Evidence map›Paper›PMID 31053929›Full record

ArticleJournal of anesthesia2019

Sevoflurane has postconditioning as well as preconditioning properties against hepatic warm ischemia-reperfusion injury in rats.

Saki Shiraishi, Sungsam Cho, Daiji Akiyama, Taiga Ichinomiya, Itsuko Shibata, Osamu Yoshitomi, Takuji Maekawa, Eisuke Ozawa, Hisamitsu Miyaaki, Tetsuya Hara

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In one paragraph

Article in Journal of anesthesia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Saki ShiraishiDepartment of Anesthesiology, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan. sakiono0103@gmail.com.
Sungsam ChoDepartment of Anesthesiology, National Hospital Organization Kokura Medical Center, Kitakyushu, Japan.
Daiji AkiyamaDepartment of Anesthesiology, Nagasaki University Hospital, Nagasaki, Japan.
Taiga IchinomiyaDepartment of Anesthesiology, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Itsuko ShibataDepartment of Anesthesiology, Nagasaki University Hospital, Nagasaki, Japan.
Osamu YoshitomiDepartment of Anesthesiology, Nagasaki University Hospital, Nagasaki, Japan.
Takuji MaekawaDepartment of Anesthesiology, Nagasaki University Hospital, Nagasaki, Japan.
Eisuke OzawaDepartment of Gastroenterology, Nagasaki University Hospital, Nagasaki, Japan.
Hisamitsu MiyaakiDepartment of Gastroenterology, Nagasaki University Hospital, Nagasaki, Japan.
Tetsuya HaraDepartment of Anesthesiology, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
Nagasaki University Hospital · JPNagasaki University · JPNational Hospital Organization · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIschemia-reperfusion (IR) injury is inevitable after liver transplantation and liver resection with inflow occlusion. Sevoflurane has been widely used during hepatobiliary surgery and was reported to exhibit preconditioning (PreC) properties against hepatic IR injury; however, its postconditioning (PostC) properties remain unknown. This study examined whether a clinically applicable dose of sevoflurane has PostC and PreC properties against hepatic IR injury and roles of heme oxygenase-1 (HO-1).

methodsWarm ischemia was induced in male Wistar rats, excluding the sham group, for 1 h, followed by 3 h of reperfusion. Group C received propofol from 60 min before ischemia until the end of the experimental procedure. In the SPreC and SPostC groups, propofol was replaced by 2.5% sevoflurane for 30 min from 35 min before ischemia in the SPreC group and for 30 min from 5 min before reperfusion in the SPostC group. The SPreC+Z and SPostC+Z groups received a HO-1 inhibitor, zinc protoporphyrin (Znpp), 60 min before ischemia, and sevoflurane PreC and PostC were induced.

resultsSerum aspartate aminotransferase, alanine aminotransferase, and lactic dehydrogenase levels, and histological damage scores in the SPreC and SPostC groups were significantly lower than those in group C. Inhibiting HO-1 with Znpp partially blocked these protective effects of sevoflurane. Sevoflurane PreC and PostC significantly increased the number of HO-1-positive Kupffer cells in comparison with group C, and Znpp prevented sevoflurane-induced HO-1 expression.

conclusionPostC and PreC by sevoflurane at a clinically applicable dose have equally protective effects against hepatic IR injury by increasing HO-1 expression.

Indexed as

Alanine TransaminaseAnimalsLiverMaleProtoporphyrinsRatsRats, WistarReperfusion InjurySevofluraneAlanine TransaminaseProtoporphyrinsSevofluranezinc protoporphyrinHeme oxygenase-1HepaticIschemia–reperfusion injuryPostconditioningPreconditioningSevoflurane

Identifiers

PMID31053929
OpenAlexW2942803421

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.