Hepatic Stellate Cells Play a Functional Role in Exacerbating Ischemia-Reperfusion Injury in Rat Liver

Eur Surg Res. 2019;60(1-2):74-85. doi: 10.1159/000499750. Epub 2019 May 27.

Abstract

Purpose: The involvement of hepatic stellate cells (HSCs) with ischemia-reperfusion (I/R) injury in rat liver was examined using gliotoxin, which is known to induce HSC apoptosis.

Methods: Male Sprague-Dawley rats were used. HSC was represented by a glial fibrillary acidic protein (GFAP)-positive cell. Liver ischemia was produced by cross-clamping the hepatoduodenal ligament. The degree of I/R injury was evaluated by a release of aminotransferases. Sinusoidal diameter and sinusoidal perfusion rates were examined using intravital fluorescence microscopy.

Results: Gliotoxin significantly decreased the number of GFAP-positive cells 48 h after dosing (2.50 ± 0.19% [mean ± SD] in the nontreated group vs. 1.91 ± 0.46% in the gliotoxin-treated group). Liver damage was significantly suppressed by the pretreatment with gliotoxin. Sinusoidal diameters in zone 3 were wider in the gliotoxin group (10.25 ± 0.35 µm) than in the nontreated group (8.21 ± 0.50 µm). The sinusoidal perfusion rate was maintained as well in the gliotoxin group as in normal livers, even after I/R.

Conclusions: Pretreatment with gliotoxin significantly reduced the number of HSCs in the liver and further suppressed liver injury following I/R. It is strongly suggested that HSCs play a functional role in exacerbating the degree of I/R injury of the liver.

Keywords: Gliotoxin; Ischemia-reperfusion injury; Liver; Sinusoidal perfusion; Stellate cell.

MeSH terms

  • Animals
  • Glial Fibrillary Acidic Protein / analysis
  • Gliotoxin / pharmacology
  • Hepatic Stellate Cells / drug effects
  • Hepatic Stellate Cells / physiology*
  • Kupffer Cells / drug effects
  • Liver / blood supply*
  • Male
  • Microcirculation / drug effects
  • Rats
  • Rats, Sprague-Dawley
  • Reperfusion Injury / etiology*

Substances

  • GFAP protein, rat
  • Glial Fibrillary Acidic Protein
  • Gliotoxin