Acta Cirúrgica Brasileira (Dec 2018)

Evaluation of the therapeutic effect of methylene blue on the liver of rats submitted to ischemia and reperfusion

  • Orlando Castro-e-Silva,
  • Luiz Augusto Carneiro D’Albuquerque,
  • Marina Rodrigues Garcia Silveira,
  • Patricia Zorzi,
  • Jordan Bistafa Liu,
  • Daniel Tófoli Queiroz Campos,
  • João Paulo Victorino,
  • Maria Cecília Jordani,
  • Karina Dal Sasso Mendes,
  • Paulo Roberto Barbosa Évora

DOI
https://doi.org/10.1590/s0102-865020180120000001
Journal volume & issue
Vol. 33, no. 12
pp. 1043 – 1051

Abstract

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Abstract Purpose: To analyze the effect of methylene blue (MB) therapy during the liver ischemia-reperfusion injury (I/R) process. Methods: Thirty-five male Wistar rats were used, (70%) submitted to partial ischemia (IR) or not (NIR) (30%) were obtained from the same animal. These animals were divided into six groups: 1) Sham (SH), 2) Sham with MB (SH-MB); 3) I/R, submitted to 60 minutes of partial ischemia and 15 minutes of reperfusion; 4) NI/R, without I/R obtained from the same animal of group I/R; 5) I/R-MB submitted to I/R and MB and 6) NI/R-MB, without I/R. Mitochondrial function was evaluated. Osmotic swelling of mitochondria as well as the determination of malondialdehyde (MDA) was evaluated. Serum (ALT/AST) dosages were also performed. MB was used at the concentration of 15mg/kg, 15 minutes before hepatic reperfusion. Statistical analysis was done by the Mann Whitney test at 5%. Results: State 3 shows inhibition in all ischemic groups. State 4 was increased in all groups, except the I/R-MB and NI/R-MB groups. RCR showed a decrease in all I/R and NI/R groups. Mitochondrial osmotic swelling showed an increase in all I/R NI/R groups in the presence or absence of MB. About MDA, there was a decrease in SH values in the presence of MB and this decrease was maintained in the I/R group. AST levels were increased in all ischemic with or without MB. Conclusions: The methylene blue was not able to restore the mitochondrial parameters studied. Also, it was able to decrease lipid peroxidation, preventing the formation of reactive oxygen species.

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