Recombinant human erythropoietin protects the liver from hepatic ischemia-reperfusion injury in the rat

Transpl Int. 2006 Nov;19(11):919-26. doi: 10.1111/j.1432-2277.2006.00366.x.

Abstract

Recently, erythropoietin was shown to have both hematopoietic as well as tissue-protective properties. Erythropoietin (EPO) had a protective effect in animal models of cerebral ischemia, mechanical trauma of the nervous system, myocardial infarction, and ischemia-reperfusion (I/R) injury of the kidney. It is not known whether EPO protects the liver against I/R injury. Using a rat model of liver I/R injury, we aimed to determine the effect of the administration of human recombinant erythropoietin (rhEPO) on liver injury. Rats were subjected to 30 min of liver ischemia followed by 2 h of reperfusion. When compared with the sham-operated rats, I/R resulted in significant rises in the serum levels of aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase, gamma-glutamyl transferase, tissue lipid peroxidation, caspase-3 activity and altered histology. Administration of rhEPO 5 min before ischemia was able to reduce the biochemical evidence of liver injury; however, this protection was not evident when rhEPO was administered 5 min before reperfusion. Mechanistically, early administration of rhEPO was able to reduce the oxidative stress and caspase-3 activation, suggesting the subsequent reduction of apoptosis. This study provides the first evidence that rhEPO causes a substantial reduction of the liver injury induced by I/R in the rat.

MeSH terms

  • Animals
  • Biochemistry / methods
  • Caspases / metabolism
  • Erythropoietin / chemistry
  • Erythropoietin / therapeutic use*
  • Humans
  • Ischemia / pathology
  • Liver / metabolism
  • Liver / pathology*
  • Male
  • Malondialdehyde / metabolism
  • Rats
  • Rats, Wistar
  • Recombinant Proteins
  • Reperfusion Injury / drug therapy*
  • Reperfusion Injury / prevention & control
  • Time Factors

Substances

  • Recombinant Proteins
  • Erythropoietin
  • Malondialdehyde
  • Caspases