Effect of cold ischemia/reperfusion injury and/or shear stress with portal hypertension on the expression of matrix metalloproteinase-9

Matrix metalloproteinase (MMP)-9 plays an important role in liver regeneration after liver surgery. MMP-9 behavior is complicated in cold ischemia/warm reperfusion injury (CIWRI) and/or shear stress with portal hypertension. Small-for-size grafts (SFSGs) are also an issue. We used a rat model to exa...

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Veröffentlicht in:Annals of gastroenterology 2012, Vol.25 (4), p.345-351
Hauptverfasser: Hori, Tomohide, Uemoto, Shinji, Chen, Feng, Ann-Baine, Marie T, Gardner, Lindsay B, Hata, Toshiyuki, Kuribayashi, Kagemasa, Kato, Takuma, Saito, Kanako, Wang, Linan, Torii, Mie, Endo, Kosuke, Jobara, Kanta, Sulistiono, Beni, Nguyen, Justin H
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container_end_page 351
container_issue 4
container_start_page 345
container_title Annals of gastroenterology
container_volume 25
creator Hori, Tomohide
Uemoto, Shinji
Chen, Feng
Ann-Baine, Marie T
Gardner, Lindsay B
Hata, Toshiyuki
Kuribayashi, Kagemasa
Kato, Takuma
Saito, Kanako
Wang, Linan
Torii, Mie
Endo, Kosuke
Jobara, Kanta
Sulistiono, Beni
Nguyen, Justin H
description Matrix metalloproteinase (MMP)-9 plays an important role in liver regeneration after liver surgery. MMP-9 behavior is complicated in cold ischemia/warm reperfusion injury (CIWRI) and/or shear stress with portal hypertension. Small-for-size grafts (SFSGs) are also an issue. We used a rat model to examine MMP-9 expression 6 h after laparotomy, a temporal clamp (Pringle maneuver), orthotopic liver transplantation (OLT) with a whole-liver graft (100% OLT), partial hepatectomy without the Pringle maneuver (60% hepatectomy) and split orthotopic liver transplantation (SOLT) with a SFSG (40% SOLT) were investigated. Four liver samples were collected in each group. The normalized ratio of MMP-9 was not significantly different with a temporal clamp (P = 0.1963), 100% OLT (P = 0.1781) and 60% hepatectomy (P = 0.2367), but it was significantly higher with 40% SOLT compared to that with laparotomy (P = 0.0159). Forty percent SOLT is accompanied by not only CIWRI but also shear stress. This fatal damage results in increased MMP-9 expression.
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MMP-9 behavior is complicated in cold ischemia/warm reperfusion injury (CIWRI) and/or shear stress with portal hypertension. Small-for-size grafts (SFSGs) are also an issue. We used a rat model to examine MMP-9 expression 6 h after laparotomy, a temporal clamp (Pringle maneuver), orthotopic liver transplantation (OLT) with a whole-liver graft (100% OLT), partial hepatectomy without the Pringle maneuver (60% hepatectomy) and split orthotopic liver transplantation (SOLT) with a SFSG (40% SOLT) were investigated. Four liver samples were collected in each group. The normalized ratio of MMP-9 was not significantly different with a temporal clamp (P = 0.1963), 100% OLT (P = 0.1781) and 60% hepatectomy (P = 0.2367), but it was significantly higher with 40% SOLT compared to that with laparotomy (P = 0.0159). Forty percent SOLT is accompanied by not only CIWRI but also shear stress. 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title Effect of cold ischemia/reperfusion injury and/or shear stress with portal hypertension on the expression of matrix metalloproteinase-9
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