PMID- 23341905 OWN - NLM STAT- MEDLINE DCOM- 20130709 LR - 20211117 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 1 DP - 2013 TI - Protective effect of gadolinium chloride on early warm ischemia/reperfusion injury in rat bile duct during liver transplantation. PG - e52743 LID - 10.1371/journal.pone.0052743 [doi] LID - e52743 AB - BACKGROUND: Activation of Kupffer cell (KC) is acknowledged as a key event in the initiation and perpetuation of bile duct warm ischemia/reperfusion injury. The inhibitory effect of gadolinium chloride (GdCl(3)) on KC activation shows potential as a protective intervention in liver injury, but there is less research with regard to bile duct injury. METHODS: Sixty-five male Sprague-Dawley rats (200-250 g) were randomly divided into three experimental groups: a sham group (n = 15), a control group (n = 25), and a GdCl(3) group (n = 25). Specimen was collected at 0.5, 2, 6, 12 and 24 h after operation. Alanine aminotransferase (ALT), alkaline phosphatase (ALP) and total bilirubin (TBIL) of serum were measured. Tumor necrosis factor-alpha (TNF-alpha), Capase-3 activity and soluble Fas (sFas) were detected. The pathologic changes of bile duct were observed. Immunochemistry for bile duct Fas was performed. Apoptosis of bile duct cells was evaluated by the terminal UDP nick end labeling assay. RESULTS: GdCl(3) significantly decreased the levels of ALT, ALP and TBIL at 2, 6, 12, and 24 h, and increased serum sFas at 2, 6 and 12 h (P<0.05). TNF-alpha was lower in the GdCl(3) group than in the control group at 2, 6, 12 and 24 h (P<0.05). Preadministration of GdCl(3) significantly reduced the Caspase-3 activity and bile duct cell apoptosis at 2, 6, 12 and 24 h. After operation for 2, 6 and 12 h, the expression of Fas protein was lower in the GdCl(3) group than in the control group (P<0.05). CONCLUSIONS: GdCl(3) plays an important role in suppressing bile duct cell apoptosis, including decreasing ALT, ALP, TBIL and TNF-alpha; suppressing Fas-FasL-Caspase signal transduction during transplantation. FAU - Wang, Biao AU - Wang B AD - Department of Hepatobiliary Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China. FAU - Zhang, Qi AU - Zhang Q FAU - Zhu, Bili AU - Zhu B FAU - Cui, Zhonglin AU - Cui Z FAU - Zhou, Jie AU - Zhou J LA - eng PT - Journal Article DEP - 20130114 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Fas protein, rat) RN - 0 (Protective Agents) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (fas Receptor) RN - AU0V1LM3JT (Gadolinium) RN - EC 2.6.1.1 (Aspartate Aminotransferases) RN - EC 2.6.1.2 (Alanine Transaminase) RN - EC 3.4.22.- (Caspase 3) RN - P7082WY76D (gadolinium chloride) SB - IM MH - Alanine Transaminase/blood MH - Animals MH - Apoptosis/drug effects MH - Aspartate Aminotransferases/blood MH - Bile Ducts/*blood supply/drug effects/enzymology/*pathology MH - Caspase 3/metabolism MH - Gadolinium/pharmacology/*therapeutic use MH - Immunohistochemistry MH - *Liver Transplantation MH - Male MH - Protective Agents/pharmacology/*therapeutic use MH - Rats MH - Rats, Sprague-Dawley MH - Reperfusion Injury/blood/*drug therapy/enzymology/pathology MH - Solubility MH - Time Factors MH - Tumor Necrosis Factor-alpha/blood MH - *Warm Ischemia MH - fas Receptor/blood PMC - PMC3544894 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2013/01/24 06:00 MHDA- 2013/07/10 06:00 PMCR- 2013/01/14 CRDT- 2013/01/24 06:00 PHST- 2012/08/07 00:00 [received] PHST- 2012/11/21 00:00 [accepted] PHST- 2013/01/24 06:00 [entrez] PHST- 2013/01/24 06:00 [pubmed] PHST- 2013/07/10 06:00 [medline] PHST- 2013/01/14 00:00 [pmc-release] AID - PONE-D-12-23394 [pii] AID - 10.1371/journal.pone.0052743 [doi] PST - ppublish SO - PLoS One. 2013;8(1):e52743. doi: 10.1371/journal.pone.0052743. Epub 2013 Jan 14.