Analysis of host response to hepatectomy by simultaneous measurement of cytokines in the portal vein, caval vein and radial artery.
We analysed the host response to hepatectomy by simultaneous measurement of various cytokines and their antagonists in the portal vein, caval vein and radial artery in 10 patients with hepatocellular carcinoma. Concentrations of tumour necrosis factor-alpha (TNF), interleukin (IL) 1 beta, IL-2, IL-6, IL-10, soluble TNF receptor type I (sTNF-R), soluble IL-2 receptor (sIL-2R), IL-1 receptor antagonist (IL-1ra), soluble CD14 (sCD14) and endotoxin were determined just before and 1 h after hepatectomy. The values of IL-6, sTNF-R and IL-1ra were significantly increased after hepatectomy at each sampling site. In contrast, the levels of sIL-2R and sCD14 after hepatectomy were significantly decreased, and the levels of IL-1 beta, IL-2 and IL-10 were below the detection limits. Differences in cytokine concentrations between sampling sites revealed that the surgical stress of hepatectomy induced significant IL-1ra production in the liver and sTNF-R and IL-6 production in the lungs. These results suggest that hepatic resection is followed by the production of cytokine antagonists, such as IL-1ra, sTNF-R and IL-6, which could represent an important regulatory mechanism against surgical stress.
Kanaoka
Y
Y
Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan.
Yagi
T
T
Sadamori
H
H
Matsukawa
H
H
Matsuda
H
H
Inagaki
M
M
Ishikawa
T
T
Saito
S
S
Iwagaki
H
H
Tanaka
N
N
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000601:surgery; D016207:Cytokines / Q000037:antagonists & inhibitors / Q000097:blood*; D006498:Hepatectomy / Q000009:adverse effects*; D006801:Humans; D018836:Inflammation Mediators / Q000097:blood; D008113:Liver Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009928:Organ Specificity; D011169:Portal Vein; D011446:Prospective Studies; D017534:Radial Artery; D013312:Stress, Physiological / Q000097:blood; D014684:Venae Cavae
D016207:Cytokines; D018836:Inflammation Mediators