Manuk N. Manukyan1, Yunus Yavuz1, İpek Erbarut2, Ayliz Velioğlu Öğünç3, Çiğdem Ataizi-Çelikel2, A. Süha Yalçın4, Bahadır M. Güllüoğlu1

1Marmara Üniversitesi Tıp Fakültesi, Genel Cerrahi AD, İSTANBUL
2Marmara Üniversitesi Tıp Fakültesi, Patoloji AD, İSTANBUL
3Marmara Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu, Tıbbi Laboratuvar Bölümü, İSTANBUL
4Marmara Üniversitesi Tıp Fakültesi, Biyokimya AD, İSTANBUL

Abstract

Purpose: Oxygen radicals which are produced during reperfusion phase play a central role for hepatocellular damage during ischemia/reperfusion (I/R) injury. Antioxidant strategies appear a promising approach to prevent I/R injury. In the present study, the effect of glutathione (GSH) preconditioning established by whey protein feeding on hepatocellular injury markers was assessed in a rat hepatic normothermic I/R injury model. The interaction between intracellular GSH content and heme oxygenase-1 (HO-1) enzyme expression was also determined in order to understand the level of upgrading of HO-1 system in a high GSH content environment after preconditioning.

Material and Methods: Livers of female Sprague-Dawley rats were subjected to 45/45 minutes of normothermic I/R injury. A group of rats were fed by standard chow for a three week duration before I/R procedure (CONTROL I/R; n=16), whereas another group was fed by “whey” protein for preconditioning (WHPR I/R; n=16) during the same period. Two SHAM groups were constituted accordingly but rats were not subjected to I/R injury (STD SHAM and WHEY SHAM; n=6 in each). Following 45 minutes of reperfusion, serum transaminase levels as well as GSH, malondialdehyde (MDA) levels, apoptotic index (AI) and HO-1 gene expression in liver tissue were determined. Half of the animals in both injury groups were surveilled for a week without sampling.

Results: Intracellular GSH levels in WHEY SHAM group were significantly higher than those of STD SHAM group which indicated a successful preconditioning. Preconditioning by “whey” protein feeding prior to I/R injury (WHPR I/R) significantly ameliorated the increased levels of serum transaminase as well as liver MDA levels and Aİ in CONTROL I/R group. Survival of the rats in both injury groups were not different. “Whey” preconditioning also significantly increased GSH levels, whereas HO-1 expression was lower when compared to rats subjected to I/R injury without preconditioning.

Conclusion: Feeding with “whey” protein successfully resulted high GSH content in rat liver. Whey preconditioning ameliorated hepatic I/R injury. HO-1 enzyme seems to have a less important role in antioxidant defense system when GSH production was induced prior to I/R injury.

Keywords: Liver, ischemia/reperfusion, whey, glutathione, heme oxygenase-1