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2-adrenoceptors
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
2-adrenoceptor activation
mediates this dysfunction. We infused normal male adult rats with NE,
NE plus the specific
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-
(TNF-
) 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-
production
at 5 h after CLP. These results suggest that NE-induced hepatocellular dysfunction in early sepsis is mediated by
2-adrenoceptor activation, which appears to upregulate
TNF-
production. Modulation of hepatic responsiveness to NE by
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-
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