Nrf2 Activation Protects the Liver From Ischemia/Reperfusion Injury in Mice

作者：Kudoh Kazuhiro; Uchinami Hiroshi^*; Yoshioka Masato; Seki Ekihiro; Yamamoto Yuzo

来源：Annals of Surgery, 2014, 260(1): 118-127.

DOI：10.1097/SLA.0000000000000287

• 15d-PGJ2
• ischemia-reperfusion injury
• liver
• Nrf2
• PPAR-gamma

Objective: To investigate the role of Nrf2 in the pathogenesis of hepatic ischemia-reperfusion (I/R) injury.
Background: Hepatic I/R injury is a serious complication that leads to liver failure after liver surgery. NF-E2-related factor 2 (Nrf2) is a transcription factor that plays a critical role in protecting cells against oxidative stress. Therefore, it is suggested that Nrf2 activation protects the liver from I/R injury.
Methods: Wild-type and Nrf2-deficient mice were treated with 15-deoxy-Delta(12,14)-prostaglandin J(2) (15d-PGJ(2)), or a vehicle. Subsequently, these mice were subjected to 60-minute hepatic 70% ischemia, followed by reperfusion. Liver and blood samples were collected to evaluate liver injury and mRNA expressions.
Results: After hepatic I/R, Nrf2-deficient livers exhibited enhanced tissue damage; impaired GSTm1, NQO1, and GCLc inductions; disturbed redox state; and aggravated tumor necrosis factor alpha mRNA expression in comparison with wild-type livers. 15d-PGJ2 treatment protected the livers of wild-type mice from I/R injury via increased expressions of GSTm1, NQO1, and GCLc; maintained redox status; and decreased tumor necrosis factor alpha induction. These effects induced by 15d-PGJ2 were not seen in the livers of Nrf2(-/-) mice and were not annulled by peroxisome proliferator-activated receptor gamma antagonist in Nrf2(+/+) mice, suggesting that the protective effect of 15d-PGJ2 is mediated by Nrf2-dependent antioxidant response.
Conclusions: Nrf2 plays a critical role in the mechanism of hepatic I/R injury and would be a new therapeutic target for preventing hepatic I/R injury during liver surgery.

• 出版日期2014-7