Evidence map›Paper›PMID 39843785›Full record

ArticleScientific reports2025

Perioperative treatment with cilostazol reverses steatosis and improves liver regeneration after major hepatectomy in a steatotic rat model.

Sebastian Holländer, Maximilian von Heesen, Gereon Gäbelein, Julie Mercier, Matthias W Laschke, Michael D Menger, Matthias Glanemann, Antonios E Spiliotis

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sebastian HolländerDepartment of General Surgery, Vascular-, Visceral- and Pediatric Surgery, Saarland University Medical Center, 66421, Homburg, Germany.
Maximilian von HeesenDepartment of General- and Visceral Surgery, University Hospital Göttingen, 37075, Göttingen, Germany.
Gereon GäbeleinDepartment of General Surgery, Vascular-, Visceral- and Pediatric Surgery, Saarland University Medical Center, 66421, Homburg, Germany.
Julie MercierDepartment of General Surgery, Vascular-, Visceral- and Pediatric Surgery, Saarland University Medical Center, 66421, Homburg, Germany.
Matthias W LaschkeInstitute for Clinical and Experimental Surgery, Saarland University, 66421, Homburg, Germany.
Michael D MengerInstitute for Clinical and Experimental Surgery, Saarland University, 66421, Homburg, Germany.
Matthias GlanemannDepartment of General Surgery, Vascular-, Visceral- and Pediatric Surgery, Saarland University Medical Center, 66421, Homburg, Germany.
Antonios E SpiliotisInstitute for Clinical and Experimental Surgery, Saarland University, 66421, Homburg, Germany. antonios.spiliotis@outlook.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cilostazol has previously been shown to reduce liver steatosis and enhance hepatic perfusion. We investigated the effects of cilostazol after major hepatectomy in a steatotic rat model. Six weeks prior to surgery, Sprague-Dawley rats were fed with a high-fructose diet. The treatment group received daily 5 mg/kg cilostazol. Seven days following the cilostazol treatment, all animals underwent 70% liver resection (PHX). Analysis of hepatic blood flow and microcirculation and immunohistochemical examinations were conducted 30 min after PHX (postoperative day [POD] 0) as well as on POD 1, POD 3 and POD 7. The weight of cilostazol-treated animals was significantly reduced compared to untreated controls after completion of the 6-week high-FRC diet. Furthermore, 41% macrovesicular steatosis was found in the control group compared to 8% in the cilostazol group. Hepatic arterial and portal venous perfusion were increased in the cilostazol group on POD 7. Lower liver enzyme release was found postoperatively in cilostazol-treated animals. Moreover, apoptosis and neutrophil infiltration were reduced after cilostazol treatment. Proliferation of hepatocytes and liver regeneration after PHX were significantly increased in the cilostazol group. Consequently, cilostazol should be evaluated as a novel strategy to reduce the rate of liver failure after PHX in steatotic liver.

Indexed as

CilostazolFatty LiverHepatectomyLiver RegenerationAnimalsApoptosisCell ProliferationDisease Models, AnimalLiverMaleRatsRats, Sprague-DawleyCilostazolCilostazolHepatectomyLiver regenerationNon-alcoholic fatty liver diseaseObesity

Identifiers

PMID39843785
PMCPMC11754906

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.