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Tytuł artykułu

Arterial ketone index in assessing liver function and its detoxicative capability after ischemia-reperfusion injury

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Arterial ketone index (AKBR) which is the ratio of acetoacetic acid to 3-hydroxybutyric acid in the arterial blood, is believed to reflect the mitochondrial reduction potential of hepatocytes and general energy state of the liver. In the presented paper we challenged this hypothesis by analysing the correlation between AKBR and the results of typical liver blood tests (AspAT, AlAT, LDH, CRP) and biotransforming potential of the liver (cytochromes P450, b5 and their corresponding NADPH and NADH reductases) in the model of ischemia-reperfusion injury of rat liver. The results were compared with histochemical analysis of distribution and activity of SDH, LDH and G-6-Pase, the key marker enzymes of the liver. We have shown that, except in the case of acute phase protein (CRP), a decrease in AKBR correlated well with the increase of the level of indicator enzymes in serum. Histochemical analysis also confirmed that AKBR correlates with the degree of damage to hepatocytes during early stage of reperfusion after 60 min of liver ischemia. In the Spearman test, AKBR was significantly correlated with the changes in cytochrome P450 content and its NADPH reductase activity which indicates a high sensitivity of this test. We conclude that the decrease of AKBR value reflects the impairment of basic energy pathways and detoxicative capability of the liver.

Wydawca

-

Rocznik

Tom

47

Numer

4

Opis fizyczny

p.1137-1146,fig.,ref.

Twórcy

autor
  • Silesian Medical University, Medykow 18, 40-762 Katowice, Poland
autor
autor
autor

Bibliografia

  • 1. Terasaki, M., Patel, N.H., Helton, W.S., Coldwell, D.M., Althaus, S.J., Morimoto, T., Yamaoka, Y., Ozawa, K. & Nelson, J.A. (1998) Effects of transjugular intrahepatic porto­systemic shunts on hepatic metabolic function determined with serial monitoring of arterial ketone bodies. J. Vasc. Interv. Radiol. 9, 129-135.
  • 2. Hanazaki, K., Wakabayashi, M., Sodeyama, H., Makiuchi, A., Igarashi, J., Yokoyama, S., Sode, Y., Kawamura, N. & Miyazaki, T. (1998) Arterial ketone body ratio does not correlate with ischemic changes during major hepa- tectomy. Hepatogastroenterology 45,145-149.
  • 3. Saibara, T., Maeda, T., Onishi, S. & Yama- moto, Y. (1994) The arterial blood ketone bodyratio as a possible marker of multi-organ fail­ure in patients with alcoholic hepatitis. Liver 14, 85-89.
  • 4. Nakatani, T., Spolter, L. & Kobayashi, K. (1995) Arterial ketone body ratio as a parame­ter of hepatic mitochondrial redox state dur­ing and after hemorrhagic shock. World J. Surg. 19, 592-596.
  • 5. Tokuka, A., Kitai, T., Tanaka, A., Yanabu, N., Sato, B., Mori, S., Inomoto, T., Shinohara, H., Yamaoka, Y., Uemoto, S., Tanaka, K., Someda, H., Fujimoto, M. & Moriyasu, F. (1996) Analysis of factors affecting the graft oxygenation state in living related liver trans­plantation. Hepatogastroenterology 43, 1203­1211.
  • 6. Yamaoka, Y., Washida, M., Manaka, D., Gubernatis, G., Ringe, B., Ozaki, N., Yama- guchi, T., Takada, Y., Ollerich, M. & Ozawa, K. (1993) Arterial ketone body ratio as a predic­tor of donor liver viability in human liver transplantation. Transplantation 55, 92-95.
  • 7. Hanazaki, K., Wakabayashi, M., Sodeyama, H., Sode, Y., Kawamura, N., Miyazaki, T. & Ohtsuka, M. (1997) Arterial ketone body ratio during hepatectomy. Hepatogastroenterology 44, 1438-1444.
  • 8. Kameoka, N., Chijiiwa, K., Kozaki, N., Ma- kino, I., Naito, T. & Tanaka, M. (1996) Hepatic adenine nucleotides and DNA synthesis dur­ing the regenerative and atrophic process of the liver lobes after selective portal vein liga- tion. Eur. Surg. Res. 28, 212-221.
  • 9. Hasselgren, P.O., Jennische, E., Fornander, J. & Hellman, A. (1982) No effect of ATP-MgCl2 on impaired transmembrane potential and protein synthesis in liver ischemia. Acta Chir. Scand. 148, 601-607.
  • 10. Williamson, D.H., Mellanby, J. & Krebs, H.A. (1962) Enzymatic determination of D(-)-y3-hy- droxybutyric acid and acetoacetic acid in blood. Biochem. J. 82, 90-96.
  • 11. Pearse, A.G. (1961) Histochemistry: Theoretical and Applied, pp. 167-178, Churchill J. Ltd., London.
  • 12. Estabrook, R. & Werringloer, J. (1978) The measurement of difference spectra: Applica­tion to the cytochromes of microsomes. Methods Enzymol. 52, 212-220.
  • 13. Hodges, T. & Leonard, R. (1974) Purification of a plasma membrane bound adenosine tri- phosphatase from plant roots. Methods Enzymol. 32, 392-406.
  • 14. Shimizu, S., Kamiike, W., Hatanaka, N., Nishimura, M., Miyata, M., Inoue, T., Yoshida, Y., Tagawa, K. & Matsuda, H. (1994) Enzyme release from mitochondria during reoxyge- nation of rat liver. Transplantation 57, 144­148.
  • 15. Gonzales-Flecha, B., Cutrin, J.C. & Boveris, A. (1993) Time course and mechanism of oxida- tive stress and tissue damage in rat liver sub­jected to in vivo ischemia-reperfusion. J. Clin. Invest. 91, 456-464.
  • 16. Lemasters, J.J., Stemkowski, C.J., Ji, S. & Thurman, R.G. (1983) Cell surface changes and enzyme release during hypoxia and reoxy- genation in the isolated, perfused rat liver. J. Cell. Biol. 97, 778-786.
  • 17. Settaf, A., Morin, D., Lamchouri, F., Elimadi, A., Cherrah, Y. & Tillement, J.P. (1999) Trimetazidine ameliorates the hepatic injury associated with ischaemia-reperfusion in rats. Pharmacol. Res. 39, 211-216.
  • 18. Izuishi, K., Hamamoto, I., Ichikawa, Y., Okano, K., Akram, H.M., Maeba, T. & Tanaka, S. (1994) Effect of liver warm ischemia on the hepatic microsomal cytochrome P-450 mono- oxygenase system. Transplant. Proc. 26, 2417-2419.
  • 19. Chien, K. & Farber, J. (1980) Microsomal membrane dysfunction in ischemic liver cell. Arch. Biochem. Biophys. 77, 191-198.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

bwmeta1.element.agro-article-48417f88-faa4-4a83-8b13-610579b25a76
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