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Inhalation of molecular hydrogen prevents ischemia-reperfusion liver damage during major liver resection

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F60162694%3AG44__%2F19%3A00555434" target="_blank" >RIV/60162694:G44__/19:00555434 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11160/19:10403617 RIV/00179906:_____/19:10403617

  • Result on the web

    <a href="http://atm.amegroups.com/article/view/32526/html" target="_blank" >http://atm.amegroups.com/article/view/32526/html</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.21037/atm.2019.11.43" target="_blank" >10.21037/atm.2019.11.43</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Inhalation of molecular hydrogen prevents ischemia-reperfusion liver damage during major liver resection

  • Original language description

    Background: Liver resection is a surgical procedure associated with a high risk of hepatic failure that can be fatal. One of the key mechanisms involves ischemia-reperfusion damage. Building on the well-known positive effects of hydrogen at mitigating this damage, the goal of this work was to demonstrate the antioxidant, anti-inflammatory, and anti-apoptotic effects of inhaled hydrogen in domestic pigs during major liver resection. Methods: The study used a total of 12 domestic pigs, 6 animals underwent resection with inhaled hydrogen during general anesthesia, and 6 animals underwent the same procedure using conventional, unsupplemented, general anesthesia. Intraoperative preparation of the left branch of the hepatic portal vein and the left hepatic artery was performed, and a tourniquet was applied. Warm ischemia was induced for 120 minutes and then followed by liver reperfusion for another 120 minutes. Samples from the ischemic and non-ischemic halves of the liver were then removed for histological and biochemical examinations. Results: An evaluation of histological changes was based on a numerical expression of damage based on the Suzuki score. Liver samples in the group with inhaled hydrogen showed a statistically significant reduction in histological changes compared to the control group. Biochemical test scores showed no statistically significant difference in hepatic transaminases, alkaline phosphatase (ALP), lactate dehydrogenase (LD), and lactate. However, a surprising result was a statistically significant difference in gamma-glutamyl-transferase (GMT). Marker levels of oxidative damage varied noticeably in plasma samples. Conclusions: In this experimental study, we showed that inhaled hydrogen during major liver resection unquestionably reduced the level of oxidative stress associated with ischemia-reperfusion damage. We confirmed this phenomenon both histologically and by direct measurement of oxidative stress in the organism.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30204 - Oncology

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2019

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Annals of Translational Medicine

  • ISSN

    2305-5839

  • e-ISSN

    2305-5847

  • Volume of the periodical

    7

  • Issue of the periodical within the volume

    23

  • Country of publishing house

    CN - CHINA

  • Number of pages

    12

  • Pages from-to

    74

  • UT code for WoS article

    000503257700063

  • EID of the result in the Scopus database