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Hepatic ischemia–reperfusion injury and therapeutic strategies to alleviate cellular damage
Author(s) -
Dogan Serdar,
Aslan Mutay
Publication year - 2011
Publication title -
hepatology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.123
H-Index - 75
eISSN - 1872-034X
pISSN - 1386-6346
DOI - 10.1111/j.1872-034x.2010.00765.x
Subject(s) - ischemia , medicine , reperfusion injury , revascularization , shock (circulatory) , pathophysiology , blood flow , liver transplantation , liver injury , transplantation , pathology , surgery , cardiology , myocardial infarction
Warm hepatic ischemia–reperfusion injury is a significant medical problem in many clinical conditions such as liver transplantation, hepatic surgery for tumor excision, trauma and hepatic failure after hemorrhagic shock. Partial or, mostly, total interruption of hepatic blood flow is often necessary when liver surgery is performed. This interruption of blood flow is termed “warm ischemia” and upon revascularization, when molecular oxygen is reintroduced, the organ undergoes a process called “reperfusion injury” that causes deterioration of organ function. Ischemia reperfusion results in cellular damage and tissue injury associated with a complex series of events. Pathophysiological mechanisms leading to tissue injury following ischemia–reperfusion will be discussed and therapies targeted to reduce liver damage will be summarized within this review.