Partial hepatectomy augments the liver's antitumor response
R. Doerr, M. Castillo, P. Evans, N. Paolini, M. Goldrosen and S. A. Cohen
Department of Surgery, State University of New York, Buffalo.
Despite adequate locoregional control, colorectal metastasis to the liver
remains a significant cause of death. Resection of hepatic metastasis
improves five-year survival 18% to 34%. A study of the impact of 40%
partial hepatectomy on cytokine production in the liver was undertaken.
Nonparenchymal liver cells (NPCs) were prepared by collagenase perfusion
and metrizamide gradient from partially hepatectomized and laparotomized
control C57BL/6Ros mice. Nonparenchymal cell from partially hepatectomized
mice compared with laparotomized mice showed a twofold to threefold
increase in interferon (IFN) activity. Both interferon alpha/beta and
supernatants from cultured NPCs of partially hepatectomized mice suppressed
the proliferation of liver-derived MCA-38 colon adenocarcinoma cells in
vitro. This tumor has been shown to metastasize to the liver of C57BL/6Ros
mice. The production of various cytokines by NPCs induced by partial
hepatectomy may provide a possible antimetastatic mechanism.