Choi Eun Kyung, Lim Dong Gun
Department of Anesthesiology and Pain Medicine, Yeungnam University College of Medicine, Daegu, Korea.
Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.
J Yeungnam Med Sci. 2023 Apr;40(2):115-122. doi: 10.12701/jyms.2022.00017. Epub 2022 Mar 21.
Hepatic ischemia-reperfusion injury is a major complication of liver transplantation, trauma, and shock. This pathological condition can lead to graft dysfunction and rejection in the field of liver transplantation and clinical hepatic dysfunction with increased mortality. Although the pathological mechanisms of hepatic ischemia-reperfusion injury are very complex, and several intermediators and cells are involved in this phenomenon, oxidative stress and inflammatory responses are the key processes that aggravate hepatic injury. This review summarizes the current understanding of oxidative stress and inflammatory responses and, in that respect, addresses the therapeutic approaches to attenuate hepatic ischemia-reperfusion injury.
肝缺血再灌注损伤是肝移植、创伤和休克的主要并发症。这种病理状况可导致肝移植领域的移植物功能障碍和排斥反应,以及临床肝功能障碍,死亡率增加。尽管肝缺血再灌注损伤的病理机制非常复杂,且有多种介质和细胞参与这一现象,但氧化应激和炎症反应是加重肝损伤的关键过程。本综述总结了目前对氧化应激和炎症反应的认识,并就此探讨减轻肝缺血再灌注损伤的治疗方法。