Partial removal of the adult rat liver-a procedure that stimulates liver regeneration-causes arterial levels of insulin and thyroxin to fall and glucagon levels to rise. These changes are correlated with the quantity of liver tissue excised and not solely with nonspecific operative manipulations or with blood glucose levels. During regeneration (about 24 hr postoperatively), hepatic plasma membranes become partially resistant to binding glucagon; this change is specific because it is not detected in laparotomized controls and insulin binding is not significantly altered. It remains to be proven whether any one or more of these specific endocrine changes are causally related to the initiation of hepatic proliferation.The phenomenon of liver regeneration in adult rats has been investigated for many years in attempts to understand processes that control mammalian cell proliferation. After partial removal of the liver (partial hepatectomy), the remaining tissue undergoes metabolic changes which culminate in the initiation of hepatocyte DNA synthesis and mitosis about 14 and 24 hr later, respectively, and which continue until the initial cellular mass is restored (1).It has been proposed that hepatocyte proliferation is controlled by blood-borne factors, the levels of which appear to be regulated by the available liver mass (2). Indirect in vvo evidence suggests that hormones may be involved (3-8). Recently, it has been reported that in adult rats, peripheral venous perfusions of glucagon and thyroxin-but not insulinstimulate partial hepatocellular growth similar to the hyperplasia induced by partial hepatectomy (9). However, a growth regulatory role for pancreatic hormones is controversial (10-13); moreover, neither glucagon nor thyroxin appear to be specific hepatotrophic mitogens (14).A conceptual attempt to unify these apparently unrelated findings was discussed elsewhere (15, 16) and was based upon in vitro growth control studies using chemically defined medium and quiescent monolayer cultures (17) of differentiated fetal rat hepatocytes (18-21). Direct evidence from these studies suggested that many serum (22) and conditioning factors (17) contributed to the growth response, including insulin and thyroxin, which partially stimulated the initiation of DNA synthesis, and glucagon, which partially inhibited this process.These findings suggested that the in vivo induction of liver regeneration by partial hepatectomy might be accompanied by specific alterations in plasma levels of these hormones as well as in the liver's capacity for hormonal responsiveness.Accordingly, we began approaching these problems by measuring plasma levels of insulin, glucagon, and thyroxin in partially hepatectomized rats and by measuring the capacity of plasma membranes derived from regenerating liver to bind peptide hormones. Measurements were performed during the period that precedes maximal DNA replication rates (0-24 hr) because regulatory changes initiating growth would be expected to occur during this time (1).
MATERIALS AND...