Desferrioxamine in warm reperfusion media decreases liver injury aggravated by cold storage

查看全文 作　　者：Peter G [1]Arthur;Xian-Wa [2,3]Niu;Wen-Hua [4]Huang;Bastiaan [5]DeBoer;Ching Tat [1]Lai;Enrico [6]Rossi;John [6]Joseph;Gary P [2,3]Jeffrey

机构地区：[1]School of Biomedical,Biomolecular and Chemical Sciences,the University of Western Australia,Crawley,WA 6009,Australia;[2]School of Medicine and Pharmacology,the University of Western Australia,Crawley,WA 6009,Australia;[3]Gastroenterology/Hepatology,Sir Charles Gairdner Hospital,Nedlands,WA 6009,Australia;[4]WA Liver and Kidney Transplantation Services,QEII Medical Centre,Hospital Avenue,Nedlands,WA 6009,Australia;[5]Division of Anatomical Pathology,PathWest,QEII Medical Centre,Hospital Avenue,Nedlands,WA 6009,Australia;[6]Department of Biochemistry,Path-West,QEII Medical Centre,Hospital Avenue,Nedlands,WA6009,Australia

出　　处：《World Journal of Gastroenterology》索引2013年第19卷第5期,共9页

摘　　要：AIM:To evaluate whether desferrioxamine decreases ischemia and perfusion injury aggravated by cold storage(CS)in a rat liver perfusion model. METHODS:Isolated rat livers were kept in CS in University of Wisconsin Solution for 20 h at 4℃,then exposed to 25 min of warm ischemia(WI)at 37℃ followed by 2 h of warm perfusion(WP)at 37℃with oxygenated(95%oxygen and 5%carbon dioxide) Krebs-Henseleit buffer.Desferrioxamine(DFO),an iron chelator,was added at different stages of storage,ischemia and perfusion:in CS only,in WI only,in WP only, in WI and perfusion,or in all stages.Effluent samples were collected after CS and after WI.Perfusate samples and bile were collected every 30 min(0,0.5,1,1.5 and 2 h)during liver perfusion.Cellular injury was assessed by the determination of lactate dehydrogenase(LDH) and aspartate aminotransferase(AST)in the effluent and perfusate samples.Total iron was analysed in the perfusate samples.After WP,the liver was collected for the determination of liver swelling(wet to dry ratio) and liver morphological examination(hematoxylin and eosin staining). RESULTS:Increased CS time caused increased liver dysfunction during WP.After 2 h of WP,liver injury was indicated by increased release of AST(0.5 h CS:9.4± 2.2 U/g liver vs 20 h CS:45.9±10.8 U/g liver,P<0.05) and LDH(0.5 h CS:59±14 U/g liver vs 20 h CS:297 ±71 U/g liver,P<0.05).There was an associated increase in iron release into the perfusate(0.5 h CS:0.11 ±0.03μmoL/g liver vs 20 h CS:0.58±0.10μmoL/g liver,P<0.05)and reduction in bile flow(0.5 h CS: 194±12μL/g vs 20 h CS:71±8μL/g liver,P<0.05). When DFO was added during WI and WP following 20 h of CS,release of iron into the perfusate was de- creased(DFO absent 0.58±0.10μmoL/g liver vs DFO present 0.31±0.06μmoL/g liver,P<0.05),and liver function substantially improved with decreased release of AST(DFO absent 45.9±10.8 U/g liver vs DFO present 8.1±0.9 U/g liver,P<0.05)and LDH(DFO absent 297±71 U/g liver vs DFO present 56±7 U/g liver,P<0.05),and increased bile flow(DFO absent 71±8μL/g liver vs DFO present 237±36μL/g liver, P<0.05).DFO was also shown to improve liver morphology after WP.Cellular injury(the release of LDH and AST)was significantly reduced with the addition of DFO in CS medium but to a lesser extent compared to the addition of DFO in WP or WI and perfusion.There was no effect on liver swelling or bile flow when DFO was only added to the CS medium. CONCLUSION:DFO added during WI and perfusion decreased liver perfusion injury aggravated by extended CS. 关键词：Iron CHELATION Ischemia and PERFUSION injury Liver ORGAN preservation Rat

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Desferrioxamine in warm reperfusion media decreases liver injury aggravated by cold storage

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