Hepatic ischemia-reperfusion injury and therapeutic strategies to alleviate cellular damage

被引:31
作者
Dogan, Serdar [1 ]
Aslan, Mutay [1 ]
机构
[1] Akdeniz Univ, Fac Med, Dept Biochem, Sch Med, TR-07070 Antalya, Turkey
关键词
hepatocyte; injury; ischemia; reperfusion; NITRIC-OXIDE SYNTHASE; FACTOR-KAPPA-B; N-TERMINAL KINASE; MITOCHONDRIAL PERMEABILITY TRANSITION; WARM ISCHEMIA/REPERFUSION INJURY; PLATELET-ACTIVATING-FACTOR; RAT-LIVER TRANSPLANTATION; NECROSIS-FACTOR-ALPHA; HEAT-SHOCK PROTEINS; TOLL-LIKE RECEPTORS;
D O I
10.1111/j.1872-034X.2010.00765.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Warm hepatic ischemia-reperfusion injury is a significant medical problem in many clinical conditions such as liver transplantation, hepatic surgery for tumor excision, trauma and hepatic failure after hemorrhagic shock. Partial or, mostly, total interruption of hepatic blood flow is often necessary when liver surgery is performed. This interruption of blood flow is termed "warm ischemia" and upon revascularization, when molecular oxygen is reintroduced, the organ undergoes a process called "reperfusion injury" that causes deterioration of organ function. Ischemia reperfusion results in cellular damage and tissue injury associated with a complex series of events. Pathophysiological mechanisms leading to tissue injury following ischemia-reperfusion will be discussed and therapies targeted to reduce liver damage will be summarized within this review.
引用
收藏
页码:103 / 117
页数:15
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