IntroductionBone marrow mesenchymal stem cells (BMMSCs) have been reported to facilitate liver regeneration after toxic injuries. However, the effect of BMMSCs on liver regeneration after massive hepatectomy is barely studied. Here we explored whether infusion of BMMSCs promotes liver regeneration in a rat massive hepatectomy model.MethodsHypoxia preconditioning was achieved by culturing BMMSCs under a hypoxia environment. Then 85% hepatectomy was performed and hypoxia or normoxia preconditioned BMMSCs were infused into the portal vein. A group of rats received vascular endothelial growth factor (VEGF) neutralizing antibody perioperatively, and underwent 85% hepatectomy and a subsequent infusion of hypoxia preconditioned BMMSCs to verify the role of VEGF in the effects of BMMSCs on liver regeneration. Liver samples were collected and liver regeneration was evaluated postoperatively.ResultsHypoxia preconditioning enhanced the expression of VEGF in BMMSCs in vitro. Infusion of BMMSCs promoted proliferation of hepatocytes, reflected by elevated cyclin D1 expression and proliferating cell nuclear antigen-positive hepatocytes. However, BMMSC infusion did not improve the serum albumin level, liver weight/body weight ratio, and survival after operation. Infusion of hypoxia preconditioned BMMSCs significantly elevated cyclin D1, proliferating cell nuclear antigen-positive hepatocytes, liver weight/body weight ratio, and survival compared with normoxia preconditioned BMMSCs, accompanied by an increased serum albumin level. The level of VEGF in liver homogenate was much higher in hypoxia preconditioned BMMSC-treated animals than in other groups. In addition, the perioperative injection of VEGF neutralizing antibody significantly blocked the therapeutic effects of hypoxia preconditioned BMMSCs on liver injury and regeneration in this model.ConclusionHypoxia preconditioned BMMSCs enhanced liver regeneration after massive hepatectomy in rats, possibly by upregulating the level of VEGF.

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The early ''minimizing tacrolimus'' strategy with a mean TC of 5-10 ng/mL and SD of 2-4 was beneficial in terms of long-term survival after LT.

To fill the shortages in the knowledge of the pyrolysis and combustion properties of new and aged polyvinyl chloride (PVC) sheaths, several experiments were performed by thermogravimetric analysis (TG), Fourier transform infrared (FTIR), microscale combustion calorimetry (MCC), and cone calorimetry. The results show that the onset temperature of pyrolysis for an aged sheath shifts to higher temperatures. The value of the main derivative thermogravimetric analysis (DTG) peak of an aged sheath is greater than that of a new one. The mass of the final remaining residue for an aged sheath is also greater than that of a new one. The gas that is released by an aged sheath is later but faster than that of a new one. The results also show that, when compared with a new sheath, the heat release rate (HRR) is lower for an aged one. The total heat release (THR) of aged sheath is reduced by 16.9–18.5% compared to a new one. In addition, the cone calorimetry experiments illustrate that the ignition occurrence of an aged sheath is later than that of a new one under different incident heat fluxes. This work indicates that an aged sheath generally pyrolyzes and it combusts more weakly and incompletely.

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