Drug Design Development and Therapy,
Год журнала:
2025,
Номер
Volume 19, С. 4263 - 4274
Опубликована: Май 1, 2025
To
determine
the
effects
of
intraoperative
dexmedetomidine
(DEX)
administration
on
postoperative
ischaemia/reperfusion
injury
(HIRI)
and
clinical
outcomes
patients
undergoing
laparoscopic
living
donor
hepatectomy
(LLDH).
Fifty-five
who
underwent
LLDH
were
randomly
assigned
to
DEX
or
control
group.
The
group
received
an
intravenous
infusion
with
bolus
dose
1
µg/kg
for
15
min
before
anaesthesia
induction,
followed
by
a
continuous
at
rate
0.4
µg/kg/h
until
portal
branch
was
disconnected.
given
0.9%
saline
same
volume
rate.
primary
outcome
peak
serum
aspartate
aminotransferase
(AST)
level
during
first
72
h
postoperatively.
secondary
included
other
variables
liver
kidney
function,
hemodynamic
changes,
recovery
occurrence
complications.
AST
postoperatively
not
significantly
different
between
groups
(DEX
vs
control:
288
[194-466]
324
[194-437]
IU/L;
difference,
-1.2
95%
CI,
-86.9
88.0;
P=0.973).
mean
artery
pressure
different,
but
heart
decreased
in
There
no
significant
differences
outcomes.
This
study
demonstrates
that
studied
dosage
regimens
cannot
attenuate
HIRI
does
improve
LLDH.
www.chictr.org.cn,
ChiCTR2000040629.
Ischemia-reperfusion
injury
(IRI)
is
a
major
obstacle
in
liver
transplantation,
especially
with
steatotic
donor
livers.
Dysbiosis
of
the
gut
microbiota
has
been
implicated
modulating
IRI,
and
Lachnospiraceae
plays
pivotal
role
regulating
host
inflammatory
immune
responses,
but
its
specific
transplantation
IRI
remains
unclear.
This
study
explores
whether
can
mitigate
underlying
mechanisms.
We
found
Lachnospiraceae-bacterium
(Lachn.)
abundance
was
significantly
reduced
rats
cirrhosis.
Lachn.-treated
exhibited
improved
intestinal
permeability,
severity
both
normal
livers,
decreased
levels
neutrophil
macrophage
infiltration,
cytokines.
Multi-omics
analysis
revealed
elevated
pyruvate
transplanted
livers
after
Lachn.
treatment,
alongside
Alox15
Foxo3
expression.
Mechanistically,
Lachn.-derived
inhibited
expression
ferroptosis
Furthermore,
nuclear
translocation
further
suppressed
expression,
alleviating
Clinical
samples
confirmed
cirrhotic
recipients
high
transplantation.
In
conclusion,
alleviates
by
inhibiting
via
Foxo3-Alox15
axis,
providing
potential
therapeutic
strategy
to
modulate
alleviate
following
International Journal of Molecular Sciences,
Год журнала:
2024,
Номер
25(2), С. 1117 - 1117
Опубликована: Янв. 17, 2024
Liver
transplantation
is
the
most
effective
treatment
for
end-stage
liver
disease.
Transplant
indications
have
been
progressively
increasing,
with
a
huge
discrepancy
between
supply
and
demand
of
optimal
organs.
In
this
context,
use
extended
criteria
donor
grafts
has
gained
importance,
even
though
these
are
more
susceptible
to
ischemic
reperfusion
injury
(IRI).
Hepatic
IRI
an
inherent
inevitable
consequence
all
transplants;
it
involves
ischemia-mediated
cellular
damage
exacerbated
upon
its
severity
directly
affects
graft
function
post-transplant
complications.
Strategies
organ
preservation
constantly
improving
since
they
first
emerged.
The
current
gold
standard
perfusion
solutions
static
cold
storage.
However,
novel
approaches
that
allow
times,
evaluation,
their
treatment,
which
could
increase
number
viable
organs
transplantation,
currently
under
investigation.
This
review
discusses
mechanisms
associated
IRI,
describes
existing
strategies
preservation,
emphasizes
developments
challenges
optimization.
Early
allograft
dysfunction
(EAD)
affects
outcomes
in
liver
transplantation
(LT).
Existing
risk
models
developed
for
deceased-donor
LT
depend
on
posttransplant
factors
and
fall
short
living-donor
(LDLT),
where
pretransplant
evaluations
are
crucial
preventing
EAD
justifying
the
donor's
risks.
This
retrospective
study
analyzed
data
from
2944
adult
patients
who
underwent
LDLT
at
17
centers
between
2016
2020.
We
a
logistic
regression
model
to
predict
based
this
development
cohort.
used
1020
King
Faisal
Transplant
Center
external
validation.
In
cohort,
321
(10.9%)
experienced
EAD.
These
had
poorer
health
status,
more
decompensation,
higher
requirements
of
hospitalization
than
those
without
Multivariable
identified
independent
predictors
EAD:
laboratory
Model
End-Stage
Liver
Disease
score
(odds
ratio
[OR],
1.08;
95%
confidence
interval
[CI],
1.06-1.09),
necessity
time
transplant
(OR,
2.58;
CI,
2.00-3.30),
graft
weight
kilogram
0.27;
0.17-0.45).
Using
these
predictors,
we
after
LDLT,
which
demonstrated
strong
discriminative
ability
cohort
with
an
area
under
curve
(AUC)
0.71
(95%
0.68-0.74).
The
maintained
high
discrimination
during
internal
validation
(AUC,
0.70;
0.67-0.73)
showed
modest
reduction
power
0.65;
0.61-0.68).
post-LDLT
is
influenced
by
recipient's
condition
weight.
Integrating
into
process
pairing
donors
recipients
can
enhance
safety
efficacy
LDLT.
Biomolecules,
Год журнала:
2024,
Номер
14(6), С. 689 - 689
Опубликована: Июнь 13, 2024
Reactive
oxygen
species
(ROSs)
are
byproducts
of
normal
cellular
metabolism
and
play
pivotal
roles
in
various
physiological
processes.
Disruptions
the
balance
between
ROS
levels
body’s
antioxidant
defenses
can
lead
to
development
numerous
diseases.
Glutathione
peroxidase
3
(GPX3),
a
key
component
system,
is
an
oxidoreductase
enzyme.
GPX3
mitigates
oxidative
damage
by
catalyzing
conversion
hydrogen
peroxide
into
water.
Beyond
its
function,
vital
regulating
metabolism,
modulating
cell
growth,
inducing
apoptosis
facilitating
signal
transduction.
It
also
serves
as
significant
tumor
suppressor
cancers.
Recent
studies
have
revealed
aberrant
expression
several
non-neoplastic
diseases,
associating
it
with
multiple
pathological
This
review
synthesizes
current
understanding
regulation,
highlighting
extensive
noncancerous
Additionally,
this
paper
evaluates
potential
diagnostic
biomarker
explores
emerging
therapeutic
strategies
targeting
enzyme,
offering
avenues
for
future
clinical
treatment
conditions.
Biomedicine & Pharmacotherapy,
Год журнала:
2023,
Номер
169, С. 115915 - 115915
Опубликована: Ноя. 24, 2023
Hepatic
ischemia-reperfusion
injury
(HIRI)
adversely
affects
liver
transplant
and
resection
outcomes.
Recently,
ferroptosis
has
been
associated
with
HIRI.
Dexmedetomidine
(Dex),
a
potent
sedative
anti-inflammatory,
antioxidant,
anti-apoptotic
properties,
protects
organs
from
hypoxic
or
(I/R)
injuries.
However,
the
mechanisms
underlying
this
protective
effect
against
I/R-induced
remain
unclear.
This
study
evaluated
of
Dex
on
HIRI
in
mouse
models
oxygen-glucose
deprivation/reperfusion
(OGD/R)
AML12
cell
model.
We
examined
ferroptosis-related
markers,
including
Fe2+
levels,
reactive
oxygen
species
(ROS)
content,
mitochondrial
morphology,
GPX4
protein
expression,
4-hydroxynonenal
(4-HNE),
Nrf2.
The
Nrf2
inhibitor
ML385
was
used
combination
to
treat
mice
OGD/R-induced
cellular
explore
pathways
by
which
counteracts
ferroptosis.
Our
results
showed
that
treatment
significantly
ameliorated
cells,
reduced
Fe2+,
ROS,
malondialdehyde
(MDA),
4-HNE
levels.
also
tissue
damage
serum
AST,
ALT,
inflammatory
factor
levels
mice.
Additionally,
increased
GSH,
an
antioxidative
stress
marker,
expression
Mechanistically,
nuclear
translocation
were
inhibited
both
OGD/R-treated
cells.
restored
inhibition
translocation.
Dex-promoted
aggregation
Gpx4
hindering
efficacy
Dex.
In
conclusion,
ameliorates
positively
regulating
Nrf2/GPx4
axis,
potentially
presenting
therapeutic
avenue
for
addressing
Expert Review of Clinical Immunology,
Год журнала:
2023,
Номер
19(10), С. 1205 - 1224
Опубликована: Июль 25, 2023
Ischemia-reperfusion
injury
(IRI)
involves
a
positive
amplification
feedback
loop
that
stimulates
innate
immune-driven
tissue
damage
associated
with
organ
procurement
from
deceased
donors
and
during
transplantation
surgery.
As
our
appreciation
of
its
basic
immune
mechanisms
has
improved
in
recent
years,
translating
putative
biomarkers
into
therapeutic
interventions
clinical
remains
challenging.
BMC Anesthesiology,
Год журнала:
2024,
Номер
24(1)
Опубликована: Март 26, 2024
Abstract
Background
Animal
experiments
have
confirmed
that
remote
ischemic
preconditioning
(RIPC)
can
reduce
hepatic
ischemia-reperfusion
injuries
(HIRIs),
significantly
improving
early
tissue
perfusion
and
oxygenation
of
the
residual
liver
after
resections,
accelerating
surgical
prognoses,
survival
rates.
However,
there
is
still
controversy
over
role
RIPC
in
relieving
HIRI
clinical
studies,
which
warrants
clarification.
This
study
aimed
to
evaluate
beneficial
effects
applicability
hepatectomy
provide
evidence-based
information
for
decision-making.
Methods
Randomized
controlled
trials
(RCTs)
evaluating
efficacy
safety
interventions
were
collected,
comparing
no
patients
undergoing
hepatectomies.
search
spanned
from
database
inception
January
2024.
Data
extracted
independently
by
two
researchers
according
PRISMA
guidelines.
The
primary
outcomes
assessed
postoperative
alanine
transaminase
(ALT),
aspartate
(AST),
total
bilirubin
(TBIL),
albumin
(ALB)
levels.
secondary
included
duration
surgery
Pringle,
length
hospital
stay,
intraoperative
blood
loss
transfusion,
indocyanine
green
(ICG)
clearance,
hepatocyte
apoptosis
index,
complications,
others.
Results
Ten
RCTs
this
meta-analysis,
with
a
865
(428
group
437
control
group).
ALT
levels
lower
than
those
on
day
(POD)
1
(WMD
=
−
59.24,
95%
CI:
115.04
3.45;
P
0.04)
POD
3
27.47,
52.26
2.68;
0.03).
heterogeneities
significant
(
I
2
89%
78%),
unstable
based
sensitivity
analysis.
AST
50.03,
-
94.35
5.71;
0.03),
but
heterogeneity
was
also
81%).
A
subgroup
analysis
showed
differences
between
groups,
regardless
whether
Pringle
maneuver
or
propofol
used
anesthesia
(induction
only
induction
maintenance,
>
0.05).
remaining
outcome
indicators
not
statistically
could
be
analyzed
due
lack
sufficient
data.
Conclusion
has
some
short-term
protective
HIRIs
during
insufficient
evidence
encourage
its
routine
use
improve
outcomes.
Trial
registration
protocol
registered
PROSPERO
(CRD42022333383).
Free Radical Biology and Medicine,
Год журнала:
2023,
Номер
210, С. 378 - 389
Опубликована: Дек. 3, 2023
Hepatic
ischemia/reperfusion
injury
(HIRI)
represents
a
prevalent
pathophysiological
process
that
imposes
substantial
economic
burden
in
clinical
practice,
especially
liver
surgery.
Sentrin-specific
protease
1
(SENP1)
is
crucial
enzyme
involved
the
regulation
of
SUMOylation,
and
related
to
various
diseases.
However,
role
SENP1
HIRI
remains
unexplored.
Here,
we
confirmed
actively
participated
modulating
oxidative
damage
induced
by
HIRI.
Notably,
functioned
maintaining
mitochondrial
homeostasis.
Further
mechanistic
exploration
indicated
protective
protein
sirtuin-3
(Sirt3)
was
inactivated
SUMOylation
during
HIRI,
which
reversed
SENP1.
Overexpression
could
restore
function,
mitigate
stress
attenuated
apoptosis
through
recovering
expression
Sirt3
Nevertheless,
3-TYP,
an
inhibitor
Sirt3,
eliminate
therapeutic
effects
brought
overexpression
In
conclusion,
our
findings
demonstrated
mediated
deSUMOylation
maintained
homeostasis,
thus
alleviating
damage.
might
be
promising
target
for