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The Royal College of Surgeons in Ireland, Department of Surgery, Beaumont Hospital, Dublin 9, Ireland
The degree of acute hepatic failure after
severe trauma and sepsis is related to the extent of hepatocyte (HC)
damage and cell death resulting from either necrosis or apoptosis. We
have previously demonstrated that tumor necrosis factor-
(TNF-
)
and lipopolysaccharide (LPS) can directly lead to HC necrosis, but not
apoptosis. To date, the reactive oxygen intermediates (ROI) and nitric
oxide (NO) have been shown to play a potential role in the induction of
cell apoptosis. However, it is unknown whether ROI and NO are involved
in HC cell death. Therefore, in this study we tested the hypothesis
that NO and ROI exert different effects on HC cell death. TNF-
and
LPS alone failed to induce HC apoptosis but when combined with
antioxidants resulted in HC apoptosis and DNA fragmentation, which is
correlated with an increase in NO production. This effect was
attenuated by the NO synthase inhibitor NG-monomethyl-L-arginine
(L-NMMA). Moreover, the NO donor
sodium nitroprusside resulted in HC apoptosis and cell damage as
represented by hepatocellular enzyme release. Antioxidants inhibited
TNF-
- and LPS-mediated ROI generation and peroxynitrite formation in HC. TNF-
- and LPS-induced HC damage could be further reduced by the
combination of antioxidants and
L-NMMA. These results indicate that NO is involved in HC injury, primarily through the induction of HC
apoptosis.
apoptosis; reactive oxygen intermediates; antioxidant; lipopolysaccharide; tumor necrosis factor-
; peroxynitrite
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