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Liang, R; Bruns, H; Kincius, M; Lin, T; Ludwig, J; Dei-Anane, G; Guan, X; Gebhard, MM; Büchler, MW; Schemmer, P.
Danshen protects liver grafts from ischemia/reperfusion injury in experimental liver transplantation in rats.
Transpl Int. 2009; 22(11):1100-1109 Doi: 10.1111/j.1432-2277.2009.00925.x
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Leading authors Med Uni Graz
Schemmer Peter
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Abstract:
Reperfusion injury remains one of the major problems in transplantation. Free radicals and disturbance of microcirculation are the supposed main contributors. Recent evidence shows that Danshen, a traditional Chinese drug used in vascular diseases, can scavenge radicals and improve microcirculation. This study investigates its effect on liver transplantation (LTx). Before organ recovery, female Sprague-Dawley rats (210-240 g) received intravenous Danshen or the same volume of Ringer solution as control. LTx was performed after 1 h of cold storage. Microperfusion, leukocyte-endothelium interaction and latex-bead phagocytosis were evaluated with in vivo microscopy. Survival, transaminases and histology were assessed. Immunohistology was used for TNF-alpha levels. anova and Fisher's exact test were employed for statistical analyses as appropriate. Survival increased from 60% in controls to 100% (P < 0.05). AST and LDH decreased from 3969 +/- 1255 U/l and 15444 +/- 5148 U/l in controls to 1236 +/- 410 U/l and 5039 +/- 1594 U/l, respectively (P < 0.05). In vivo microscopy revealed decreased leukocyte-adherence and increased blood flow velocity in sinusoidal zones after administration of Danshen (P < 0.05), while latex-bead phagocytosis was found in 60% of controls (P < 0.05). The TNF-alpha index decreased from 2.08 +/- 0.09 in controls to 1.09 +/- 0.09 (P < 0.05). This study clearly demonstrates hepatoprotective effects after experimental LTx, which can be explained via anti-oxidative effects, improved microcirculation and decreased Kupffer cell activation.
Find related publications in this database (using NLM MeSH Indexing)
Animals -
Cell Adhesion - drug effects
Drug Evaluation, Preclinical -
Drugs, Chinese Herbal - pharmacology
Drugs, Chinese Herbal - therapeutic use
Endothelium, Vascular - physiopathology
Female -
Free Radical Scavengers - pharmacology
Free Radical Scavengers - therapeutic use
Kupffer Cells - drug effects
Kupffer Cells - immunology
Leukocytes - physiology
Liver - blood supply
Liver - ultrastructure
Liver Transplantation -
Microcirculation - drug effects
Microspheres -
Oxidative Stress - drug effects
Phagocytosis - drug effects
Phytotherapy -
Postoperative Complications - prevention & control
Rats -
Rats, Sprague-Dawley -
Reperfusion Injury - etiology
Reperfusion Injury - prevention & control
Salvia miltiorrhiza -
Tumor Necrosis Factor-alpha - analysis

Find related publications in this database (Keywords)
Danshen
liver transplantation
microcirculation
oxidative stress
reperfusion injury
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