Abstract
Although thromboxanes (TXs) have been suggested to promote inflammation in the liver, little is known about the role of TXA2 in leukocyte-endothelial interaction during endotoxemia. We observed using in vivo fluorescence microscopy that lipopolysaccharide (LPS) caused significant accumulation of leukocytes adhering to the hepatic microvessels and non-perfused sinusoids. Levels of serum alanine transaminase (ALT) and tumor necrosis factor α (TNFα) also increased. Lipopolysaccharide raised TXB2 level in the perfusate from isolated perfused liver. A TXA2 synthase inhibitor, OKY-046, and a TXA2 receptor antagonist, S-1452, reduced LPS-induced hepatic microcirculatory dysfunction by inhibiting TNFα production. OKY-046 suppressed expression of intercellular adhesion molecule (ICAM)-1 in LPS-treated liver. In thromboxane prostanoid receptor-knockout mice, hepatic responses to LPS were minimized in comparison with those in their wild-type counterparts. These results suggest that TXA2 is involved in LPS-induced hepatic microcirculatory dysfunction partly through the release of TNFα, and that endogenous TXA2 could be responsible for the microcirculatory dysfunction during endotoxemia.
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