W. Karwinski et al., EFFECT OF ALLOPURINOL ON THE CONCENTRATION OF ENDOGENOUS GLUTATHIONE IN HEPATOCYTES AFTER AN HOUR OF NORMOTHERMIC LIVER ISCHEMIA, The European journal of surgery, 159(6-7), 1993, pp. 355-359
Objective: To find out whether oxygen free radicals liberated by activ
ation of xanthine oxidase change the tissue concentration of glutathio
ne. Design: Controlled study. Material: 42 male Wistar rats. Intervent
ion: Laparotomy, induction of ischemia, and reperfusion. 27 rats were
treated with allopurinol (to inhibit xanthine oxidase) and the remaini
ng 15 acted as controls. Main outcome measures: Concentrations of redu
ced glutathione, oxidized glutathione, and total glutathione in hepato
cytes, blood, and bile. Results: Concentration of reduced and total gl
utathione in hepatocytes decreased significantly during reperfusion an
d oxidized glutathione was unchanged in all groups. Total glutathione
in peripheral venous blood was reduced by half during the period of is
chemia and increased gradually during reperfusion whereas the concentr
ation of total glutathione in bile decreased appreciable during reperf
usion. Production of bile improved significantly during reperfusion in
the group treated with allopurinol compared with the control group. C
onclusion: Xanthine oxidase may not be the main source of production o
f oxygen free radicals as allopurinol did not affect the hepatic conce
ntration of glutathione during reperfusion.