title: Resistin and visfatin in steatotic and non-steatotic livers in the setting of partial hepatectomy under ischemia-reperfusion.
abstract: OBJECTIVE
  This study examined whether the regulation of resistin and visfatin could reduce damage and improve regeneration in both steatotic and non-steatotic livers undergoing partial hepatectomy under ischemia-reperfusion, a procedure commonly applied in clinical practice to reduce bleeding.
  
  
  METHODS
  Resistin and visfatin were pharmacologically modulated in lean and obese animals undergoing partial hepatectomy under ischemia-reperfusion.
  
  
  RESULTS
  No evident role for these adipocytokines was observed in non-steatotic livers. However, obese animals undergoing liver surgery showed increased resistin in liver and plasma, without changes in adipose tissue, together with visfatin downregulation in liver and increment in plasma and adipose tissue. Endogenous resistin maintains low levels of visfatin in the liver by blocking its hepatic uptake from the circulation, thus regulating the visfatin detrimental effects on hepatic damage and regenerative failure. Indeed, the administration of anti-resistin antibodies increased hepatic accumulation of adipocyte-derived visfatin, exacerbating damage and regenerative failure. Interestingly, treatment with anti-visfatin antibodies protected steatotic livers, and similar results were obtained with the concomitant inhibition of resistin and visfatin. Thus, when visfatin was inhibited, the injurious effects of anti-resistin antibodies disappeared. Herein we show that upregulation of visfatin increased NAD levels in the remnant steatotic liver, whereas visfatin inhibition decreased them. These later observations suggest that visfatin may favour synthesis of NAD instead of DNA and induces alterations in amino acid metabolism-urea cycle and NO production, overall negatively affecting liver viability.
  
  
  CONCLUSIONS
  Our results indicate the clinical potential of visfatin blocking-based therapies in steatotic livers undergoing partial hepatectomy with ischemia-reperfusion.
authors: Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Barcelona, Spain.
authors: Maria
authors: M
authors: Elias-Miró
authors: Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Barcelona, Spain; Department of Pathology, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil.
authors: Mariana
authors: M
authors: Mendes-Braz
authors: Departament de Bioquímica i Biología Molecular, i Institut de Biomedicina, Universitat de Barcelona, CIBER Fisopatologia de la Obesidad y Nutrición, Spain.
authors: Ruben
authors: R
authors: Cereijo
authors: Departament de Bioquímica i Biología Molecular, i Institut de Biomedicina, Universitat de Barcelona, CIBER Fisopatologia de la Obesidad y Nutrición, Spain.
authors: Francesc
authors: F
authors: Villarroya
authors: Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Barcelona, Spain.
authors: Mónica B
authors: MB
authors: Jiménez-Castro
authors: Barcelona Hepatic Hemodynamic Laboratory, IDIBAPS, CIBEREHD, Barcelona, Spain.
authors: Jordi
authors: J
authors: Gracia-Sancho
authors: Barcelona Hepatic Hemodynamic Laboratory, IDIBAPS, CIBEREHD, Barcelona, Spain.
authors: Sergi
authors: S
authors: Guixé-Muntet
authors: Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Barcelona, Spain.
authors: Marta
authors: M
authors: Massip-Salcedo
authors: Department of Biochemistry and Molecular Biology, University of Barcelona, Spain.
authors: Joan Carles
authors: JC
authors: Domingo
authors: Tumour Bank, IDIBAPS, Barcelona, Spain.
authors: Raquel
authors: R
authors: Bermudo
authors: Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Barcelona, Spain; Liver Unit, Hospital Clínic, Barcelona, Spain.
authors: Juan
authors: J
authors: Rodés
authors: Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Barcelona, Spain. Electronic address: cperalta@clinic.ub.es.
authors: Carmen
authors: C
authors: Peralta
mesh_terms: D000818:Animals; D016207:Cytokines / Q000037:antagonists & inhibitors / Q000502:physiology*; D005234:Fatty Liver / Q000503:physiopathology*; D006498:Hepatectomy; D008099:Liver / Q000378:metabolism*; D008115:Liver Regeneration / Q000502:physiology*; D008297:Male; D009243:NAD / Q000378:metabolism; D054409:Nicotinamide Phosphoribosyltransferase / Q000037:antagonists & inhibitors / Q000502:physiology*; D051381:Rats; D017208:Rats, Wistar; D011924:Rats, Zucker; D015424:Reperfusion; D052243:Resistin / Q000037:antagonists & inhibitors / Q000502:physiology*
chemical_list: D016207:Cytokines; D052243:Resistin; C499622:Retn protein, rat; D009243:NAD; D054409:Nicotinamide Phosphoribosyltransferase; C504970:nicotinamide phosphoribosyltransferase, rat
keywords: ALT; AST; Adipocytokines; BrdU; COXI; COXIV; CPT2; FAS; FGF21; GDH; GPX1; HDL; HGF; Hepatic steatosis; I/R; IL; Ischemia-reperfusion; LDL; Liver surgery; Ln; Low-density lipoprotein; MCAD; MDA; MPO; NAD; Nampt; Ob; PH; Regeneration; Resection; SCD1; SOD2; TGF; TNF; VLDL; alanine aminotransferase; aspartate aminotransferase; bromo-deoxyuridine; carnitine palmytoil transferase-2; cytochrome c oxidase subunit I; cytochrome c oxidase subunit IV; fatty acid synthase; fibroblast growth factor-21; glutamate dehydrogenase; gluthathione peroxidase-1; hepatocyte growth factor; high-density lipoprotein; interleukin; ischemia-reperfusion; lean; malondialdehyde; medium chain acyl-CoA dehydrogenase; myeloperoxidase; nicotinamide adenine dinucleotide; nicotinamide phosphoribosyltransferase; obese; partial hepatectomy; stearoyl-CoA desaturase-1; superoxide dismutase-2; transforming growth factor; tumor necrosis factor; very-low-density lipoprotein