IMR Press / FBL / Volume 28 / Issue 10 / DOI: 10.31083/j.fbl2810275
Open Access Original Research
Heme Oxygenase-1 Alleviates Ischemia-Reperfusion Injury by Inhibiting Hepatocyte Pyroptosis after Liver Transplantation in Rats
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1 Organ Transplantation Center, the First Affiliated Hospital of Kunming Medical University, 650032 Kunming, Yunnan, China
2 Gastrointestinal and hernia surgery, the First Affiliated Hospital of Kunming Medical University, 650032 Kunming, Yunnan, China
3 Otorhinolaryngology Head and Neck Surgery, Baoshan People's Hospital, 678000 Baoshan, Yunnan, China
4 Department of Gastroenterology, The First Affiliated Hospital of Kunming Medical University, 650032 Kunming, Yunnan, China
5 Yunnan Province Clinical Research Center for Digestive Diseases, 650032 Kunming, Yunnan, China
*Correspondence: zengzhong@kmmu.edu.cn (Zhong Zeng); huanghanfei@kmmu.edu.cn (Hanfei Huang)
These authors contributed equally.
Front. Biosci. (Landmark Ed) 2023, 28(10), 275; https://doi.org/10.31083/j.fbl2810275
Submitted: 28 February 2023 | Revised: 6 May 2023 | Accepted: 23 May 2023 | Published: 31 October 2023
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Objective: Heme oxygenase-1 (HO-1) is a protein involved in the inflammatory response following ischemia-reperfusion injury (IRI). Evidence suggests that pyroptosis plays an important role in IRI. However, the underlying mechanism between HO-1 and pyroptosis in IRI requires further investigation. Methods: Using the “two-cuff” method, a Sprague Dawley rat model of liver transplantation (LT) was established using livers from donors after circulatory death. An automatic biochemical analyzer was used to detect serum alanine transaminase (ALT) and aspartate aminotransferase (AST) levels and evaluate liver function. Paraffin sections of the rat liver were stained with hematoxylin-eosin (HE) to observe the degree of pathological damage. An enzyme-linked immunosorbent assay was used to detect serum levels of interleukin (IL)-1β and IL-18. Moreover, western blotting was used to analyze the expression of HO-1, pro-caspase-1, p22, full-gasdermin D (GSDMD), and cleaved-N-GSDMD in the liver. Immunohistochemistry was used to detect NLRP3 expression. Results: HO-1 expression was time-dependent with IRI. HE staining and Suzuki score showed that necrosis was more severe at 6 h after IRI than in controls. Reactive oxygen species (ROS), ALT, and AST levels in the reperfusion were significantly higher at 6 h after IRI. Similar to HO-1 expression, pro-caspase-1, p22, and GSDMD expression in the reperfusion was time-dependent and was significantly higher at 6 h. Compared with the HO-1-shRNA (short hairpin RNA) group, the HO-1 overexpression group significantly inhibited ROS, p22, GSDMD, IL-1β, IL-18, ALT, and AST. Immunohistochemistry revealed that NLRP3 levels were the highest in the HO-1 overexpression group. Conclusions: HO-1 improved the survival rate and IRI recovery after LT in rats. This study demonstrates that HO-1 inhibits hepatocyte pyroptosis, thereby reducing IRI after LT.

Keywords
heme oxygenase-1
cardiac death donor
liver transplantation
ischemia-reperfusion injury
pyroptosis
Funding
81960123/National Natural Science Foundation of China
81760124/National Natural Science Foundation of China
Figures
Fig. 1.
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