Pretreatment of Small-for-Size Grafts In Vivo by γ-Aminobutyric Acid Receptor Regulation against Oxidative Stress-Induced Injury in Rat Split Orthotopic Liver Transplantation

Background. Graft pretreatment to limit postoperative damage has the advantage of overcoming a current issue in liver transplantation (LT). The strategic potential of graft pretreatment in vivo by a specific agonist for γ-aminobutyric acid receptor (GABAR) was investigated in the rat LT model with a...

Full description

Saved in:
Bibliographic Details
Main Authors: Tomohide Hori, Shinji Uemoto, Lindsay B. Walden, Feng Chen, Ann-Marie T. Baine, Toshiyuki Hata, Justin H. Nguyen
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:International Journal of Hepatology
Online Access:http://dx.doi.org/10.1155/2013/149123
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832548542720245760
author Tomohide Hori
Shinji Uemoto
Lindsay B. Walden
Feng Chen
Ann-Marie T. Baine
Toshiyuki Hata
Justin H. Nguyen
author_facet Tomohide Hori
Shinji Uemoto
Lindsay B. Walden
Feng Chen
Ann-Marie T. Baine
Toshiyuki Hata
Justin H. Nguyen
author_sort Tomohide Hori
collection DOAJ
description Background. Graft pretreatment to limit postoperative damage has the advantage of overcoming a current issue in liver transplantation (LT). The strategic potential of graft pretreatment in vivo by a specific agonist for γ-aminobutyric acid receptor (GABAR) was investigated in the rat LT model with a small-for-size graft (SFSG). Methods. Recipient rats were divided into three groups according to donor treatments and recipient surgeries: (i) saline and laparotomy, (ii) saline and split orthotopic liver transplantation (SOLT) with 40%-SFSG, and (iii) GABAR agonist and SOLT with 40%-SFSG. Survival was evaluated. Blood and liver samples were collected 6 h after surgery. Immunohistological assessment for apoptotic induction and western blotting for 4-hydroxynonenal, ataxia-telangiectasia mutated kinase (ATM), histone H2AX, phosphatidylinositol-3 kinase (PI3K), Akt, and free radical scavenging enzymes were performed. Results. Pretreatment by GABAR showed improvement in survival, histopathological assessment, and biochemical tests. Apoptotic induction and oxidative stress were observed after SOLT with an SFSG, and this damage was limited by GABAR regulation. GABAR regulation appeared to reduce DNA damage via the ATM/H2AX pathway and to promote cell survival via the PI3K/Akt pathway. Conclusions. Pretreatment in vivo by GABAR regulation improves graft damage after SOLT with an SFSG. This strategy may be advantageous in LT.
format Article
id doaj-art-631f1842f7114e288ae8d2b224f1a6d6
institution Kabale University
issn 2090-3448
2090-3456
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series International Journal of Hepatology
spelling doaj-art-631f1842f7114e288ae8d2b224f1a6d62025-02-03T06:13:46ZengWileyInternational Journal of Hepatology2090-34482090-34562013-01-01201310.1155/2013/149123149123Pretreatment of Small-for-Size Grafts In Vivo by γ-Aminobutyric Acid Receptor Regulation against Oxidative Stress-Induced Injury in Rat Split Orthotopic Liver TransplantationTomohide Hori0Shinji Uemoto1Lindsay B. Walden2Feng Chen3Ann-Marie T. Baine4Toshiyuki Hata5Justin H. Nguyen6Department of Neuroscience, Mayo Clinic, Jacksonville, FL 32224, USADivision of Hepato-Biliary-Pancreatic and Transplant Surgery, Department of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoinkawara-cho, Sakyo-ku, Kyoto 606-8507, JapanDepartment of Neuroscience, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Neuroscience, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Neuroscience, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Neuroscience, Mayo Clinic, Jacksonville, FL 32224, USADivision of Transplant Surgery, Department of Transplantation, Mayo Clinic, Jacksonville, FL 32224, USABackground. Graft pretreatment to limit postoperative damage has the advantage of overcoming a current issue in liver transplantation (LT). The strategic potential of graft pretreatment in vivo by a specific agonist for γ-aminobutyric acid receptor (GABAR) was investigated in the rat LT model with a small-for-size graft (SFSG). Methods. Recipient rats were divided into three groups according to donor treatments and recipient surgeries: (i) saline and laparotomy, (ii) saline and split orthotopic liver transplantation (SOLT) with 40%-SFSG, and (iii) GABAR agonist and SOLT with 40%-SFSG. Survival was evaluated. Blood and liver samples were collected 6 h after surgery. Immunohistological assessment for apoptotic induction and western blotting for 4-hydroxynonenal, ataxia-telangiectasia mutated kinase (ATM), histone H2AX, phosphatidylinositol-3 kinase (PI3K), Akt, and free radical scavenging enzymes were performed. Results. Pretreatment by GABAR showed improvement in survival, histopathological assessment, and biochemical tests. Apoptotic induction and oxidative stress were observed after SOLT with an SFSG, and this damage was limited by GABAR regulation. GABAR regulation appeared to reduce DNA damage via the ATM/H2AX pathway and to promote cell survival via the PI3K/Akt pathway. Conclusions. Pretreatment in vivo by GABAR regulation improves graft damage after SOLT with an SFSG. This strategy may be advantageous in LT.http://dx.doi.org/10.1155/2013/149123
spellingShingle Tomohide Hori
Shinji Uemoto
Lindsay B. Walden
Feng Chen
Ann-Marie T. Baine
Toshiyuki Hata
Justin H. Nguyen
Pretreatment of Small-for-Size Grafts In Vivo by γ-Aminobutyric Acid Receptor Regulation against Oxidative Stress-Induced Injury in Rat Split Orthotopic Liver Transplantation
International Journal of Hepatology
title Pretreatment of Small-for-Size Grafts In Vivo by γ-Aminobutyric Acid Receptor Regulation against Oxidative Stress-Induced Injury in Rat Split Orthotopic Liver Transplantation
title_full Pretreatment of Small-for-Size Grafts In Vivo by γ-Aminobutyric Acid Receptor Regulation against Oxidative Stress-Induced Injury in Rat Split Orthotopic Liver Transplantation
title_fullStr Pretreatment of Small-for-Size Grafts In Vivo by γ-Aminobutyric Acid Receptor Regulation against Oxidative Stress-Induced Injury in Rat Split Orthotopic Liver Transplantation
title_full_unstemmed Pretreatment of Small-for-Size Grafts In Vivo by γ-Aminobutyric Acid Receptor Regulation against Oxidative Stress-Induced Injury in Rat Split Orthotopic Liver Transplantation
title_short Pretreatment of Small-for-Size Grafts In Vivo by γ-Aminobutyric Acid Receptor Regulation against Oxidative Stress-Induced Injury in Rat Split Orthotopic Liver Transplantation
title_sort pretreatment of small for size grafts in vivo by γ aminobutyric acid receptor regulation against oxidative stress induced injury in rat split orthotopic liver transplantation
url http://dx.doi.org/10.1155/2013/149123
work_keys_str_mv AT tomohidehori pretreatmentofsmallforsizegraftsinvivobygaminobutyricacidreceptorregulationagainstoxidativestressinducedinjuryinratsplitorthotopiclivertransplantation
AT shinjiuemoto pretreatmentofsmallforsizegraftsinvivobygaminobutyricacidreceptorregulationagainstoxidativestressinducedinjuryinratsplitorthotopiclivertransplantation
AT lindsaybwalden pretreatmentofsmallforsizegraftsinvivobygaminobutyricacidreceptorregulationagainstoxidativestressinducedinjuryinratsplitorthotopiclivertransplantation
AT fengchen pretreatmentofsmallforsizegraftsinvivobygaminobutyricacidreceptorregulationagainstoxidativestressinducedinjuryinratsplitorthotopiclivertransplantation
AT annmarietbaine pretreatmentofsmallforsizegraftsinvivobygaminobutyricacidreceptorregulationagainstoxidativestressinducedinjuryinratsplitorthotopiclivertransplantation
AT toshiyukihata pretreatmentofsmallforsizegraftsinvivobygaminobutyricacidreceptorregulationagainstoxidativestressinducedinjuryinratsplitorthotopiclivertransplantation
AT justinhnguyen pretreatmentofsmallforsizegraftsinvivobygaminobutyricacidreceptorregulationagainstoxidativestressinducedinjuryinratsplitorthotopiclivertransplantation