Mechanisms of autophagy activation in endothelial cell and their targeting during normothermic machine liver perfusion
- PMID: 29358854
- PMCID: PMC5752706
- DOI: 10.3748/wjg.v23.i48.8443
Mechanisms of autophagy activation in endothelial cell and their targeting during normothermic machine liver perfusion
Abstract
Ischaemia-reperfusion injury (IRI) is the leading cause of injury seen in the liver following transplantation. IRI also causes injury following liver surgery and haemodynamic shock. The first cells within the liver to be injured by IRI are the liver sinusoidal endothelial cells (LSEC). Recent evidence suggests that LSEC co-ordinate and regulates the livers response to a variety of injuries. It is becoming increasingly apparent that the cyto-protective cellular process of autophagy is a key regulator of IRI. In particular LSEC autophagy may be an essential gatekeeper to the development of IRI. The recent availability of liver perfusion devices has allowed for the therapeutic targeting of autophagy to reduce IRI. In particular normothermic machine liver perfusion (NMP-L) allow the delivery of pharmacological agents to donor livers whilst maintaining physiological temperature and hepatic flow rates. In this review we summarise the current understanding of endothelial autophagy and how this may be manipulated during NMP-L to reduce liver IRI.
Keywords: Autophagy; Ischaemia-reperfusion injury; Liver transplant; Normothermic machine liver perfusion.
Conflict of interest statement
Conflict-of-interest statement: No potential conflicts of interest relevant to this article were reported.
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References
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- Swart C, Du Toit A, Loos B. Autophagy and the invisible line between life and death. Eur J Cell Biol. 2016;95:598–610. - PubMed
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