Biochemical and morphological responses to post-hepatectomy liver failure in rats
Open accessAbstract
The upper limit for partial hepatectomy (PH) in rats is 90%, which is associated with an increased risk of post-hepatectomy liver failure (PHLF), correlating with high mortality. Sixty-eight rats were randomized to 90% PH, sham operation, or no surgery. Further block randomization was performed to determine the time of euthanasia, whether 12, 24, or 48 h after surgery. A general distress score (GDS) was calculated to distinguish between rats with reversible (GDS < 10) and irreversible PHLF (GDS ≥ 10). At euthanasia, the liver remnant and blood were collected. Liver-specific biochemistry and regeneration ratio were measured. Hepatocyte proliferation and volume were estimated using stereological methods. All rats subjected to 90% experienced biochemical PHLF. The biochemical and morphological liver responses did not differ between the groups until 48 h after surgery. At 48 h, liver regeneration and function were significantly improved in survivors. The peak mean regeneration ratio was 15% for rats with irreversible PHLF compared to 26% for rats with reversible PHLF. The 90% PH rat model was associated with PHLF and high mortality. Irreversible PHLF was characterized by impaired liver regeneration capacity and an insufficient ability to metabolize ammonia.
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In experimental models, recovery of liver function has been characterized using stereological and immunohistochemical methods, including assessment of hepatocyte proliferation via Ki-67 staining and β-catenin signaling.
“In experimental models, the recovery of liver function has been further characterized using stereological and immunohistochemical methods, including assessment of hepatocyte proliferation via Ki-67 staining and β-catenin signaling[92].”
From Liver regeneration after partial hepatectomy: Triggers and mechanisms (2025) · cites this paper as [92]
The Materials and methods section (Stereology; page unavailable) describes immunohistochemical staining and stereological counts of Ki-67-positive hepatocytes in rats after hepatectomy. It identifies β-catenin staining as a hepatocyte cell-surface marker for volume measurements, not an assessment of β-catenin signaling. The signaling part of the claim is therefore unsupported. (LLM, conf=0.90)
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Liver regeneration after partial hepatectomy: Triggers and mechanisms
Korchilava, B., Khachidze, T., Megrelishvili, N., Svanadze, L., Kakabadze, M., Tsomaia, K., Jintcharadze, M., & Kordzaia, D. (2025) · World Journal of Hepatology · doi:10.4254/wjh.v17.i7.107378 · Cited by 21 · see citing works
- Authors
- Lund, A., Andersen, K. J., Meier, M., Pedersen, M. I., Knudsen, A. R., Kirkegård, J., Mortensen, F. V., & Nyengaard, J. R.
- Affiliations
- Aarhus University (DK)
- Corresponding author
- Lund, Andrea
- ORCID
- Venue
- Scientific Reports
- Published
- 2023-08-19
- Volume
- 13
- Issue
- 1
- Pages
- 13544-13544
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC10439910
- OpenAlex
- W4386002082
- Cited by
- 5
- References
- 1
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1
- FWCI
- 0.85
- Type
- journal article
- Language
- en
- Update notices
- correction (2024-09-26)
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Arvid Nilssons Fond
- Købmand Sven Hansen og Hustru Ina Hansens Fond
- Fabrikant Einar Willumsens Mindelegat
- Familien Hede Nielsens Fond
- P. A. Messerschmidt og Hustrus Fond
- Fonden til Lægevidenskabens Fremme
- Topics
- Health Sciences › Medicine › Hepatology › Liver physiology and pathology
- Health Sciences › Medicine › Surgery › Organ Transplantation Techniques and Outcomes
- Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
- Keywords
- post-hepatectomy liver failure, partial hepatectomy, liver regeneration, hepatocyte proliferation, ammonia metabolism, remnant liver, hepatocyte volume, rat model
- MeSH terms
- Animals, Hepatectomy, Liver Regeneration, Liver Failure, Hepatic Insufficiency, Rats
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