Hepatic Ischemia-reperfusion Injury: Protective Approaches and Treatment

Title:Hepatic Ischemia-reperfusion Injury: Protective Approaches and Treatment

Volume: 17 Issue: 1

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

Affiliation:

• Department of Pharmacology, Institute of Pharmaceutical Research, GLA University, Mathura, Uttar Pradesh, India

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

Abstract: 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.

Cite this article as:

Singh Kuldeep*, Gupta Jeetendra Kumar, Kumar Shivendra, Anurag , Mukherjee Soumyadip and Patel Aman, Hepatic Ischemia-reperfusion Injury: Protective Approaches and Treatment, Current Molecular Pharmacology 2024; 17 : e030823219400 . https://dx.doi.org/10.2174/1874467217666230803114856