The Hepatoprotective Effect of Sodium Nitrite on Cold Ischemia-Reperfusion Injury

Liver ischemia-reperfusion injury is a major cause of primary graft non-function or initial function failure post-transplantation. In this study, we examined the effects of sodium nitrite supplementation on liver IRI in either Lactated Ringer's (LR) solution or University of Wisconsin (UW) sol...

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Main Authors: Wei Li, Zihui Meng, Yuliang Liu, Rakesh P. Patel, John D. Lang
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Transplantation
Online Access:http://dx.doi.org/10.1155/2012/635179
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author Wei Li
Zihui Meng
Yuliang Liu
Rakesh P. Patel
John D. Lang
author_facet Wei Li
Zihui Meng
Yuliang Liu
Rakesh P. Patel
John D. Lang
author_sort Wei Li
collection DOAJ
description Liver ischemia-reperfusion injury is a major cause of primary graft non-function or initial function failure post-transplantation. In this study, we examined the effects of sodium nitrite supplementation on liver IRI in either Lactated Ringer's (LR) solution or University of Wisconsin (UW) solution. The syngeneic recipients of liver grafts were also treated with or without nitrite by intra-peritoneal injection. Liver AST and LDH release were significantly reduced in both nitrite-supplemented LR and UW preservation solutions compared to their controls. The protective effect of nitrite was more efficacious with longer cold preservation times. Liver histological examination demonstrated better preserved morphology and architecture with nitrite treatment. Hepatocellular apoptosis was significantly reduced in the nitrite-treated livers compared their controls. Moreover, liver grafts with extended cold preservation time of 12 to 24 hours demonstrated improved liver tissue histology and function post-reperfusion with either the nitrite-supplemented preservation solution or in nitrite-treated recipients. Interestingly, combined treatment of both the liver graft and recipient did not confer protection. Thus, nitrite treatment affords significant protection from cold ischemic and reperfusion injury to donor livers and improves liver graft acute function post-transplantation. The results from this study further support the potential for nitrite therapy to mitigate ischemia-reperfusion injury in solid organ transplantation.
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spelling doaj-art-53eeb5d644804eac9a52008440d87fd52025-08-20T03:36:23ZengWileyJournal of Transplantation2090-00072090-00152012-01-01201210.1155/2012/635179635179The Hepatoprotective Effect of Sodium Nitrite on Cold Ischemia-Reperfusion InjuryWei Li0Zihui Meng1Yuliang Liu2Rakesh P. Patel3John D. Lang4Division of Transplantation, Department of Surgery, University of Washington Medical Center, Seattle, WA 98195, USADivision of Transplantation, Department of Surgery, University of Washington Medical Center, Seattle, WA 98195, USADepartment of Surgery, The University of Alabama at Birmingham, Birmingham, AL 35294, USADepartment of Pathology and Center for Free Radical Biology, The University of Alabama at Birmingham, Birmingham, AL 35294, USADepartment of Anesthesiology & Pain Medicine, University of Washington Medical Center, P.O. Box 356540, Seattle, WA 98195, USALiver ischemia-reperfusion injury is a major cause of primary graft non-function or initial function failure post-transplantation. In this study, we examined the effects of sodium nitrite supplementation on liver IRI in either Lactated Ringer's (LR) solution or University of Wisconsin (UW) solution. The syngeneic recipients of liver grafts were also treated with or without nitrite by intra-peritoneal injection. Liver AST and LDH release were significantly reduced in both nitrite-supplemented LR and UW preservation solutions compared to their controls. The protective effect of nitrite was more efficacious with longer cold preservation times. Liver histological examination demonstrated better preserved morphology and architecture with nitrite treatment. Hepatocellular apoptosis was significantly reduced in the nitrite-treated livers compared their controls. Moreover, liver grafts with extended cold preservation time of 12 to 24 hours demonstrated improved liver tissue histology and function post-reperfusion with either the nitrite-supplemented preservation solution or in nitrite-treated recipients. Interestingly, combined treatment of both the liver graft and recipient did not confer protection. Thus, nitrite treatment affords significant protection from cold ischemic and reperfusion injury to donor livers and improves liver graft acute function post-transplantation. The results from this study further support the potential for nitrite therapy to mitigate ischemia-reperfusion injury in solid organ transplantation.http://dx.doi.org/10.1155/2012/635179
spellingShingle Wei Li
Zihui Meng
Yuliang Liu
Rakesh P. Patel
John D. Lang
The Hepatoprotective Effect of Sodium Nitrite on Cold Ischemia-Reperfusion Injury
Journal of Transplantation
title The Hepatoprotective Effect of Sodium Nitrite on Cold Ischemia-Reperfusion Injury
title_full The Hepatoprotective Effect of Sodium Nitrite on Cold Ischemia-Reperfusion Injury
title_fullStr The Hepatoprotective Effect of Sodium Nitrite on Cold Ischemia-Reperfusion Injury
title_full_unstemmed The Hepatoprotective Effect of Sodium Nitrite on Cold Ischemia-Reperfusion Injury
title_short The Hepatoprotective Effect of Sodium Nitrite on Cold Ischemia-Reperfusion Injury
title_sort hepatoprotective effect of sodium nitrite on cold ischemia reperfusion injury
url http://dx.doi.org/10.1155/2012/635179
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