TY - JOUR
T1 - Clinical outcomes and genetic expression profile in human liver graft dysfunction during ischemia/reperfusion injury
AU - Paulino, J.
AU - Vigia, E.
AU - Marcelino, P.
AU - Abade, O.
AU - Sobral, J.
AU - Ligeiro, D.
AU - Carvalho, Ana M.
AU - Alves, M.
AU - Papoila, A. L.
AU - Trindade, H.
AU - Barroso, E.
PY - 2015/5/1
Y1 - 2015/5/1
N2 - Introduction This study aims to compare the molecular gene expression during ischemia reperfusion injury. Several surgical times were considered: in the beginning of the harvesting (T0), at the end of the cold ischemia period (T1), and after reperfusion (T2) and compared with graft dysfunction after liver transplant (OLT). Methods We studied 54 patients undergoing OLT. Clinical, laboratory data, and histologic data (Suzuki classification) as well as the Survival Outcomes Following Liver Transplantation (SOFT) score were used and compared with the molecular gene expression of the following genes: Interleukin (IL)-1b, IL-6, tumor necrosis factor-α, perforin, E-selectin (SELE), Fas-ligand, granzyme B, heme oxygenase-1, and nitric oxide synthetase. Results Fifteen patients presented with graft dysfunction according to SOFT criteria. No relevant data were obtained by comparing the variables graft dysfunction and histologic variables. We observed a statistically significant relation between SELE at T0 (P =.013) and IL-1β at T0 (P =.028) and early graft dysfunction. Conclusions We conclude that several genetically determined proinflammatory expressions may play a critical role in the development of graft dysfunction after OLT.
AB - Introduction This study aims to compare the molecular gene expression during ischemia reperfusion injury. Several surgical times were considered: in the beginning of the harvesting (T0), at the end of the cold ischemia period (T1), and after reperfusion (T2) and compared with graft dysfunction after liver transplant (OLT). Methods We studied 54 patients undergoing OLT. Clinical, laboratory data, and histologic data (Suzuki classification) as well as the Survival Outcomes Following Liver Transplantation (SOFT) score were used and compared with the molecular gene expression of the following genes: Interleukin (IL)-1b, IL-6, tumor necrosis factor-α, perforin, E-selectin (SELE), Fas-ligand, granzyme B, heme oxygenase-1, and nitric oxide synthetase. Results Fifteen patients presented with graft dysfunction according to SOFT criteria. No relevant data were obtained by comparing the variables graft dysfunction and histologic variables. We observed a statistically significant relation between SELE at T0 (P =.013) and IL-1β at T0 (P =.028) and early graft dysfunction. Conclusions We conclude that several genetically determined proinflammatory expressions may play a critical role in the development of graft dysfunction after OLT.
UR - http://www.scopus.com/inward/record.url?scp=84930402141&partnerID=8YFLogxK
U2 - 10.1016/j.transproceed.2015.03.025
DO - 10.1016/j.transproceed.2015.03.025
M3 - Article
C2 - 26036478
AN - SCOPUS:84930402141
SN - 0041-1345
VL - 47
SP - 882
EP - 887
JO - Transplantation Proceedings
JF - Transplantation Proceedings
IS - 4
ER -