RT Journal Article T1 Sevoflurane prevents liver inflammatory response induced by lung ischemia-reperfusion. A1 Rancán, Lisa A1 Huerta Martínez, Luis Javier A1 Cusati, G A1 Erquicia, I A1 Isea, J A1 Paredes Royano, Sergio Damián A1 García, C A1 Garutti Martínez, Ignacio A1 Simón Adiego, Carlos María A1 Vara Ameigeiras, Elena María AB Background: Transplants cause ischemia-reperfusion (IR) injury that can affect distant organs. Liver is particularly sensitive to IR injury. The present randomized experimental study was designed to investigate a possible protective effect of sevoflurane against liver inflammatory response to lung IR in a lung upper lobe left autotransplant model.Methods: Two groups (sevoflurane and control) of eight swines each were submitted to upper lobe left lung autotransplant. Hypnotic maintenance was performed with sevoflurane 3% or propofol 8 to 10 mg/kg per hr until pneumonectomy was done; then propofol was used for all animals. Blood and liver samples were taken in four different moments: prepneumonectomy, prereperfusion, 10 min postreperfusion and 30 min postreperfusion to measure levels of interleukin (IL)-1β, IL-10, tumor necrosis factor (TNF)-α, monocyte chemotactic protein (MCP)-1, nuclear factor (NF)-κB, C-reactive protein, ferritin and caspase 3. Non-parametric test was used to find statistical meaning.Results: Lung IR markedly increased the expression of TNF-α, IL-1β, MCP-1, NF-κB and caspase activity in control livers compared with basal levels, whereas liver IL-10 expression decreased 10 and 30 min post-reperfusion. Sevoflurane significantly decreased TNF-α, IL-1β, MCP-1, NF-κB liver expression and caspase 3 activity. Sevoflurane also reverted the lung IR-induced decrease in IL-10 expression.Conclusions: The present results indicate that lung IR caused hepatic injury. Sevoflurane attenuated liver injury in a model of upper lobe left lung autotransplant in pigs. PB Lippincott YR 2014 FD 2014-12-15 LK https://hdl.handle.net/20.500.14352/100164 UL https://hdl.handle.net/20.500.14352/100164 LA eng NO Rancan L, Huerta L, Cusati G, Erquicia I, Isea J, Paredes SD, García C, Garutti I, Simón C, Vara E. Sevoflurane prevents liver inflammatory response induced by lung ischemia-reperfusion. Transplantation. 2014 Dec 15;98(11):1151-7. doi: 10.1097/TP.0000000000000408. PMID: 25269024. NO Rodriguez Pascual Foundation NO INSTITUTO SALUD CARLOS III NO Sociedad Madrileña de Neumología y Cirugía Torácica DS Docta Complutense RD 6 abr 2025