Zenilman, Michael E MD; Zheng, Qing-hu MS; Wu, Haiyan MD; Rengabashyam, Padmanabha MD Author Information
Background/Purpose: Hepatocyte growth factor originally shown to enhance hepatocyte DNA Recently, the expression of HGF and its receptor observed in the intestinal tract. In a previous demonstrated that HGF can increase normal epithelial mass and function in vivo. This study to determine if HGF, given either systemically can enhance intestinal epithelial mass and function beyond the normal adaptive response after massive small bowel resection.Methods: Twenty young adult male Sprague-Dawley rats underwent an 80% small bowel resection. Seven days after resection, systemic infusion (via the jugular vein) or luminal perfusion (via the jejunum) were performed using subcutaneously placed osmotic minipumps. The rats were divided into four groups: group 1, systemic saline, (control, n = 5); group 2, systemic HGF at 150 mu g/kg/d (n = 5); group 3, luminal saline, (control, n = 5); and group 4, luminal HGF at 75 mu g/kg/d (n = 5). After a 14-day infusion, [C-14] galactose and [C-14] glycine absorption (mu mol/cm(2) intestine), mucosal DNA content (mu g/mg mucosa) and protein content (mu g/mg mucosa) were measured in the remaining small intestine of each rat.Results: Systemic infusion of HGF increased galactose absorption 68% (P<.05), glycine absorption 57% (P<.05), DNA content 17% (P<.01), and protein content 57% (P<.01), when compared with the appropriate control. Luminal perfusion of HGF also increased galactose absorption 114% (P<.01), glycine absorption 126% (P<.01), DNA content 32% (P<.01), and protein content 45% (P<.01), when compared with the appropriate control.Conclusions: These data demonstrate for the first time that HGF can significantly enhance intestinal epithelial cell function and mucosal mass beyond the normal adaptive response. Luminal administration appeared to produce a greater response when compared with systemic administration but was significant only for galactose absorption (P<.05). HGF may be clinically useful in patients with short bowel syndrome. Copyright (C) 1998 by W.B. Saunders Company.
The immediate inflammatory response following aortic reconstruction with two types of sealed Dacron grafts was studied in a prospective, randomized manner. C-reactive protein (CRP) levels were measured before surgery and on days 2 and 8 postoperatively. In the collagen-sealed group (n = 10) CRP levels were 10 ± 9.6, 180.2 ± 48.3, and 54.3 ± 34.3 mg/L, respectively. In the gelatin-impregnated group (n = 10) the values were 10.5 ± 8.7, 200.7 ± 27.3, and 80.3 ± 30.2 mg/L, respectively. The slight differences were not significant according to the analysis of variance test for repeated measurements. These findings suggest that implantation of a knitted Dacron graft sealed with collagen does not lead to a higher inflammatory reaction compared with a gelatin-sealed graft.
