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Title: Nrf2 activation protects the liver from ischemia/reperfusion injury in mice.

Authors: Kudoh, Kazuhiro; Uchinami, Hiroshi; Yoshioka, Masato; Seki, Ekihiro; Yamamoto, Yuzo

Published In Ann Surg, (2014 Jul)

Abstract: To investigate the role of Nrf2 in the pathogenesis of hepatic ischemia-reperfusion (I/R) injury.Hepatic I/R injury is a serious complication that leads to liver failure after liver surgery. NF-E2-related factor 2 (Nrf2) is a transcription factor that plays a critical role in protecting cells against oxidative stress. Therefore, it is suggested that Nrf2 activation protects the liver from I/R injury.Wild-type and Nrf2-deficient mice were treated with 15-deoxy-Δ(12,14)-prostaglandin J2 (15d-PGJ2), or a vehicle. Subsequently, these mice were subjected to 60-minute hepatic 70% ischemia, followed by reperfusion. Liver and blood samples were collected to evaluate liver injury and mRNA expressions.After hepatic I/R, Nrf2-deficient livers exhibited enhanced tissue damage; impaired GSTm1, NQO1, and GCLc inductions; disturbed redox state; and aggravated tumor necrosis factor α mRNA expression in comparison with wild-type livers. 15d-PGJ2 treatment protected the livers of wild-type mice from I/R injury via increased expressions of GSTm1, NQO1, and GCLc; maintained redox status; and decreased tumor necrosis factor α induction. These effects induced by 15d-PGJ2 were not seen in the livers of Nrf2(-/-) mice and were not annulled by peroxisome proliferator-activated receptor γ antagonist in Nrf2(+/+) mice, suggesting that the protective effect of 15d-PGJ2 is mediated by Nrf2-dependent antioxidant response.Nrf2 plays a critical role in the mechanism of hepatic I/R injury and would be a new therapeutic target for preventing hepatic I/R injury during liver surgery.

PubMed ID: 24368646 Exiting the NIEHS site

MeSH Terms: Animals; Blotting, Western; Cells, Cultured; Disease Models, Animal; Gene Expression Regulation*; Liver Failure/etiology; Liver Failure/genetics; Liver Failure/prevention & control*; Liver/blood supply*; Male; Mice; Mice, Inbred C57BL; Mice, Knockout; NF-E2-Related Factor 2/biosynthesis; NF-E2-Related Factor 2/genetics*; Oxidative Stress/genetics; RNA, Messenger/genetics*; Real-Time Polymerase Chain Reaction; Reperfusion Injury/complications*; Reperfusion Injury/metabolism; Reperfusion Injury/pathology; Signal Transduction

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