- The effect of partial portacaval transposition on the canine liver.Surgery. 1967; 61: 723
- A procedure for the isolation of deoxyribonucleic acid from microorganisms.J. Mol. Biol. 1961; 3: 208
- Studies of hepatic function in dogs with Eck fistula or portacaval transposition.Arch. Surg. 1957; 74: 964
- The origin, hormonal nature, and action of hepatotrophic substances in portal venous blood.Surg. Gynecol. Obstet. 1973; 137: 179
- Homotransplantation of the canine liver; survival and histology with and without azathioprine.Arch. Surg. 1965; 90: 527
- The effects of portacaval shunt and portal flow occlusion on canine auxiliary liver homotransplants.Surgery. 1967; 61: 733
- The portal blood supply and regeneration of the rat liver.Br. J. Exp. Pathol. 1955; 36: 583
Article info
Publication history
Accepted:
August 23,
1974
Footnotes
☆Supported in part by United States Public Health Service Grant AM 12281.
Identification
Copyright
© 1975 Published by Elsevier Inc.