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      Glial Cell Line-Derived Neurotrophic Factor induced Mice Liver Defatting: A Novel Strategy to Enable Transplantation of Steatotic Livers

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          Abstract

          Moderate macrovesicular steatosis (>30%), which is present in almost 50% of livers considered for transplantation increases the risk of primary graft dysfunction. Our previously published data showed that glial cell line-derived neurotrophic factor (GDNF) is protective against high-fat diet (HFD)-induced hepatic steatosis in mice. Hence, we hypothesized that perfusion of steatotic livers with GDNF may reduce liver fat content prior to transplantation. Livers from 8 weeks regular diet (RD) and HFD-fed mice were perfused ex-vivo for 4 hours with either vehicle, GDNF, or a previously described defatting cocktail. Liver’s residual fat was quantified colorimetrically using a triglyceride assay kit, and by Oil Red-O and Nile Red/Hoechst staining. Liver tissue injury was assessed using an LDH activity assay. In vitro induction of lipolysis in HepG2 cells was assessed by measuring glycerol and free fatty acid release. Oil Red-O staining showed significantly more steatosis in liver from HFD-fed mice compared with RD-fed mice (P<0.001). HFD Livers perfused with GDNF had significantly less steatosis than those not perfused (P=0.001) or perfused with vehicle (P<0.05). GDNF is equally effective in steatotic liver defatting compared to the defatting cocktail; however, GDNF induces less liver damage than the defatting cocktail. These observations were consistent with data obtained from assessment of liver triglyceride content. Assessment of liver injury revealed significant hepatocyte injury in livers perfused with the control defatting cocktail but no evidence of injury in livers perfused with either GDNF or vehicle. In vitro, GDNF reduced triglyceride accumulation in HepG2 cells and stimulated increased triglyceride lipolysis.

          Conclusion

          GDNF can decrease mice liver fat content to an acceptable range and could be a potential defatting agent prior to liver transplantation.

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          Author and article information

          Journal
          100909185
          21611
          Liver Transpl
          Liver Transpl.
          Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
          1527-6465
          1527-6473
          2 January 2016
          April 2016
          01 April 2017
          : 22
          : 4
          : 459-467
          Affiliations
          [1 ]Division of Digestive Diseases, Emory University School of Medicine, 615 Michael Street, Atlanta, GA 30322
          [2 ]Atlanta VA Medical Center, Decatur, GA, USA
          Author notes
          Corresponding Author: Shanthi Srinivasan, Division of Digestive Diseases, Emory University, Whitehead Biomedical Research Building, Suite 201A, 615 Michael Street, Atlanta, GA 30322. Tel.: 404-727-5298. ssrini2@ 123456emory.edu
          Article
          PMC4809758 PMC4809758 4809758 nihpa748238
          10.1002/lt.24385
          4809758
          26714616
          af8fdbf4-eede-4383-91bd-e2fd2fa08ed7
          History
          Categories
          Article

          Fatty Liver Disease,Triglycerides,Liver transplantation,High Fat Diet,Liver infusion

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