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Mortality, endotoxaemia and cytokine expression after intermittent and continuous hepatic ischaemia.

AbstractThis study compared mortality rates, endotoxaemia, systemic tumour necrosis factor (TNF) and interleukin (IL)-6 concentrations after continuous and intermittent hepatic ischaemia. Two groups of rats were subjected to continuous or intermittent left hepatic inflow occlusion for a total period of 120 min in each group. Intermittent ischaemia was associated with significantly lower mortality rates than continuous ischaemia (four of 20 versus 15 of 20; P = 0.0015). In a separate study, again following 120 min continuous or intermittent ischaemia, systemic blood was sampled at 0 min, 1 h, 3 h and 5 h after final clamp release for measurement of endotoxin, TNF and IL-6 concentrations. Endotoxin concentrations were significantly lower at 1 h, as were TNF and IL-6 concentrations at 3 and 5 h, after final clamp release in the group having intermittent ischaemia (P < 0.05). Intermittent ischaemia is associated therefore with significantly reduced mortality rates and lower systemic endotoxin, TNF and IL-6 concentrations when compared with continuous ischaemia.
AuthorsG Hewitt, I Halliday, M McCaigue, G Campbell, B Rowlands, T Diamond (Affiliation: Department of Surgery, Queen's University of Belfast, UK.)
JournalThe British journal of surgery (Br J Surg) Vol. 82 Issue 10 Pg. 1424-6 (Oct 1995) ISSN: 0007-1323 ENGLAND
PMID7489185 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Endotoxins
  • Interleukin-6
  • Interleukins
  • Tumor Necrosis Factor-alpha
Topics
  • Animals
  • Endotoxins (blood)
  • Enzyme-Linked Immunosorbent Assay
  • Interleukin-6 (metabolism)
  • Interleukins (metabolism)
  • Ischemia
  • Liver (blood supply)
  • Male
  • Rats
  • Rats, Sprague-Dawley
  • Time Factors
  • Tumor Necrosis Factor-alpha (metabolism)