Isoflurane does not protect from brain death-associatedaggravation of cold hepatic ischemia-reperfusion injury

• Verfasst von: Strowitzki, Moritz [VerfasserIn]
• Verfasst von: Moussavian, Mohammed Reza [VerfasserIn]
• Verfasst von: Keppler, Ulrich [VerfasserIn]
• Verfasst von: Schilling, Martin K. [VerfasserIn]
• Verfasst von: Menger, Michael D. [VerfasserIn]
• Verfasst von: Heesen, Maximilian von [VerfasserIn]
• Titel: Isoflurane does not protect from brain death-associatedaggravation of cold hepatic ischemia-reperfusion injury
• Verf.angabe: Moritz J. Strowitzki, Mohammed R. Moussavian, Ulrich Keppler, Martin K. Schilling, Michael D. Menger, Maximilian von Heesen
• E-Jahr: 2015
• Jahr: 2015.01.19
• Umfang: 8 S.
• Fussnoten: Gesehen am 22.06.2020
• Titel Quelle: Enthalten in: Annals of transplantation
• Ort Quelle: Warsaw, 1996
• Jahr Quelle: 2015
• Band/Heft Quelle: 20(2015), Seite 36-43
• ISSN Quelle: 1425-9524
• DOI: doi:10.12659/AOT.892302
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 170171230X

Abstract

[b]Background[/b] - Previous studies have shown that brain death aggravates cold ischemia-reperfusion injury in liver transplantation. Isoflurane, a volatile anesthetic, has been indicated to reduce warm hepatic ischemia-reperfusion injury. Herein, we studied in Sprague-Dawley rats whether isoflurane is capable of ameliorating brain death-associated aggravation of cold hepatic ischemia-reperfusion injury. - [b]Material and Methods[/b] - Brain-dead animals were treated for 30 min with isoflurane (MAC 1.5%; n=8). Animals without isoflurane treatment served as controls (n=8). Another 13 animals without induction of brain death served as sham controls. After a 4-h period portal venous blood perfusion, hepatic microcirculation and bile flow were determined. Livers were recovered and stored for 24 h in 4°C cold HTK solution, followed by reperfusion with 37°C Krebs-Henseleit-buffer for 60 min. Liver enzymes in the effluent and bile flow were analyzed. Hepatocellular morphology was determined by histology and immunohistochemistry. - [b]Results[/b] - Brain death reduced portal venous blood perfusion and bile flow, induced heme oxygenase-1 (HO-1), and resulted in hepatocellular damage. Isoflurane treatment did not prevent the reduction of portal venous blood perfusion or bile flow or the induction of HO-1. Accordingly, isoflurane was not capable of reducing the hepatocellular injury. - [b]Conclusions[/b] - Isoflurane does not protect from brain death-associated aggravation of cold hepatic ischemia-reperfusion injury.