Effects of propofol on early phase of warm hepatic ischemia/reperfusion injury |
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Authors: | Kim Seong-Ki Jee Daelim Kim Jong-Yeon Choi Joon-Hyuk |
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Institution: | Kupffer Cell Research Group, Yeungnam University College of Medicine, Republic of Korea. |
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Abstract: | BACKGROUND/AIMS: It is still unclear whether propofol may protect the liver against ischemia/ reperfusion injury (IRI) in vivo. METHODOLOGY: The livers of male Sprague-Dawley rats were subjected to 60 minutes of partial normothermic ischemia allowing perfusion to right and caudate lobes and subsequent 45 minutes of reperfusion. Either propofol (Propofol group, n = 11, 10 mg/ kg/h) or saline (Control group, n = 11) was continuously administered. At the end of reperfusion blood and liver samples were taken to analyze malondialdehyde, hepatic injury score, palmitate oxidation rate, serum AST and ALT concentrations. RESULTS: The malondialdehyde concentration (micromol/g tissue, mean +/- SD) was decreased in the Propofol group (1.39 +/- 0.21, perfused lobes and 1.85 +/- 0.27, ischemic reperfused lobes) compared with Control group (1.97 +/- 0.20, perfused lobes and 2.39 +/- 0.28, ischemic reperfused lobes) (P < 0.01). Hepatic injury scores were decreased in Propofol group compared with Control group (P < 0.01), but with mild hepatic injury in both groups. There were no differences of serum AST and ALT concentrations, and palmitate oxidation rate between groups. CONCLUSIONS: Propofol might be effective mainly in attenuation of lipid peroxidation with only minimal hepatocellular protection during the early phase of warm hepatic IRI in vivo. |
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