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肝移植再灌注损伤。其发生发展的因素及治疗途径。

Liver transplantation reperfusion injury. Factors in its development and avenues for treatment.

作者信息

Toledo-Pereyra L H

机构信息

Department of Transplantation, Borgess Medical Center, Kalamazoo.

出版信息

Klin Wochenschr. 1991 Dec 15;69(21-23):1099-104. doi: 10.1007/BF01645165.

DOI:10.1007/BF01645165
PMID:1798285
Abstract

This work studies some of the advances that have participated in the development of the liver transplantation-reperfusion injury. This lesion is a rather complex one that probably is not only associated with the production of free radicals, but also of other vasoactive substances such as, prostanoids, altered calcium related compounds, abnormal coagulation factors, as well as other important potentially harmful substances. Our interest since 1975, has resided in compounds that modify the xanthine oxidase pathway, such as allopurinol, that might either protect from the formation of free radicals or might act through other mechanisms such as, purine salvage and production of high energy compounds, among few of them. The pharmacological manipulation of the reperfusion injury, will require in this way, the use of various substances in the protection of the transplanted liver.

摘要

这项工作研究了参与肝移植再灌注损伤发展过程的一些进展。这种损伤相当复杂,可能不仅与自由基的产生有关,还与其他血管活性物质有关,如前列腺素、钙相关化合物改变、异常凝血因子以及其他重要的潜在有害物质。自1975年以来,我们一直关注能改变黄嘌呤氧化酶途径的化合物,如别嘌呤醇,它可能要么防止自由基的形成,要么通过其他机制起作用,如嘌呤补救和高能化合物的产生等。如此一来,对再灌注损伤的药物调控将需要使用各种物质来保护移植的肝脏。

相似文献

1
Liver transplantation reperfusion injury. Factors in its development and avenues for treatment.肝移植再灌注损伤。其发生发展的因素及治疗途径。
Klin Wochenschr. 1991 Dec 15;69(21-23):1099-104. doi: 10.1007/BF01645165.
2
Oxygen radicals in liver ischemia and reperfusion--experimental data.肝脏缺血再灌注中的氧自由基——实验数据
Klin Wochenschr. 1991 Dec 15;69(21-23):1095-8. doi: 10.1007/BF01645164.
3
Microcirculation and reperfusion injury in organ transplantation.
Adv Exp Med Biol. 2005;566:363-73. doi: 10.1007/0-387-26206-7_48.
4
Kupffer's cells modulate neutrophile activity by superoxide anion and tumor necrosis factor-delta in reperfusion injury of liver transplantation-mechanisms of radical generation and reperfusion injury after cold ischemia.库普弗细胞在肝移植再灌注损伤中通过超氧阴离子和肿瘤坏死因子-δ调节中性粒细胞活性——冷缺血后自由基生成及再灌注损伤机制
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5
Therapeutic modulation of free radical-mediated reperfusion injury of the liver and its surgical implications.肝脏自由基介导的再灌注损伤的治疗性调控及其外科意义。
Surg Today. 1996;26(8):573-80. doi: 10.1007/BF00311659.
6
Free radical ablation for the prevention of post-ischemic renal failure following renal transplantation.自由基清除术预防肾移植术后缺血性肾衰竭
Klin Wochenschr. 1991 Dec 15;69(21-23):1083-94. doi: 10.1007/BF01645163.
7
Role of oxygen radicals in the microcirculatory manifestations of postischemic injury.氧自由基在缺血后损伤微循环表现中的作用。
Klin Wochenschr. 1991 Dec 15;69(21-23):1050-5. doi: 10.1007/BF01645157.
8
[Effect of organ preservation conditions on reperfusion after liver transplantation].[器官保存条件对肝移植后再灌注的影响]
Anasthesiol Intensivmed Notfallmed Schmerzther. 1995 Oct;30 Suppl 1:S55-7. doi: 10.1055/s-2007-996563.
9
[Oxygen radicals and postischemic organ damage--pathophysiology, clinical relevance and therapy].[氧自由基与缺血后器官损伤——病理生理学、临床相关性及治疗]
Zentralbl Chir. 1995;120(3):174-85.
10
Oxygen-derived free radicals in hepatic ischemia and reperfusion injury in the rat.大鼠肝脏缺血再灌注损伤中氧衍生的自由基
Surg Gynecol Obstet. 1990 Aug;171(2):120-5.

本文引用的文献

1
Role of prostaglandins (PGI2) in improving the survival of ischemically damaged liver allografts.前列腺素(前列环素,PGI2)在提高缺血性损伤肝移植存活率中的作用。
Trans Am Soc Artif Intern Organs. 1984;30:390-4.
2
Protective effect of prostaglandin I2 on hepatic mitochondrial function of the preserved rat liver.前列腺素I2对保存大鼠肝脏肝线粒体功能的保护作用。
Tohoku J Exp Med. 1986 Dec;150(4):373-9. doi: 10.1620/tjem.150.373.
3
A new method of hepatic preservation using pulsatile perfusion and allopurinol.一种使用搏动灌注和别嘌呤醇的肝脏保存新方法。
Curr Surg. 1986 Nov-Dec;43(6):492-4.
4
The role of allopurinol and oxygen free radical scavengers in liver preservation.别嘌醇和氧自由基清除剂在肝脏保存中的作用。
Basic Life Sci. 1988;49:1047-52. doi: 10.1007/978-1-4684-5568-7_173.
5
Hepatic reperfusion injury following orthotopic liver transplantation in the rat.大鼠原位肝移植后的肝再灌注损伤
Transplantation. 1988 Oct;46(4):502-6. doi: 10.1097/00007890-198810000-00006.
6
Sinusoidal lining cell damage: the critical injury in cold preservation of liver allografts in the rat.肝血窦内皮细胞损伤:大鼠同种异体肝移植冷保存中的关键损伤。
Transplantation. 1988 Aug;46(2):178-91.
7
Reperfusion injury to endothelial cells following cold ischemic storage of rat livers.大鼠肝脏冷缺血保存后内皮细胞的再灌注损伤
Hepatology. 1989 Sep;10(3):292-9. doi: 10.1002/hep.1840100307.
8
Increase in survival time of liver transplants by protease inhibitors and a calcium channel blocker, nisoldipine.蛋白酶抑制剂和钙通道阻滞剂尼索地平可延长肝移植的存活时间。
Transplantation. 1990 Jul;50(1):14-20. doi: 10.1097/00007890-199007000-00003.
9
Histamine and xanthine oxidase in hepatic ischemia-reperfusion injury.
Transplant Proc. 1990 Apr;22(2):513-5.
10
Prostanoid release in experimental liver transplantation.
Transplantation. 1990 Mar;49(3):490-4. doi: 10.1097/00007890-199003000-00002.