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- W4387041330 abstract "Background: Hepatic encephalopathy (HE) is a major complication of chronic liver disease (CLD). This neurological disorder is known to be reversible following liver transplantation (LT). Retrospective studies have demonstrated an association between a history of HE episodes and poor neurological outcome following LT. However, the impact of HE episodes on the brain remains unknown. Our aim was to evaluate the impact of multiple episodes on neurological status and brain injury in rats with CLD. Method: Five-week BDL rats and Sham-operated controls were used. BDL rats were injected with ammonium acetate, precipitating an overt episode of HE every 4 days from week 3 post-surgery (total; 4 episodes). Sham rats also received ammonia and control rats received saline. Three days after the last episode, short- and long-term memory (LTM) were assessed. Upon sacrifice, plasma and brains were collected for oxidative stress measurements and western blot used to investigate neuronal integrity in frontal cortex, hippocampus, and cerebellum. Proteomic analysis was performed on hippocampal tissue samples. Results: LTM was found to be impaired in both BDL-Vehicle and BDL-Ammonia groups vs respective Sham. However, LTM impairment was further aggravated in BDL-Ammonia rats. In BDL-Ammonia, GFAP and apoptotic markers (cleaved caspase-3 and Bax/Bcl2) were increased in the hippocampus, whereas neuronal markers (NeuN and SMI311) were reduced compared to all other experimental groups. Plasma oxidative stress was increased in BDL-Ammonia compared to respective Sham and BDL rats. Decreased total antioxidant capacity and increased 4-HNE levels were found in the hippocampus of the BDL-Ammonia group compared to respective sham and BDL rats. These differences observed in the multiple episodic BDL rats were not demonstrated following one episode. Proteomic analysis revealed 2 proteins which significantly altered in BDL-Ammonia compared to BDL-Vehicle and respective Sham. Conclusion: Multiple episodes of overt HE exacerbated the neurological impairments in BDL rats. LTM impairment in the BDL-Ammonia rats was associated with increased oxidative stress, apoptotic markers and decreased neuronal markers in the hippocampus, suggesting neuronal injury/loss. Elevated levels of GFAP in the hippocampus insinuate gliosis. These results suggest that cumulative HE episodes may cause permanent cell damage and, therefore, will less likely reversible following LT." @default.
- W4387041330 created "2023-09-27" @default.
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- W4387041330 date "2023-09-01" @default.
- W4387041330 modified "2023-10-18" @default.
- W4387041330 title "P32 Multiple Ammonia-Induced Episodes of Hepatic Encephalopathy Provoke Neuronal Cell Loss in Bile-Duct Ligated Rats" @default.
- W4387041330 doi "https://doi.org/10.14309/01.ajg.0000948412.20698.0f" @default.
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