Participation of autophagy in the initiation of graft dysfunction after rat liver transplantation

Kunihito Gotoh, Zhenhui Lu, Miwa Morita, Masahiro Shibata, Masato Koike, Satoshi Waguri, Keizo Dono, Yuichiro Doki, Eiki Kominami, Atsushi Sugioka, Morito Monden, Yasuo Uchiyama

Research output: Contribution to journalArticlepeer-review

59 Citations (Scopus)


Better ways to prevent the cold ischemia-warm reperfusion (CI/ WR) injury associated with liver transplantation are needed, and many investigations have focused on the molecular mechanisms of this injury. However, the mechanisms reported to date are controversial and no improvement in therapy has resulted. Here, using prolonged CI and orthotopic transplantation of rat liver grafts, we found that the CI/WR injury was closely associated with autophagy. By 15 minutes after the start of WR, small masses of hepatocytes that possessed abundant autophagosomes and autolysosomes frequently dissociated from the hepatic cords and obstructed the sinusoid, causing massive necrosis of hepatocytes within 2 hours. The cell masses included TUNEL-positive nuclei without caspase-3 and -7 activation. Autophagy suppression with the phosphatidylinositol 3-kinase (PI3K) inhibitors, wortmannin or LY294002, reduced both liver damage and the mortality rate of recipient rats. To elucidate the downstream mechanisms of this autophagic pathway, liver grafts were treated with aspartic and cysteine proteinase inhibitors, pepstatin and leupeptin. This treatment also significantly improved the survival rate of recipient rats. These data suggest that autophagy-associated hepatocyte death triggers liver graft dysfunction. The protective effects of suppressing autophagy may suggest new ways to prevent CI/WR injury of the liver.

Original languageEnglish
Pages (from-to)351-360
Number of pages10
Issue number3
Publication statusPublished - 01-04-2009

All Science Journal Classification (ASJC) codes

  • Molecular Biology
  • Cell Biology


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