title: Exchange blood transfusion for acute hepatic failure: its limited availability depending on the type of injury in rats.
abstract: The efficacy of exchange blood transfusion for acute hepatic failure was evaluated using rats. Rats receiving a dose of carbon tetrachloride died later than 24 h after dosing. When their blood was replaced with blood from normal rats at 24 h, survival time was prolonged, and hepatic protein synthesis was enhanced at 36 h with improved prothrombin time (PT). Those rats surviving 120 h showed better histological grade of recovery from injury after treatment. In contrast, dimethylnitrosamine (DMN)-intoxicated rats showed no such improvement in survival time or PT. In rats given a nonfatal dose of carbon tetrachloride, serum glutamic-pyruvic transaminase values were five times higher than those in rats given DMN despite similar maximal PT. The benefit of exchange transfusion for acute hepatic failure may differ depending on the mechanism of development in rats. Enhanced hepatic protein synthesis may contribute to its effect.
authors.affiliation: First Department of Internal Medicine, Faculty of Medicine, University of Tokyo, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Fujiwara
authors.forename: Y
authors.initials: Y
authors.lastname: Oka
authors.forename: I
authors.initials: I
authors.lastname: Ogata
authors.forename: Y
authors.initials: Y
authors.lastname: Ohta
authors.forename: Y
authors.initials: Y
authors.lastname: Sato
authors.forename: N
authors.initials: N
authors.lastname: Masaki
authors.forename: K
authors.initials: K
authors.lastname: Takatsuki
authors.forename: H
authors.initials: H
authors.lastname: Oka
mesh_terms: D000208:Acute Disease; D000410:Alanine Transaminase / Q000378:metabolism; D000818:Animals; D001777:Blood Coagulation; D002251:Carbon Tetrachloride; D056486:Chemical and Drug Induced Liver Injury; D004128:Dimethylnitrosamine; D005078:Exchange Transfusion, Whole Blood; D008099:Liver / Q000473:pathology; D008107:Liver Diseases / Q000378:metabolism / Q000628:therapy*; D008297:Male; D014176:Protein Biosynthesis; D051381:Rats; D011919:Rats, Inbred Strains
chemical_list: D002251:Carbon Tetrachloride; D000410:Alanine Transaminase; D004128:Dimethylnitrosamine