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Trisulfate disaccharide decreases calcium overload and protects liver injury secondary to liver ischemia/reperfusion

Vasques, ER; Cunha, JEM; Coelho, AMM; Sampietre, SN; Patzina, RA; Abdo, EE; Nader, HB; Tersariol, ILS; Andrade De Lima, M; Godoy, CMG; Rodrigues, Tiago; Chaib, Eleazar; D’Albuquerque, Luiz A.C.

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ER Vasques

JEM Cunha

AMM Coelho

SN Sampietre

RA Patzina

EE Abdo

HB Nader

ILS Tersariol

CMG Godoy

Tiago Rodrigues

Eleazar Chaib

Luiz A.C. D’Albuquerque


Ischemia and reperfusion (I/R) causes tissue damage and intracellular calcium levels are a factor of cell death. Sodium calcium exchanger (NCX) regulates calcium extrusion and Trisulfated Disaccharide (TD) acts on NCX decreasing intracellular calcium through the inhibition of the exchange inhibitory peptide (XIP).

The aims of this research are to evaluate TD effects in liver injury secondary to I/R in animals and in vitro action on cytosolic calcium of hepatocytes cultures under calcium overload.

Wistar rats submitted to partial liver ischemia were divided in groups: Control: (n = 10): surgical manipulation with no liver ischemia; Saline: (n = 15): rats receiving IV saline before reperfusion; and TD: (n = 15): rats receiving IV TD before reperfusion. Four hours after reperfusion, serum levels of AST, ALT, TNF-a, IL-6, and IL-10 were measured. Liver tissue samples were collected for mitochondrial function and malondialdehyde (MDA) content. Pulmonary vascular permeability and histologic parameters of liver were determined. TD effect on cytosolic calcium was evaluated in BRL3A hepatic rat cell cultures stimulated by thapsigargin pre and after treatment with TD.

AST, ALT, cytokines, liver MDA, mitochondrial dysfunction and hepatic histologic injury scores were less in TD group when compared to Saline Group (p<0.05) with no differences in pulmonary vascular permeability. In culture cells, TD diminished the intracellular calcium raise and prevented the calcium increase pre and after treatment with thapsigargin, respectively.

TD decreases liver cell damage, preserves mitochondrial function and increases hepatic tolerance to I/R injury by calcium extrusion in Ca2+ overload situations.

Journal Article Type Article
Acceptance Date Feb 3, 2016
Publication Date Feb 22, 2016
Journal PLoS ONE
Print ISSN 1932-6203
Publisher Public Library of Science
Volume 11
Pages e0149630--e0149630
Keywords Mitochondria; reperfusion; disaccharides; histology; heparin; inflammation; liver transplantation; ischemia
Publisher URL


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