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Protective effect of heme oxygenase-1 on hepatic ischemia-reperfusion injury through inhibition of platelet adhesion to the sinusoids.

AbstractBACKGROUND AND AIM:
Heme oxygenase-1 (HO-1) acts as a protector against hepatic inflammatory injury. HO-1 catalyzes the conversion of heme protein to biliverdin, free iron, and carbon monoxide. Pro-inflammatory responses play critical roles in hepatic ischemia-reperfusion (I/R) injury, and carbon monoxide effectively downregulates I/R injury. The aim of this study was to evaluate the mechanism by which HO-1 reduces warm I/R injury.
METHODS:
Sprague-Dawley rats were divided into two groups: the 20-min ischemia group (control group; n = 6) and the 20-min ischemia with cobalt protoporphyrin (CoPP group; n = 6). CoPP is an inducer of HO-1 in the sinusoids. Kupffer cells were labeled using the liposome entrapment method, and platelets were labeled with rhodamine-6G. The adherent platelets were observed for up to 120 min after reperfusion by intravital microscopy.
RESULTS:
In the control group, the number of adherent platelets significantly increased than in the CoPP group. Terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling-positive cells were observed after 120 min of reperfusion in the control group. They were not observed in the CoPP group. In the CoPP group, serum alanine transaminase and interleukin-6 levels reduced after reperfusion. Moreover, the flow velocity of platelets in the hepatic sinusoid markedly increased.
CONCLUSIONS:
This study suggests that HO-1 inhibits platelet adhesion to sinusoids. Such inhibition leads to the prevention of hepatic I/R injury.
AuthorsTakafumi Tamura, Tadashi Kondo, Koichi Ogawa, Kiyoshi Fukunaga, Nobuhiro Ohkohchi
JournalJournal of gastroenterology and hepatology (J Gastroenterol Hepatol) Vol. 28 Issue 4 Pg. 700-6 (Apr 2013) ISSN: 1440-1746 [Electronic] Australia
PMID23215739 (Publication Type: Comparative Study, Journal Article)
Copyright© 2012 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd.
Chemical References
  • Interleukin-6
  • Protoporphyrins
  • cobaltiprotoporphyrin
  • Heme Oxygenase-1
  • Alanine Transaminase
Topics
  • Alanine Transaminase (blood)
  • Animals
  • Blotting, Western
  • Disease Models, Animal
  • Heme Oxygenase-1 (physiology)
  • Interleukin-6 (metabolism)
  • Kupffer Cells (metabolism)
  • Liver (enzymology, metabolism)
  • Liver Diseases (enzymology, physiopathology, prevention & control)
  • Male
  • Platelet Adhesiveness (physiology)
  • Postoperative Complications
  • Protoporphyrins (toxicity)
  • Rats
  • Rats, Sprague-Dawley
  • Reperfusion Injury (chemically induced, enzymology, prevention & control)

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