Genetically marked hepatocytes from dipeptidyl peptidase (DPP) IV؉ Fischer 344 rats were transplanted into the liver of DPPIV ؊ mutant Fischer 344 rats after a combined treatment with retrorsine , a pyrrolizidine alkaloid that blocks the hepatocyte cell cycle, and two-thirds partial hepatectomy. In female rats , clusters of proliferated DPPIV ؉ hepatocytes containing 20 to 50 cells/cluster , mostly derived from single transplanted cells , were evident at 2 weeks , increasing in size to hundreds of cells per cluster at 1 month and 1000 to several thousand cells per cluster at 2 months, representing 40 to 60% of total hepatocyte mass. This level of hepatocyte replacement remained constant for up to 1 year , the duration of experiments conducted. In male rats , liver replacement occurred more rapidly and was more extensive , with transplanted hepatocytes representing 10 to 15% of hepatocyte mass at 2 weeks , 40 to 50% at 1 month , 90 to 95% at 2 months , 98% at 4 months , and 99% at 9 months.
Older people on lithium-especially those requiring supportive care-are at risk of severe hypernatraemia after an acute illness or if their fluid intake is restricted.
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