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Am J Physiol Gastrointest Liver Physiol 281: G1014-G1021, 2001;
0193-1857/01 $5.00
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Vol. 281, Issue 4, G1014-G1021, October 2001

Norepinephrine-induced hepatocellular dysfunction in early sepsis is mediated by activation of alpha 2-adrenoceptors

Shaolong Yang, Mian Zhou, Irshad H. Chaudry, and Ping Wang

Center for Surgical Research and Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama 35294

Gut-derived norepinephrine (NE) has been shown to play a critical role in producing hepatocellular dysfunction in early sepsis, but it is not known whether alpha 2-adrenoceptor activation mediates this dysfunction. We infused normal male adult rats with NE, NE plus the specific alpha 2-adrenergic antagonist rauwolscine (RW), or vehicle (normal saline) for 2 h. Hepatocellular function was determined by in vivo indocyanine green (ICG) clearance. An isolated perfused liver preparation was also used to assess hepatocellular function by in vitro ICG clearance; NE alone or with RW was added to the perfusate. Rats were subjected to sepsis by cecal ligation and puncture (CLP). At 1 h after CLP, RW was infused for 15 min. At 5 h after CLP, we measured hepatocellular function and serum tumor necrosis factor-alpha (TNF-alpha ) levels. Intraportal NE infusion in normal rats produced hepatocellular dysfunction, which was prevented by RW and NE infusion. This is confirmed by findings with the isolated perfused liver preparation. RW administration in early sepsis maintained hepatocellular function and downregulated TNF-alpha production at 5 h after CLP. These results suggest that NE-induced hepatocellular dysfunction in early sepsis is mediated by alpha 2-adrenoceptor activation, which appears to upregulate TNF-alpha production. Modulation of hepatic responsiveness to NE by alpha 2-adrenergic antagonists should provide a novel approach for maintaining cell and organ functions during sepsis.

indocyanine green clearance; rauwolscine; cecal ligation and puncture; isolated perfused rat liver; tumor necrosis factor-alpha


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