A critical appraisal of the hemodynamic signal driving liver regeneration

被引:69
作者
Abshagen, Kerstin [1 ]
Eipel, Christian [1 ]
Vollmar, Brigitte [1 ]
机构
[1] Univ Rostock, Inst Expt Surg, D-18055 Rostock, Germany
关键词
Liver regeneration; Partial hepatectomy; Shear stress; Microcirculation; Hepatic arterial buffer response; Blood-flow theory; ARTERIAL BUFFER RESPONSE; PORTAL-VEIN EMBOLIZATION; NITRIC-OXIDE SYNTHASE; HEPATIC BLOOD-FLOW; SHEAR-STRESS; PARTIAL-HEPATECTOMY; RAT-LIVER; KAPPA-B; HEPATOCYTE PROLIFERATION; MOLECULAR-MECHANISMS;
D O I
10.1007/s00423-012-0913-0
中图分类号
R61 [外科手术学];
学科分类号
100210 [外科学];
摘要
Many aspects of the signaling mechanisms involved in the initiation of hepatic regeneration are under current investigation. Nevertheless, the actual mechanisms switching liver regeneration on and off are still unknown. Hemodynamic changes in the liver following partial hepatectomy have been suggested to be a primary stimulus in triggering liver regeneration. Most of the new knowledge about the impact of hemodynamic changes on liver regeneration is both conceptually important and directly relevant to clinical problems. The purpose of this review is therefore to exclusively address the hemodynamic signal driving the liver regeneration process.
引用
收藏
页码:579 / 590
页数:12
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