Breakdown of membrane phospholipids is a causative event leading to ir
reversible cell injury after ischemia and reperfusion insults, which m
ight be one mechanism leading to liver tumor cell death after repeated
arterial ischemia as well. After 2 hr of hepatic dearterialization fo
llowed by 30 min of reperfusion tumor phospholipid was measured chroma
tographically, glutathione (GSH) analyzed by determining nonprotein su
lfhydryl and activity of glutathione-S-transferase (GST) determined sp
ectrophotometrically using 1-chloro-2,4-dinitrobenzene (CDNB) as the s
ubtrate. A transient, arterial ischemia for 2 hr induced a substantial
decrease of phosphatidylserine (PS) and phosphatidylinosital (PI) com
pared with sham treatment (P < 0.01). Although phosphatidylcholine (PC
) and phosphatidylethanolamine (PE) did not significantly decline afte
r a single arterial ischemia for 2 hr, they dropped dramatically follo
wing repeated arterial ischemia for 2 hr during 5 days (P < 0.01 and P
< 0.05 respectively). GSH was depleted in tumors after both a single
(P < 0.01) and repeated arterial ischemia (P < 0.05) and GST was inact
ivated as well (P < 0.001). By contrast, neither liver phospholipid no
r liver GSH or GST was significantly changed. Tumor growth was signifi
cantly retarded in rats subjected to repeated arterial ischemia compar
ed with sham treatment (P < 0.01). Repeated arterial ischemia facilita
ted degradation of tumor membrane phospholipids and induced depletion
of GSH and inactivation of GST without affecting the normal liver. Thu
s, ischemia/reperfusion induced depletion of membrane phospholipids an
d of GSH might represent two mechanisms by which repeated arterial isc
hemia led to tumor growth delay. (C) 1996 Wiley-Liss, Inc.