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Surgical Laboratory, Academic Medical Center, 1105 AZ Amsterdam, The Netherlands
This study
examined the effects of 1°C hypo- or hyperthermia on in vivo liver
ischemia and reperfusion (I/R) injury in 15 fasted male Wistar
rats. Rats were ventilated, and rectal temperature was
maintained at 36, 37 (normothermic), or 38°C. In all rats, 70% liver
ischemia was induced by clamping the afferent vessels to the
median and left lateral lobes for 60 min, and reperfusion was allowed
for 90 min. Changes in plasma aspartate aminotransferase (AST), alanine
aminotransferase (ALT), and
-glutathione S-transferase (
-GST) levels were measured, hemodynamics and bile secretion were
monitored, and arterial blood-gas analysis was performed. All
ventilated rats showed a normal pH, arterial
PCO2, and arterial PO2.
AST, ALT, and
-GST levels were significantly higher in the 38°C
group when compared with the 36 and 37°C groups after
ischemia. No differences in bile secretion were found between
all groups. Histopathological alterations were in agreement with AST,
ALT, and
-GST levels in plasma. We conclude that a decrease of only 1°C in body temperature significantly attenuates liver I/R injury, whereas an increase of 1°C significantly increases liver I/R injury.
hypothermia; hyperthermia;
-glutathione S-transferase
This article has been cited by other articles:
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B. H. M. Heijnen, Y. Elkhaloufi, I. H. Straatsburg, and T. M. van Gulik Influence of acidosis and hypoxia on liver ischemia and reperfusion injury in an in vivo rat model J Appl Physiol, July 1, 2002; 93(1): 319 - 323. [Abstract] [Full Text] [PDF] |
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