Science and Research

Partial Lobular Hepatectomy: A Surgical Model for Morphologic Liver Regeneration

Morphological organ regeneration following acute tissue loss is common among lower vertebrates, but is rarely observed in mammalian postnatal life. Adult liver regeneration after 70% partial hepatectomy results in hepatocyte hypertrophy with some replication in remaining lobes with restoration of metabolic activity, but with permanent loss of the injured lobe's morphology and architecture. Here, we detail a new surgical method in the neonate that leaves a physiologic environment conducive to regeneration. This model involves amputation of the left lobe apex and a subsequent conservative management regimen, and lacks the necessity for ligation of major liver vessels or chemical injury, leaving a physiologic environment where regeneration may occur. We extend this protocol to amputations on juvenile (P7-14) mice, during which the injured liver transitions from organ regeneration to compensatory growth by hypertrophy. The presented, brief 30 min protocol provides a framework to study the mechanisms of regeneration, its age-associated decline in mammals, and the characterization of putative hepatic stem or progenitors.

  • Tsai, J. M.
  • Weissman, I. L.
  • Rinkevich, Y.

Keywords

  • Animals
  • Hepatectomy/*methods
  • Liver/pathology/*surgery
  • Liver Regeneration/*physiology
  • Male
  • Mice
Publication details
DOI: 10.3791/57302
Journal: Journal of visualized experiments : JoVE
Number: 135
Work Type: Original
Location: CPC-M
Disease Area: DPLD
Partner / Member: HMGU
Access-Number: 29912198
See publication on PubMed

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