Protective Effect of Citric Acid Against Hepatic Ischemia Reperfusion Injury in Sprague-Dawley Rats

Transplant Proc. 2019 Oct;51(8):2823-2827. doi: 10.1016/j.transproceed.2019.02.056. Epub 2019 Sep 4.

Abstract

Objective: Hepatic ischemia reperfusion (I/R) injury is regarded as a serious concern in clinical practice. Citric acid reduces oxidative stress and inflammation during hypoxia and reoxygenation. Our objective was to investigate the protective effect of citric acid against hepatic I/R injury in rats.

Methods: We fed Sprague-Dawley rats either citric acid (100 mg/kg/d) or saline. One week later, ischemia was induced by clamping the rats' common hepatic artery and portal vein for 30 minutes. The rats were randomly divided into 3 major groups that were treated as follows: 1. the sham operated group; 2. the I/R group; and 3. the I/R-citric acid group.

Results: Compared to the sham group, the I/R group had higher expression of aspartate aminotransferase and alanine aminotransferase and lower expression of catalase, superoxide dismutase, glutathione peroxidase, antioxidant, nitric oxide, and albumin. Compared to the I/R group, the I/R-citric acid group had higher expression of catalase, superoxide dismutase, antioxidants, and nitric oxide, and lower expression of aspartate aminotransferase and alanine aminotransferase.

Conclusions: These results suggest that citric acid therapy has significant therapeutic potential in ischemic liver injury.

MeSH terms

  • Alanine Transaminase / metabolism
  • Animals
  • Antioxidants / pharmacology
  • Antioxidants / therapeutic use*
  • Aspartate Aminotransferases / metabolism
  • Catalase / metabolism
  • Citric Acid / pharmacology
  • Citric Acid / therapeutic use*
  • Glutathione Peroxidase / metabolism
  • Liver / blood supply*
  • Liver Diseases / metabolism
  • Liver Diseases / prevention & control*
  • Male
  • Nitric Oxide / metabolism
  • Oxidative Stress / drug effects
  • Rats
  • Rats, Sprague-Dawley
  • Reperfusion Injury / metabolism
  • Reperfusion Injury / prevention & control*
  • Superoxide Dismutase / metabolism

Substances

  • Antioxidants
  • Citric Acid
  • Nitric Oxide
  • Catalase
  • Glutathione Peroxidase
  • Superoxide Dismutase
  • Aspartate Aminotransferases
  • Alanine Transaminase