Abstract

In this study, we investigated the affect and the role of growth factors on liver damage. 110 Sprague–Dawley rats were divided into 11 groups: a sham group, a control group, HGF, EGF, IGF, TGF groups of irreversible jaundiced rats and a control group and HGF, EGF, IGF, and TGF groups of reversible jaundiced rats (n = 10). In the irreversible jaundiced groups, the common bile duct was explorated, double ligated, and cut. 150 μg/kg/day HGF, 5 μg/kg/day EGF, 5 μg/kg/day IGF, and 5 μg/kg/day TGF β-1 were injected intraperitoneally after the seventh post-operative day. In the reversible jaundiced group, the common bile duct was ligated and the ligation was resolved on the seventh post-operative day. For 5 days, growth factors were injected at the same dose. Ductal proliferation scores significantly decreased after growth factor administration in the EGF-A and TGF-A groups. Furthermore, ductal proliferation was decreased in the TGF-B group. As a result of this study, HGF was effective in the irreversible jaundiced groups and ineffective in the reversible jaundice groups. EGF was effective in the reversible jaundiced groups and ineffective in the irreversible jaundiced groups. In both the irreversible jaundiced and reversible jaundiced groups, IGF was ineffective, although TGF β-1 was effective. We believe that these results arise from the positive effects of effective doses of growth factor on liver damage.

Highlights

  • Common bile duct stones, cholangiocellular carcinoma, pancreatic cancer, inflammation, trauma and other mechanical obstructions of the bile duct could result by obstructive jaundice

  • An irreversible common bile duct (CBD) ligation model was performed in the hepatocyte growth factor (HGF) A, Epidermal Growth Factor (EGF) A, Insulin-like Growth Factor (IGF) A, Transforming Growth Factor (TGF) A, and Control A groups

  • Alkaline phosphatase (ALP) levels were higher in the HGF A group (p < 0.05)

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Summary

Introduction

Cholangiocellular carcinoma, pancreatic cancer, inflammation, trauma and other mechanical obstructions of the bile duct could result by obstructive jaundice. Due to obstruction of the bile duct jaundice occurs and follows by cholestatic liver damage. As a result of cholestatic liver damage, stellate cells activate and hepatocellular necrosis and bile duct epithelial proliferation occurs. As a result of jaundice inflammation occurs in the liver tissue and due to the release of the inflammatory cytokines and free oxygen radicals liver injury starts. If the jaundice keeps on during 48 h and more, early epithelial proliferation of biliary tract starts. Effects of obstructive jaundice on liver tissue can occur during the first 7 days that can be called the acute period of cholestatic

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