The histopathological effects of levosimendan on liver injury induced by myocardial ischemia and reperfusion


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OKTAR G. L., Demir Amac N., ELMAS Ç., ARSLAN M., GÖKTAŞ G., İRİZ E., ...Daha Fazla

Bratislava Medical Journal, cilt.116, sa.4, ss.241-247, 2015 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 116 Sayı: 4
  • Basım Tarihi: 2015
  • Doi Numarası: 10.4149/bll_2015_047
  • Dergi Adı: Bratislava Medical Journal
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.241-247
  • Anahtar Kelimeler: levosimendan, myocardial ischemia reperfusion, remote organ, liver injury, i-NOS, rat, K-ATP, HEPATIC ISCHEMIA, ISCHEMIA/REPERFUSION, ARRHYTHMIAS, ACTIVATION, MILRINONE, OCCLUSION, CHANNELS, HEART, DRUG
  • Lokman Hekim Üniversitesi Adresli: Hayır

Özet

Background: The aim of this study was to evaluate the histological and immunohistochemical effects of levosimendan on liver injury induced by myocardial ischemia and reperfusion (I/R) in a rat model. Methods: Twenty-four male Wistar Albino rats were randomly divided into the four groups: Group C (Control, n = 6), Group I/R (n = 6), Group BI (I/R group treated with levosimendan before ischemia, n = 6), and Group AI (I/R group treated with levosimendan after ischemia, n = 6). Myocardial I/R was induced by ligation of the left anterior descending coronary artery for 30 min followed by two hours of reperfusion in I/R and I/R+Levosimendan groups. At the end of the study, liver tissue samples were obtained for histopathological and immunohistochemical examination. Results: Masson Trichrome staining revealed significant hepatocyte degeneration and necrosis most marked in portal acinus Zone 3, especially around the central veins in Group I/R. Histopathological changes in Group AI were more similar to the changes in Group I/R. Milder hepatocellular degeneration was found in Group BI, when compared to groups I/R and AI. Immunohistochemical score was found to be significantly higher in Group I/R compared to groups C, BI and AI (p < 0.0001). The scores in groups BI and AI were found to be similar (p = 0.068). Conclusion: Levosimendan ameliorates liver injury induced by myocardial IR, especially when administered before induction of ischemia (Fig. 9, Ref. 37). Text in PDF www.elis.sk.