Hepatic tolerance to hypotension as assessed by the changes in arterial ketone body ratio in the state of brain death.

Abstract:

:Hepatic tolerance to hypotension was assessed by changes in arterial ketone body ratio (KBR) and hepatic energy charge levels in experimental brain death induced by epidural ballooning in dogs, and compared with the hemorrhagic shock model. Systolic arterial blood pressure was significantly decreased from 182 mmHg to 67 mmHg after completion of brain death (P less than 0.01), but KBR was maintained at near the control value of 1.098 +/- 0.051 in spite of marked hypotension. Hepatic energy charge was 0.846 +/- 0.016 and remained at normal level. No significant changes were observed in lactate level, total bilirubin, SGPT, and LDH. SGOT was slightly elevated but was still within normal limits (P less than 0.05). Light microscopic examination revealed no apparent ischemic change in the centrilobular region under hematoxylin and eosin staining. By contrast, KBR decreased from 0.975 +/- 0.054 to 0.273 +/- 0.060 following hypotension in the Wiggers' shock model (P less than 0.01). Lactate levels were gradually elevated significantly (P less than 0.05), but no significant increases were observed in total bilirubin, SGOT, SGPT, and LDH. It is suggested that the hepatic energy status is well maintained in the state of brain death, in which state the liver has high tolerance to marked hypotension until shortly before stoppage of the heart.

journal_name

Transplantation

journal_title

Transplantation

authors

Lin H,Okamoto R,Yamamoto Y,Maki A,Ueda J,Tokunaga Y,Yamamoto S,Mori K,Tanaka K,Yamaoka Y

doi

10.1097/00007890-198903000-00008

subject

Has Abstract,Author List Incomplete

pub_date

1989-03-01 00:00:00

pages

444-8

issue

3

eissn

0041-1337

issn

1534-6080

journal_volume

47

pub_type

杂志文章
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    authors: Poommipanit N,Sampaio MS,Cho Y,Young B,Shah T,Pham PT,Wilkinson A,Danovitch G,Bunnapradist S

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    更新日期:2006-02-15 00:00:00

  • A prospective randomized multicenter study of tacrolimus in combination with sirolimus in renal-transplant recipients.

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    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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    authors: van Hooff JP,Squifflet JP,Wlodarczyk Z,Vanrenterghem Y,Paczek L

    更新日期:2003-06-27 00:00:00

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    更新日期:1998-02-27 00:00:00

  • Cell transplantation of genetically altered cells on biodegradable polymer scaffolds in syngeneic rats.

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    journal_title:Transplantation

    pub_type: 杂志文章

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    authors: Gilbert JC,Takada T,Stein JE,Langer R,Vacanti JP

    更新日期:1993-08-01 00:00:00

  • Donor Hepatectomy and Implantation Time Are Associated With Early Complications After Liver Transplantation: A Single-center Retrospective Study.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003335

    authors: Gilbo N,Fieuws S,Meurisse N,Nevens F,van der Merwe S,Laleman W,Verslype C,Cassiman D,van Malenstein H,Roskams T,Sainz-Barriga M,Pirenne J,Jochmans I,Monbaliu D

    更新日期:2020-05-28 00:00:00

  • The effect of two new immunosuppressive agents, FK506 and didemnin B, in murine pregnancy.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199107000-00022

    authors: Farley DE,Shelby J,Alexander D,Scott JR

    更新日期:1991-07-01 00:00:00

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    pub_type: 临床试验,杂志文章,随机对照试验

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    authors: Gerna G,Baldanti F,Lilleri D,Parea M,Torsellini M,Castiglioni B,Vitulo P,Pellegrini C,Viganò M,Grossi P,Revello MG

    更新日期:2003-04-15 00:00:00

  • Enzyme release from injured, preserved, and ex vivo reperfused liver does not indicate malfunction.

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    authors: Gioli-Pereira L,Coradin K,Nagaoka MR,Borges DR,Kouyoumdjian M

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    更新日期:2014-02-15 00:00:00

  • Transgenic Expression of Human CD46 on Porcine Endothelium: Effect on Coagulation and Fibrinolytic Cascades During Ex Vivo Human-to-Pig Limb Xenoperfusions.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000746

    authors: Bongoni AK,Kiermeir D,Schnider J,Jenni H,Garimella P,Bähr A,Klymiuk N,Wolf E,Ayares D,Voegelin E,Constantinescu MA,Seebach JD,Rieben R

    更新日期:2015-10-01 00:00:00

  • Ontogeny of antipig xenoantibody and hyperacute rejection.

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    journal_title:Transplantation

    pub_type: 评论,杂志文章

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    authors: Kawauchi M,Nakajima J,Endoh M,Oka T,Takamoto S

    更新日期:2000-08-27 00:00:00

  • Effect of cold preservation on lymphocyte adherence in the perfused rat liver.

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    journal_title:Transplantation

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    更新日期:1991-09-01 00:00:00

  • An effective solution for prolonged preservation of cultured human pulmonary artery endothelial cells.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199611150-00036

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  • Cardiovascular risk profile of patients with acute liver failure after liver transplantation when compared with the general population.

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  • Treatment of patients with recurrent hepatitis C after liver transplantation with peginterferon alfa-2B plus ribavirin.

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    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.tp.0000225827.18034.be

    authors: Neumann U,Puhl G,Bahra M,Berg T,Langrehr JM,Neuhaus R,Neuhaus P

    更新日期:2006-07-15 00:00:00

  • A sensitive micromethod for generating and assaying allogeneically induced cytotoxic human lymphocytes.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197606000-00005

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    更新日期:1976-06-01 00:00:00

  • Fungal infections in liver transplant recipients.

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    pub_type: 杂志文章

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  • Alloreactive anti-HLA-B7 cytolytic T cell clones use restricted T cell receptor genes.

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    pub_type: 杂志文章

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    更新日期:1996-10-15 00:00:00

  • Endothelial cell preservation using organ storage solutions.

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    pub_type: 杂志文章

    doi:10.1097/00007890-199205000-00002

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    更新日期:1992-05-01 00:00:00

  • Factors Associated With Changes in Body Composition Shortly After Orthotopic Liver Transplantation: The Potential Influence of Immunosuppressive Agents.

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    doi:10.1097/TP.0000000000001202

    authors: Brito-Costa A,Pereira-da-Silva L,Papoila AL,Alves M,Mateus É,Nolasco F,Barroso E

    更新日期:2016-08-01 00:00:00

  • Induction of carbon monoxide in donor animals prior to organ procurement reduces graft immunogenicity and inhibits chronic allograft dysfunction.

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    pub_type: 杂志文章

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  • Simultaneous Liver Kidney Transplant in Elderly Patients With Chronic Kidney Disease: Is There an Appropriate Upper Age Cutoff?

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    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003147

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    更新日期:2020-12-01 00:00:00

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    doi:10.1097/01.TP.0000072373.77323.D4

    authors: Luke PP,Deng JP,O'Brien CA,Everest M,Hall AV,Chakrabarti S,O'Connell PJ,Zhong R,Jevnikar AM

    更新日期:2003-07-27 00:00:00

  • Prolongation of allograft survival in diabetic rats treated with cyclosporine by deoxyguanosine pretreatment of pancreatic islets of Langerhans.

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    pub_type: 杂志文章

    doi:10.1097/00007890-199105000-00007

    authors: al-Abdullah IH,Kumar AM,al-Adnani MS,Abouna GM

    更新日期:1991-05-01 00:00:00

  • Use of alemtuzumab and tacrolimus monotherapy for cadaveric liver transplantation: with particular reference to hepatitis C virus.

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    pub_type: 杂志文章

    doi:10.1097/01.tp.0000142674.78268.01

    authors: Marcos A,Eghtesad B,Fung JJ,Fontes P,Patel K,Devera M,Marsh W,Gayowski T,Demetris AJ,Gray EA,Flynn B,Zeevi A,Murase N,Starzl TE

    更新日期:2004-10-15 00:00:00

  • Prolongation of porcine islet xenograft survival in mice after therapy with immunosuppressive peptides.

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    pub_type: 杂志文章

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    更新日期:1998-12-15 00:00:00