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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
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
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Schemmer Peter
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- Abstract:
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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.
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Animals -
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Cell Adhesion - drug effects
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Drug Evaluation, Preclinical -
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Drugs, Chinese Herbal - pharmacology
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Drugs, Chinese Herbal - therapeutic use
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Endothelium, Vascular - physiopathology
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Female -
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Free Radical Scavengers - pharmacology
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Free Radical Scavengers - therapeutic use
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Kupffer Cells - drug effects
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Kupffer Cells - immunology
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Leukocytes - physiology
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Liver - blood supply
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Liver - ultrastructure
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Liver Transplantation -
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Microcirculation - drug effects
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Microspheres -
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Oxidative Stress - drug effects
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Phagocytosis - drug effects
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Phytotherapy -
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Postoperative Complications - prevention & control
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Rats -
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Rats, Sprague-Dawley -
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Reperfusion Injury - etiology
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Reperfusion Injury - prevention & control
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Salvia miltiorrhiza -
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Tumor Necrosis Factor-alpha - analysis
- Find related publications in this database (Keywords)
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Danshen
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liver transplantation
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microcirculation
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oxidative stress
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reperfusion injury