Dynamic Changes of Post-Ischemic Hepatic Microcirculation Improved by a Pre-Treatment of Phosphodiesterase-3 Inhibitor, Milrinone

Phosphodiesterase-3 inhibition has been shown to attenuate hepatic warm ischemia-reperfusion injury. The aim of this study was to investigate the effect of milrinone, phosphodiesterase-3 inhibitor, on post-ischemic microcirculation of rat livers by intravital microscopy. Male Wistar rats were random...

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Veröffentlicht in:The Journal of surgical research 2006-12, Vol.136 (2), p.209-218
Hauptverfasser: Kume, Makoto, Banafsche, Ramin, Yamamoto, Yuzo, Yamaoka, Yoshio, Nobiling, Rainer, Gebhard, Martha-Maria, Klar, Ernst
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container_end_page 218
container_issue 2
container_start_page 209
container_title The Journal of surgical research
container_volume 136
creator Kume, Makoto
Banafsche, Ramin
Yamamoto, Yuzo
Yamaoka, Yoshio
Nobiling, Rainer
Gebhard, Martha-Maria
Klar, Ernst
description Phosphodiesterase-3 inhibition has been shown to attenuate hepatic warm ischemia-reperfusion injury. The aim of this study was to investigate the effect of milrinone, phosphodiesterase-3 inhibitor, on post-ischemic microcirculation of rat livers by intravital microscopy. Male Wistar rats were randomly assigned to three groups; group A, milrinone pre-treatment; group B, ischemic pre-conditioning; and group C, no pre-treatment. All animals underwent a 60-min warm ischemia of the left lateral liver lobe. Microvascular perfusion and leukocyte-endothelial interaction were observed by intravital videomicroscopy. Hepatocellular viability and cellular damage were quantified by adenosine triphosphate tissue concentration as well as alanine aminotransferase and lactate dehydrogenase blood levels, respectively. In groups A and B, cyclic AMP hepatic tissue concentration was elevated significantly. After reperfusion, microvascular perfusion in hepatic sinusoids was significantly better maintained, and the number of adherent leukocytes was reduced in sinusoids and in post-sinusoidal venules in these rats. Serum transaminase blood levels were suppressed significantly in these groups compared with controls. The demonstrated improvement of hepatic microcirculation is certainly derived from milrinone induced cell protection in ischemia reperfusion of the liver. This effect is outlined by improved energy status and reduced liver enzyme liberation and mimics the effect of ischemic pre-conditioning.
doi_str_mv 10.1016/j.jss.2006.05.038
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The aim of this study was to investigate the effect of milrinone, phosphodiesterase-3 inhibitor, on post-ischemic microcirculation of rat livers by intravital microscopy. Male Wistar rats were randomly assigned to three groups; group A, milrinone pre-treatment; group B, ischemic pre-conditioning; and group C, no pre-treatment. All animals underwent a 60-min warm ischemia of the left lateral liver lobe. Microvascular perfusion and leukocyte-endothelial interaction were observed by intravital videomicroscopy. Hepatocellular viability and cellular damage were quantified by adenosine triphosphate tissue concentration as well as alanine aminotransferase and lactate dehydrogenase blood levels, respectively. In groups A and B, cyclic AMP hepatic tissue concentration was elevated significantly. 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subjects 3',5'-Cyclic-AMP Phosphodiesterases - antagonists & inhibitors
Animals
Blood Pressure
Cell Communication - drug effects
Cell Survival - drug effects
cyclic AMP
Cyclic AMP - metabolism
Cyclic GMP - metabolism
Cyclic Nucleotide Phosphodiesterases, Type 3
Endothelial Cells - cytology
Heart Rate
Hematocrit
ischemia-reperfusion injury
ischemic pre-conditioning
Ischemic Preconditioning - methods
Leukocytes - cytology
Liver - blood supply
Liver - cytology
Liver - metabolism
Liver Circulation - drug effects
Liver Transplantation
Male
microcirculation
Microcirculation - drug effects
Microscopy, Video
Milrinone - pharmacology
Nitric Oxide - metabolism
phosphodiesterase inhibitor
Phosphodiesterase Inhibitors - pharmacology
Rats
Rats, Wistar
Reperfusion Injury - drug therapy
Reperfusion Injury - prevention & control
Venules - drug effects
title Dynamic Changes of Post-Ischemic Hepatic Microcirculation Improved by a Pre-Treatment of Phosphodiesterase-3 Inhibitor, Milrinone
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