Abstract
To evaluate the effects of hepatopancreatectomy on the regenerative process of the liver, the serum protein changes, hepatic protein synthesis (HPS), and bromodeoxyuridine (BrdU) labeling index were measured in rats. Sprague-Dawley rats were divided into four groups according to the type of resection: A simple laparotomy was performed in the sham group; 68% of the liver was excised in the Hx group; 45% of the pancreas was excised in the Px group; and 45% of the pancreas and 68% of the liver were excised simultaneously in the HPx group. Serum total protein and albumin levels were significantly lower in the HPx group compared to the other three groups on postoperative day (POD) 3 (P < 0.05). HPS was markedly increased in the Hx and HPx groups. In the Hx group, it was significantly higher, peaking on POD 2, compared to the HPx group (P < 0.05), while in the HPx group, it was significantly higher compared to the Hx group (P < 0.05), peaking on POD 3. The BrdU labeling index, as a marker of DNA synthesis, was significantly suppressed in the HPx group on POD 1 compared to the Hx group (P < 0.05). Thus, compared to hepatectomy alone, hepatopancreatectomy suppresses DNA synthesis, causing a delay in the increase of protein synthesis in the regenerating liver, resulting in a more marked decrease in the serum protein level.
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