Zengin Akile, Erikçi Açelya, Telli Gökçen, Gümüşel Bülent, Kösemehmetoğlu Kemal, Uçar Gülberk, Cem Algın Mustafa
Clinic of Gastrointestinal Surgery, Malatya Training and Research Hospital, Malatya, Türkiye.
Department of Biochemistry, Lokman Hekim University Faculty of Pharmacy, Ankara, Türkiye.
Turk J Surg. 2022 Sep 19;38(3):255-265. doi: 10.47717/turkjsurg.2022.5620. eCollection 2022 Sep.
Hepatic ischemia-reperfusion (IR) injury occurs in liver surgery, resection, and transplantation. Reactive oxygen species (ROS) produced following IR starts the cascade of cell damage, necrosis/apoptosis, and proinflammatory responses by activating intracellular signaling cascade to drive hepatocellular damage. Cerium oxide nanoparticles (CONPs) act as anti-inflammatory and antioxidant agents. Thus, we evaluated the protective effects of oral (o.g.) and intraperitoneal (i.p.) administration of CONPs on hepatic IR injury.
Mice were randomly divided into five groups: control, sham, IR protocol, CONP+IR (i.p.), and CONP+IR (o.g.). Mouse hepatic IR protocol was applied to the animals in the IR group. CONPs (300 μg/kg) were administered 24 hours before IR protocol. Blood and tissue samples were taken after the reperfusion period.
Hepatic IR injury markedly increased enzyme activities, tissue lipid peroxidation, myeloperoxidase (MPO), xanthine oxidase (XO), nitrite oxide (NO), and tissue nuclear factor kappa-B (NF-κB) p65 levels, plasma pro-inflammatory cytokines, chemokines, and adhesion molecules while decreasing antioxidant markers and caused pathological changes in hepatic tissue. The expression of tumor necrosis factor alpha (TNF-α), matrix metalloproteinase 2 (MMP-2), and 9 increased, and tissue inhibitor matrix metalloproteinase 1 (TIMP-1) expression decreased in the IR group. Pretreatment with CONPs o.g. and i.p. 24 hours before hepatic ischemia improved the biochemical parameters above and alleviated the histopathological findings.
Results of the present study demonstrate a significant reduction in liver degeneration by administering CONPs via i.p. and o.g. route in an experimental liver IR model, suggesting that CONPs have the extensive potential to prevent hepatic IR injury.
肝缺血再灌注(IR)损伤发生于肝脏手术、切除及移植过程中。IR后产生的活性氧(ROS)通过激活细胞内信号级联反应引发细胞损伤、坏死/凋亡及促炎反应,从而导致肝细胞损伤。氧化铈纳米颗粒(CONPs)具有抗炎和抗氧化作用。因此,我们评估了口服(o.g.)和腹腔注射(i.p.)CONPs对肝脏IR损伤的保护作用。
将小鼠随机分为五组:对照组、假手术组、IR模型组、CONP + IR(腹腔注射)组和CONP + IR(口服)组。对IR组动物实施小鼠肝脏IR模型。在IR模型建立前24小时给予CONPs(300 μg/kg)。再灌注期结束后采集血液和组织样本。
肝脏IR损伤显著增加了酶活性、组织脂质过氧化、髓过氧化物酶(MPO)、黄嘌呤氧化酶(XO)、一氧化氮(NO)及组织核因子κB(NF-κB)p65水平、血浆促炎细胞因子、趋化因子及黏附分子水平,同时降低了抗氧化指标,并导致肝组织出现病理变化。IR组中肿瘤坏死因子α(TNF-α)、基质金属蛋白酶2(MMP-2)及9的表达增加,而组织金属蛋白酶抑制剂1(TIMP-1)表达降低。肝脏缺血前24小时口服及腹腔注射CONPs预处理改善了上述生化指标,并减轻了组织病理学表现。
本研究结果表明,在实验性肝脏IR模型中,通过腹腔注射和口服途径给予CONPs可显著减轻肝脏变性,提示CONPs在预防肝脏IR损伤方面具有广泛的潜力。