Discontinuous total parenteral nutrition prevents postischemic mitochondrial dysfunction in rat liver

Hepatology. 1998 Nov;28(5):1289-99. doi: 10.1002/hep.510280518.

Abstract

Although discontinuous total parenteral nutrition (d-TPN) has recently been favored for clinical use over continuous total parenteral nutrition (c-TPN) to ameliorate liver dysfunction, mechanisms for the protection against postoperative liver dysfunction remain unknown. This study aimed to examine differences in mitochondrial function in d-TPN- and c-TPN-pretreated livers during ischemia-reperfusion. Rat livers pretreated with d-TPN or c-TPN were perfused with Krebs-Ringer buffer and were exposed to 25% low-flow hypoxia followed by reperfusion. Intrahepatic mitochondrial membrane potential (triangle up) and cell viability were assessed by dual-color digital microfluorography using rhodamine 123 (Rh123) and propidium iodide (PI), respectively. In response to hypoxia, livers pretreated with c-TPN, d-TPN, and an ordinary chow diet exhibited a significant triangle up reduction among the entire lobules. Upon reperfusion, the regional triangle up values further decreased in the c-TPN liver, whereas those in the d-TPN-treated or chow-treated livers displayed a rapid recovery toward the control levels. The severity of cell injury did not differ among the groups, showing that the reperfusion-induced triangle up drop in the c-TPN-pretreated liver is not a consequence of cell injury. Differences in the triangle up drop among the groups appear to occur irrespective of those in the glycogen storage, because the livers undergoing d-TPN display a marked triangle up recovery even when reperfused at the end of a fasted state. These results indicate that c-TPN, but not d-TPN, jeopardizes mitochondrial re-energization and suggest that a circadian pattern of the TPN serves as a potentially beneficial strategy to reduce the risk of postischemic mitochondrial dysfunction in the liver.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Bile / metabolism
  • Cell Survival
  • Fluorescent Dyes
  • Glycogen / metabolism
  • Intracellular Membranes / physiology
  • Ischemia / complications*
  • Liver / blood supply*
  • Liver / metabolism
  • Liver / pathology
  • Liver Diseases / physiopathology
  • Liver Diseases / prevention & control*
  • Male
  • Membrane Potentials
  • Mitochondria, Liver / physiology*
  • Mitochondria, Liver / ultrastructure
  • Nutritional Status
  • Parenteral Nutrition, Total / methods*
  • Phagocytosis
  • Rats
  • Rats, Wistar
  • Reperfusion Injury / pathology
  • Reperfusion Injury / prevention & control*
  • Rhodamine 123

Substances

  • Fluorescent Dyes
  • Rhodamine 123
  • Glycogen