Steroid Anti-Inflammatory Effects Did Not Improve Organ Quality in Brain-Dead Rats.

Effect of glucocorticoid administration on improving the outcomes of kidney and liver allografts has not been clearly elucidated. This study investigated the effect of prednisolone administration after onset of brain death (BD) on kidney and liver in a controlled rat model of BD. BD was induced in r...

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Publicado en:BioMed Research International Vol. 2015; pp. 1 - 11
Autores principales: Rebolledo, Rolando A., Liu, Bo, Akhtar, Mohammed Z., Ottens, Petra J., Zhang, Jian-ning, Ploeg, Rutger J., Leuvenink, Henri G. D.
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell 5/19/2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 5/19/2015
      vid: 2015
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2015/207534
        109274320
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        atl: Steroid Anti-Inflammatory Effects Did Not Improve Organ Quality in Brain-Dead Rats.
      aug:
        au:
          Rebolledo, Rolando A.
          Liu, Bo
          Akhtar, Mohammed Z.
          Ottens, Petra J.
          Zhang, Jian-ning
          Ploeg, Rutger J.
          Leuvenink, Henri G. D.
        affil: Department of Surgery, University Medical Center Groningen, 9713 GZ Groningen, Netherlands
      sug:
        subj:
          Prednisolone Pharmacodynamics
          Kidney Drug Effects
          Liver Drug Effects
          Brain Death
          Animal Studies
          Rats
          Prednisolone Administration and Dosage
          Inflammation
          Gene Expression
          Apoptosis
          Interleukins Blood
          Creatinine Blood
          Aspartate Aminotransferase Blood
          Lactate Dehydrogenase Blood
          Prednisolone Adverse Effects
          Enzyme-Linked Immunosorbent Assay
          Polymerase Chain Reaction
          Immunohistochemistry
          Kruskal-Wallis Test
          Tumor Necrosis Factor Blood
          Transplant Donors
          Prednisolone Therapeutic Use
          Hemodynamics Drug Effects
          Organ Transplantation
      ab: Effect of glucocorticoid administration on improving the outcomes of kidney and liver allografts has not been clearly elucidated. This study investigated the effect of prednisolone administration after onset of brain death (BD) on kidney and liver in a controlled rat model of BD. BD was induced in rats by inflating an epidurally placed balloon catheter. Animals were treated with saline or prednisolone (5, 12.5, or 22.5 mg/kg) one hour after the onset of BD. After 4 hours of BD, experiments were terminated and serum and tissues were collected. Tissue gene and protein expression were measured for markers of inflammation, apoptosis, and cellular stress response markers. Prednisolone caused a reduction of plasma levels of IL-6, while the tissue expression of IL-6, IL-1β, and MCP-1 in both kidney and liver were also reduced. Creatinine plasma levels, complement (C3) expression, HSP-70, HO-1, Bcl2/BAX ratio, and PMN influx did not significantly change in kidney nor liver. Plasma AST and LDH levels were increased in the prednisolone treated group. Our results demonstrate prednisolone can has an anti-inflammatory effect mediated through reducing serum circulating cytokines. However, this anti-inflammatory effect does not translate into improved kidney function and indeed was associated with increased liver injury markers.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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