| First Author | Kudoh K | Year | 2014 |
| Journal | Ann Surg | Volume | 260 |
| Issue | 1 | Pages | 118-27 |
| PubMed ID | 24368646 | Mgi Jnum | J:315333 |
| Mgi Id | MGI:6830127 | Doi | 10.1097/SLA.0000000000000287 |
| Citation | Kudoh K, et al. (2014) Nrf2 activation protects the liver from ischemia/reperfusion injury in mice. Ann Surg 260(1):118-27 |
| abstractText | OBJECTIVE: To investigate the role of Nrf2 in the pathogenesis of hepatic ischemia-reperfusion (I/R) injury. BACKGROUND: Hepatic I/R injury is a serious complication that leads to liver failure after liver surgery. NF-E2-related factor 2 (Nrf2) is a transcription factor that plays a critical role in protecting cells against oxidative stress. Therefore, it is suggested that Nrf2 activation protects the liver from I/R injury. METHODS: Wild-type and Nrf2-deficient mice were treated with 15-deoxy-Delta(12,14)-prostaglandin J2 (15d-PGJ2), or a vehicle. Subsequently, these mice were subjected to 60-minute hepatic 70% ischemia, followed by reperfusion. Liver and blood samples were collected to evaluate liver injury and mRNA expressions. RESULTS: After hepatic I/R, Nrf2-deficient livers exhibited enhanced tissue damage; impaired GSTm1, NQO1, and GCLc inductions; disturbed redox state; and aggravated tumor necrosis factor alpha mRNA expression in comparison with wild-type livers. 15d-PGJ2 treatment protected the livers of wild-type mice from I/R injury via increased expressions of GSTm1, NQO1, and GCLc; maintained redox status; and decreased tumor necrosis factor alpha induction. These effects induced by 15d-PGJ2 were not seen in the livers of Nrf2(-/-) mice and were not annulled by peroxisome proliferator-activated receptor gamma antagonist in Nrf2(+/+) mice, suggesting that the protective effect of 15d-PGJ2 is mediated by Nrf2-dependent antioxidant response. CONCLUSIONS: Nrf2 plays a critical role in the mechanism of hepatic I/R injury and would be a new therapeutic target for preventing hepatic I/R injury during liver surgery. |
