Summary
In order to extend the limited data concerning the anti-ischaemic activity of S-adenosyl-L-methionine (SAMe), we evaluated the effect of SAMe in isolated perfused rat liver during and after normal-flow ischaemia (30 minutes) and reoxygenation (60 minutes). Application of SAMe 100 ¼mol/L in the perfusate suppressed (almost completely) the release of lactate dehydrogenase, alanine aminotransferase and sorbitol dehydrogenase into the perfusion medium. Furthermore, SAMe treatment resulted in substantial (44%) enhancement of bile flow and hepatic levels of glutathione and adenosine triphosphate compared with non-SAMe-treated livers, during both hypoxia and reoxygenation. Histological evaluation showed a marked reduction in the score for severity of liver necrosis with SAMe treatment (1.5 ± 0.5 vs 2.6 ± 0.3, score 0-4).
Thus, SAMe protects liver cells from ischaemic injury, possibly by restoring glutathione and adenosine triphosphate content. These findings may have clinical relevance for the preservation of organ function before and during transplantation.
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References
Blankenstein JD, Terpatra OT. Liver preservation: the past and the future. Hepatology 13: 1235–1250, 1991
Bray GP, Tredger JM, Williams R. S-Adenosylmethionine protects against acetaminophen hepatoxicity in two mouse models. Hepatology 15: 297–301, 1992
Chawla RK, Bonkovsky HL, Galambos JT. Biochemistry and pharmacology of S-adenosyl-L-methionine and rationale for its use in liver damage. Drugs 40: 98–110, 1990
Corrales F, Gimenez A, Alvarez L, Caballeria J, Pajares MA, et al. S-adenosylmethionine treatment prevents CCl4-induced S-adenosylmethionine synthetase inactivation and attenuates liver injury. Hepatology 16: 1022–1027, 1992
Frezza M, Surrenti C, Manzillo G, Fiaccadori F, Bortolini M, et al. Oral S-adenosylmethionine in the symptomatic treatment of intrahepatic cholestasis. A double-blind, placebo controlled study. Gastroenterology 99: 211–215, 1990
Giulidori P, Galli-Kienle M, Catto E, Stramentinoli G. Trans-methylation, transsulfuration, and aminopropylation reactions of S-adenosyl-L-methionine in vivo. Journal of Biological Chemistry 259: 4205–4211, 1984
Jaeschke H, Mitchell JR. Use of isolated perfused organs in hy-poxia and ischemia/reperfusion oxidant stress. Methods in Enzymology 186: 752–759, 1990
Lieber CS, Casini A, DeCarli LM, Kim CI, Lowe N, et al. S-adenosyl-L-methionine attenuates alcohol-induced liver injury in the baboon. Hepatology 11: 165–172, 1990
Maeda N, Kon K, Seklya M, Shiga T. Increase of ATP level in human erythrocytes induced by S-adenosyl-L-methionine. Biochemical Pharmacology 35: 625–695, 1986
Matsui Y, Kubo Y, Iwata N. S-Adenosyl-L-methionine prevents ischemie neuronal death. European Journal of Pharmacology 144: 211–216, 1987
Montero C, Smolenski RT, Duley JA, Simmonds HA. S-adenosyl-methionine increases erythrocyte ATP in vitro by a route independent of adenosine kinase. Biochemical Pharmacology 40: 2617–2623, 1990
Sauter A. High performance liquid Chromatographic determination of adenine nucleotides in biological materials. Journal of Chromatography 325: 314–316, 1985
Shaw BW, Wood RP. Improved results with retransplantation of the liver. Transplantation Proceedings 21: 2407–2408, 1989
Starzl TE, Demetris AJ, Van Thiel D. Liver transplantation. New England Journal of Medicine 321: 1014–1022, 1989
Tietze P. Enzymic method for quantitative determination of nan-ograms amount of total and oxydized glutathione. Analytical Biochemistry 59: 502–522, 1969
Vendemiale G, Altomare F, Trizio T, Le Grazie C, Di Padova C, et al. Effects of oral S-adenosyl-L-methionine on hepatic glutathione in patients with liver disease. Scandinavian Journal of Gastroenterology 24: 407–415, 1989
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Thom, H., Bortolini, M. & Galli-Kienle, M. Anti-Ischaemic Activity of S-Adenosyl-L-Methionine (SAMe) during Hypoxia/Reoxygenation in the Isolated Perfused Rat Liver. Drug Invest 4 (Suppl 4), 64–68 (1992). https://doi.org/10.1007/BF03258365
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DOI: https://doi.org/10.1007/BF03258365