Does fasting protect liver from ischemia and reperfusion injury? 2023

Marcia Kiyomi Koike, and Denise Frediani Barbeiro, and Heraldo Possolo de Souza, and Marcel Cerqueira César Machado
Universidade de São Paulo - School of Medicine - Department of Clinical Medicine - São Paulo (SP) - Brazil.

OBJECTIVE To evaluate local and systemic effects of 24-hour fasting in liver ischemia and reperfusion injury. METHODS Twenty-one adult male Wistar rats (330-390 g) were submitted to 60 minutes of hepatic ischemia followed by 24 hours of reperfusion. Before the day of the experiment, the animals fasted, but free access to water was allowed. Two groups were constituted: Control: non-fasted, that is, feeding ad libitum before surgical procedure; Fasting: rats underwent previous fasting of 24 hours. Hepatic ischemia was performed using vascular clamp in hepatic pedicle. At 24 hours after liver reperfusion, blood and tissue samples were collected. To analysis, liver lobes submitted to ischemia was identified as ischemic liver and paracaval non-ischemic lobes as non-ischemic liver. We evaluated: malondialdehyde levels, hepatocellular function (alanine aminotransferase, aspartate aminotransferase activities, and both ratio), cytokines (interleukins-6, -10, and tumor necrosis factor-alpha), hepatic ischemia and reperfusion injury (histology). RESULTS Malondialdehyde measured in non-ischemic and ischemic liver samples, hepatocellular function and cytokines were comparable between groups. Histological findings were distinct in three regions evaluated. Microvesicular steatosis was comparable between 24-hour fasting and non-fasted control groups in periportal region of hepatic lobe. In contrast, steatosis was more pronounced in zones 2 and 3 of ischemic liver samples of fasting compared to control groups. CONCLUSIONS These data indicates that fasting does not protect, but it can be also detrimental to liver submitted to ischemia/reperfusion damage. At that time, using long fasting before liver surgery in the real world may be contraindicated.

UI MeSH Term Description Entries
D007511 Ischemia A hypoperfusion of the BLOOD through an organ or tissue caused by a PATHOLOGIC CONSTRICTION or obstruction of its BLOOD VESSELS, or an absence of BLOOD CIRCULATION. Ischemias
D008099 Liver A large lobed glandular organ in the abdomen of vertebrates that is responsible for detoxification, metabolism, synthesis and storage of various substances. Livers
D008107 Liver Diseases Pathological processes of the LIVER. Liver Dysfunction,Disease, Liver,Diseases, Liver,Dysfunction, Liver,Dysfunctions, Liver,Liver Disease,Liver Dysfunctions
D008297 Male Males
D008315 Malondialdehyde The dialdehyde of malonic acid. Malonaldehyde,Propanedial,Malonylaldehyde,Malonyldialdehyde,Sodium Malondialdehyde,Malondialdehyde, Sodium
D005215 Fasting Abstaining from FOOD. Hunger Strike,Hunger Strikes,Strike, Hunger,Strikes, Hunger
D000410 Alanine Transaminase An enzyme that catalyzes the conversion of L-alanine and 2-oxoglutarate to pyruvate and L-glutamate. (From Enzyme Nomenclature, 1992) EC 2.6.1.2. Alanine Aminotransferase,Glutamic-Pyruvic Transaminase,SGPT,Alanine-2-Oxoglutarate Aminotransferase,Glutamic-Alanine Transaminase,Alanine 2 Oxoglutarate Aminotransferase,Aminotransferase, Alanine,Aminotransferase, Alanine-2-Oxoglutarate,Glutamic Alanine Transaminase,Glutamic Pyruvic Transaminase,Transaminase, Alanine,Transaminase, Glutamic-Alanine,Transaminase, Glutamic-Pyruvic
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D015427 Reperfusion Injury Adverse functional, metabolic, or structural changes in tissues that result from the restoration of blood flow to the tissue (REPERFUSION) following ISCHEMIA. Ischemia-Reperfusion Injury,Injury, Ischemia-Reperfusion,Injury, Reperfusion,Reperfusion Damage,Damage, Reperfusion,Injury, Ischemia Reperfusion,Ischemia Reperfusion Injury,Ischemia-Reperfusion Injuries,Reperfusion Damages,Reperfusion Injuries
D016207 Cytokines Non-antibody proteins secreted by inflammatory leukocytes and some non-leukocytic cells, that act as intercellular mediators. They differ from classical hormones in that they are produced by a number of tissue or cell types rather than by specialized glands. They generally act locally in a paracrine or autocrine rather than endocrine manner. Cytokine

Related Publications

Marcia Kiyomi Koike, and Denise Frediani Barbeiro, and Heraldo Possolo de Souza, and Marcel Cerqueira César Machado
August 1993, Circulation,
Marcia Kiyomi Koike, and Denise Frediani Barbeiro, and Heraldo Possolo de Souza, and Marcel Cerqueira César Machado
June 2005, Clinical nutrition (Edinburgh, Scotland),
Marcia Kiyomi Koike, and Denise Frediani Barbeiro, and Heraldo Possolo de Souza, and Marcel Cerqueira César Machado
January 2013, Physiological research,
Marcia Kiyomi Koike, and Denise Frediani Barbeiro, and Heraldo Possolo de Souza, and Marcel Cerqueira César Machado
January 2008, Recent patents on cardiovascular drug discovery,
Marcia Kiyomi Koike, and Denise Frediani Barbeiro, and Heraldo Possolo de Souza, and Marcel Cerqueira César Machado
October 2013, The Journal of clinical investigation,
Marcia Kiyomi Koike, and Denise Frediani Barbeiro, and Heraldo Possolo de Souza, and Marcel Cerqueira César Machado
January 2013, European review for medical and pharmacological sciences,
Marcia Kiyomi Koike, and Denise Frediani Barbeiro, and Heraldo Possolo de Souza, and Marcel Cerqueira César Machado
December 2008, Journal of molecular medicine (Berlin, Germany),
Marcia Kiyomi Koike, and Denise Frediani Barbeiro, and Heraldo Possolo de Souza, and Marcel Cerqueira César Machado
April 2015, Journal of the American College of Cardiology,
Marcia Kiyomi Koike, and Denise Frediani Barbeiro, and Heraldo Possolo de Souza, and Marcel Cerqueira César Machado
October 2020, Neurochemical research,
Marcia Kiyomi Koike, and Denise Frediani Barbeiro, and Heraldo Possolo de Souza, and Marcel Cerqueira César Machado
May 2016, European review for medical and pharmacological sciences,
Copied contents to your clipboard!