Journal
JOURNAL OF RADIATION RESEARCH
Volume 64, Issue 4, Pages 693-701Publisher
OXFORD UNIV PRESS
DOI: 10.1093/jrr/rrad051
Keywords
radiation-induced liver disease; partial liver irradiation; X-ray; rat; liver hypertrophy; hepatocyte proliferation
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Irradiation of the liver induces compensatory hypertrophy in the nonirradiated part, which is mainly caused by hepatocyte proliferation. This study aimed to evaluate the weight of compensatory hypertrophy and clarify the mechanism of hypertrophy after partial liver irradiation. The results showed that partial liver irradiation leads to significant hypertrophy in nonirradiated liver lobes, and this hypertrophy is mainly due to increased hepatocyte mitosis.
Irradiation of the liver induces a regenerative response in the nonirradiated part of the liver. It is unclear whether this leads to actual liver enlargement. The aim of this study was to evaluate the weight of compensatory hypertrophy that occurs in nonirradiated livers and to clarify the mechanism of hypertrophy from the viewpoint of hepatocyte proliferation. The anterior liver lobes (anterior lobes) were irradiated with 60 Gy of X-rays (X60 Gy) under opening laparotomy. Body weights and liver lobe weights were measured before and at 1, 4, 8 and 12 weeks after irradiation, and serum and liver tissue samples were analyzed at each time point. The anterior lobes atrophied progressively, whereas the posterior liver lobes (posterior lobes) hypertrophied in the X-ray irradiated (X-irradiated) group. Although temporary liver damage was observed after irradiation, liver function did not decrease at any time point. Hepatocyte degeneration and loss were observed in the anterior lobes of the X-irradiated group, and significant fibrosis developed 8 weeks postirradiation. Following irradiation, the proportion of Ki-67-positive cells in the anterior lobes decreased markedly in the early postirradiation period, whereas the proportion of positive cells in the posterior lobes increased, peaking at 4 weeks postirradiation (P < 0.05). Increased tumor necrosis factor-& alpha; expression was observed only in the anterior liver lobes of the X-irradiated group at 1 and 4 weeks postirradiation. Partial liver irradiation with X60 Gy induced compensatory hypertrophy of nonirradiated liver lobes. This study suggests that liver hypertrophy after partial liver irradiation is caused by increased hepatocyte mitosis.
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