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Current Molecular Pharmacology


ISSN (Print): 1874-4672
ISSN (Online): 1874-4702

Review Article

Hepatic Ischemia-reperfusion Injury: Protective Approaches and Treatment

Author(s): Kuldeep Singh*, Jeetendra Kumar Gupta, Shivendra Kumar, Anurag, Soumyadip Mukherjee and Aman Patel

Volume 17, 2024

Published on: 16 August, 2023

Article ID: e030823219400 Pages: 10

DOI: 10.2174/1874467217666230803114856



Ischemia and reperfusion damage to the liver is one of the major causes of hepatic dysfunction and liver failure after a liver transplant. The start of hepatic ischemia-reperfusion damage is linked to metabolic acidosis, Kupffer cells, neutrophils, excessive calcium, and changes in the permeability of the mitochondrial membrane. Hypoxia activates Kupffer cells, resulting in the production of reactive oxygen species (ROS). These ROS when accumulated, causes apoptosis and necrosis, as well as activate immune and inflammatory responses that involve many cells and signalling molecules. Numerous antioxidant compounds have been researched to lessen oxidative stress and thus serve as potential compounds to deal the ischemia-reperfusion damage. This article confers a deep understanding of the protective effects of some effective therapies, including hepatoprotective agents, attenuation of an increase in xanthine oxidase activity, and administration of antioxidants like N-acetylcysteine, superoxide dismutase (SOD), and ornithine.

Keywords: Ischemia-reperfusion, Antioxidant, Ornithine, N-acetylcysteine, Ischemia preconditioning, ROS.

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