Taha MO, Gonçalves PFZRA, Vidigal ROG, Sacchi GPS, Pinheiro FG, Brandão LSG, Feguri S, Moraes-Filho AM, Ghadie MM, Magalhães KG, Simões MJ, Tersariol ILS, Monteiro HP, Oliveira-Júnior IS, Oliveira I, Jurkiewicz A, Caricati-Neto A. Protective effects of heparin on hepatic ischemia and reperfusion lesions in rabbits.
Transplant Proc 2009;
41:812-5. [PMID:
19376359 DOI:
10.1016/j.transproceed.2009.02.042]
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Abstract
Because the role of heparin (HEP) in hepatic ischemia/reperfusion (I/R) injury is still not fully understood, we investigated the effects of treatment with HEP on hepatic I/R injury in rabbits. For I/R procedures, the portal vein and hepatic artery were occluded by a metallic clamp to promote ischemia. The clamp was removed after 30 minutes to allow reperfusion. Rabbits undergoing the I/R procedure were treated with HEP (100 U/kg) or saline solution 0.9% (SS). When compared with levels before I/R, the serum aspartate aminotransferase, alanine aminotransferase, and lactate dehydrogenase, levels were increased by the hepatic I/R procedure, among rabbits treated with SS or HEP. However, the increase in these enzymes was lower among rabbits treated with HEP. Histologic analysis of hepatic tissue of rabbits undergoing I/R and treated with SS showed marked lesions in the central lobule with significant inflammatory infiltration. In contrast, a significant reduction in lesions caused by I/R was observed in the livers of rabbits treated with HEP. After starting reperfusion, we visualized apoptotic cells with nuclear staining among rabbits submitted to I/R and treated with SS, but not those treated with HEP. These results suggested that HEP was able to attenuate hepatic lesions caused by I/R in the livers of rabbits.
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