Dutkowski P, Krug A, Krysiak M, Dünschede F, Seifert J K, Junginger T
Department of Surgery, University of Mainz, Langenbeckstr. 1, 55101, Mainz, Germany.
Cryobiology. 2003 Oct;47(2):125-42. doi: 10.1016/j.cryobiol.2003.08.004.
The aim of the study was to investigate mitochondrial electron transfer during rat liver reperfusion after cold storage and hypothermic machine perfusion. Livers from male Brown Norway rats were preserved (UW) for 10h either by cold storage (CS) or by hypothermic oxygenated perfusion extracorporal (HOPE). Transhepatic photometric analysis allowed determination of the redox status of mitochondrial cytochromes during preservation, rewarming and reperfusion. Mitochondrial electron chain carriers were inhibited at different sites with rotenone and cyanide in some experiments. reversed transcriptional polymerase chain reaction (RT-PCR) was performed after reperfusion concerning transcription of TNFalpha, caspase 9, and c-jun kinase (JNK). Increased superoxide anion formation as well as transcription of TNFalpha, caspase 9, and JNK during reperfusion after cold storage (CS) were related with completely reduced cytochromes before and during reperfusion. In contrast, hypothermic oxygenated livers (HOPE) showed oxygenated cytochromes as well as decreased superoxide anion formation and no detectable transcription of TNFalpha, caspase 9, and JNK. A similar low level of superoxide anion formation was found when electron chain transfer of cold stored livers was inhibited during reperfusion with rotenone but not with cyanide. After hypothermic oxygenation (HOPE) inhibition of mitochondrial electron chain with rotenone showed no change in formation of superoxide anion formation whereas inhibition with cyanide showed increased superoxide anion formation. Thus mitochondrial cytochrome redox status is suggested to be related: (i) with the release of reactive oxygen substances as well as (ii) with the expressions of TNFalpha, caspase 9, and JNK during reperfusion and may thus be usable as predictive marker of liver grafts.
本研究的目的是调查大鼠肝脏在冷藏和低温机器灌注后的再灌注过程中的线粒体电子传递。雄性挪威棕鼠的肝脏用UW液保存10小时,保存方式为冷藏(CS)或体外低温氧合灌注(HOPE)。经肝光度分析可测定保存、复温和再灌注过程中线粒体细胞色素的氧化还原状态。在一些实验中,用鱼藤酮和氰化物在不同位点抑制线粒体电子链载体。再灌注后进行逆转录聚合酶链反应(RT-PCR)以检测肿瘤坏死因子α(TNFα)、半胱天冬酶9和c-jun激酶(JNK)的转录情况。冷藏(CS)后再灌注期间超氧阴离子形成增加以及TNFα、半胱天冬酶9和JNK的转录与再灌注前和再灌注期间细胞色素完全还原有关。相比之下,低温氧合肝脏(HOPE)显示细胞色素氧化以及超氧阴离子形成减少,且未检测到TNFα、半胱天冬酶9和JNK的转录。当用鱼藤酮而非氰化物在再灌注期间抑制冷藏肝脏的电子链传递时,发现超氧阴离子形成水平类似地降低。低温氧合(HOPE)后,用鱼藤酮抑制线粒体电子链显示超氧阴离子形成无变化,而用氰化物抑制则显示超氧阴离子形成增加。因此,线粒体细胞色素氧化还原状态被认为与以下方面有关:(i)活性氧物质的释放,以及(ii)再灌注期间TNFα、半胱天冬酶9和JNK的表达,因此可能可用作肝移植的预测标志物。