The involvement of endotoxin in halothane-associated liver injury

Anesthesiology. 1984 Nov;61(5):544-50. doi: 10.1097/00000542-198411000-00012.

Abstract

Since endotoxin, lipopolysaccharides (LPS), have been implicated as a causative factor in the development of hepatic necrosis in rats exposed to hepatotoxic levels of several chemical agents, the role of LPS in the halothane-hypoxia (HH) model of hepatic damage in male Sprague-Dawley rats was investigated. When injected intravenously immediately after halothane anesthesia, a subnecrotic dose of LPS (0.5 mg/kg; Escherichia coli 026:B6) was found to markedly potentiate HH-induced hepatic necrosis. Pretreatment of the animals with the antiendotoxin agent, lactulose, prior to exposure to halothane reduced the hepatic damage normally seen from HH. A possible mechanism of LPS-induced potentiation was indicated by changes in hepatic calcium levels at 24 h after treatment. Endogenous LPS may play a role in HH-induced hepatic necrosis, and the mechanism of LPS-induced potentiation may be due to an LPS-related membrane dysfunction.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Anesthesia / adverse effects
  • Animals
  • Calcium / analysis
  • Carbon / metabolism
  • Endotoxins / toxicity*
  • Enflurane / pharmacology
  • Halothane / toxicity*
  • Lactulose / pharmacology
  • Lipopolysaccharides / toxicity
  • Liver / analysis
  • Liver / drug effects*
  • Male
  • Mononuclear Phagocyte System / metabolism
  • Rats
  • Rats, Inbred Strains

Substances

  • Endotoxins
  • Lipopolysaccharides
  • Lactulose
  • Carbon
  • Enflurane
  • Calcium
  • Halothane