2011
DOI: 10.1007/s00423-011-0853-0
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Perioperative infliximab application has marginal effects on ischemia–reperfusion injury in experimental small bowel transplantation in rats

Abstract: The protective effects of infliximab in the early phase after experimental small bowel transplantation seem to be unrelated to ischemia-reperfusion injury. The promising effects in allogenic transplantation indicate the need for further experiments with infliximab as complementary treatment under standard immunosuppressive therapy. Further experiments should focus on additional infliximab treatment in the setting of acute rejection.

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Cited by 4 publications
(3 citation statements)
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“…Previous studies also revealed that infliximab attenuated the reduction in myocardial function observed 30 min after reperfusion in heart of pigs (Niemann et al 2009). However, a recent investigation showed that infliximab increased TNF-α expression 3 h after reperfusion of small bowel in Lewis rats (Pech et al 2012). The difference may be attributed to difference in the model and/or the time point.…”
Section: Discussionmentioning
confidence: 97%
“…Previous studies also revealed that infliximab attenuated the reduction in myocardial function observed 30 min after reperfusion in heart of pigs (Niemann et al 2009). However, a recent investigation showed that infliximab increased TNF-α expression 3 h after reperfusion of small bowel in Lewis rats (Pech et al 2012). The difference may be attributed to difference in the model and/or the time point.…”
Section: Discussionmentioning
confidence: 97%
“…On the basis of our previous findings of a microcirculatory perfusion shift between the intestinal mucosa and muscularis during both kinds of ECC, 6 we would expect a stronger effect on cell death in the intestinal muscularis in the DAP and SVP groups. Besides, in a model of isogenic transplantation, Pech et al 28 found I/R induced damage of the small intestinal muscularis that was reflected by reduced motility after 3 hours and accompanied by an increased number of TUNEL-positive cells after 24 hours of reperfusion. Thus, the stable apoptosis rate in the muscularis throughout our experiment might be explained by delayed occurrence that could not be detected in our setting.…”
Section: Discussionmentioning
confidence: 99%
“…The protective effects of infliximab in ischemia-reperfusion injury especially in the small intestine and lungs have been shown in several studies [ 6 , 7 ]. Pech et al showed that perioperative infliximab application has protective effects on ischemia-reperfusion in experimental small bowel transplantation in rats [ 8 ]. The main sources of TNF-alpha in the liver are the Kupffer cells.…”
Section: Discussionmentioning
confidence: 99%