Hepatic ischemia-reperfusion promotes liver metastasis of colon cancer

被引:67
作者
Doi, K [1 ]
Horiuchi, T [1 ]
Uchinami, M [1 ]
Tabo, T [1 ]
Kimura, N [1 ]
Yokomachi, J [1 ]
Yoshida, M [1 ]
Tanaka, K [1 ]
机构
[1] Fukui Med Univ, Dept Surg 2, Fukui 9101193, Japan
关键词
hepatic ischemia; liver metastasis; colon cancer; E-selectin (ELAM-1);
D O I
10.1006/jsre.2002.6356
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background. The effects of hepatic ischemia/reperfusion (I/R) on liver metastasis have not been fully examined. We examined hepatic I/R and liver metastasis of colorectal cancer in a rat model; we also quantitated expression of E-selectin (ELAM-1) mRNA after I/R. Materials and methods. Rats underwent 30 or 60 min of 70% partial hepatic ischemia. After 60 min of reperfusion, rat colon adenocarcinoma cells (RCN-H4) were inoculated intrasplenically. The number of tumor nodules on the liver surface was determined 3 weeks later. Expression of E-selectin mRNA was determined at 1, 3, and 6 h after ischemia by quantitative RT-PCR. Results. Hepatic I/R promoted liver metastasis of RCN-H4 and induced the expression of E-selectin mRNA in both clamped and unclamped liver lobes. The number of tumor nodules and the expression of E-selectin mRNA after 60 min of ischemia was greater than that after 30 min. Conclusions. Hepatic I/R, especially with a long duration of ischemia, induces expression of E-selectin and promotes liver metastasis of colon cancer in rats. (C) 2002 Elsevier Science (USA).
引用
收藏
页码:243 / 247
页数:5
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