Objective:This study aims to investigate effects and mechanisms of simvastatin pretreatment on liver function in HCC patients undergoing Pringle’s hepatectomy. Methods:Total 73 HCC patients were randomly divided into control group(n=35)and simvastatin pretreatment group(patients were given oral simvastatin 20 mg/d,n=38). Pre-hepatectomy hepatic biopsies were harvested after laparotomy(prior to hepatic portal occlusion),and post-hepatectomy hepatic biopsies were obtained after reperfusion(prior to abdominal closure). Serum was collected before operation(Pre-Op)and on the first day after operation(POD-1). Serum alanine aminotransferase(ALT),aspartate aminotransferase(AST),total bilirubin(TBIL)and albumin(ALB)were measured to evaluate liver injury,and the levels of inflammatory cytokines interleukin(IL)-1,IL-6,inducible nitric oxide synthase(INOS)and tumor necrosis factor(TNF)-α were analyzed by reverse transcriptase polymerase chain reaction(RT-PCR). The levels of serum malondialdehyde(MDA) and superoxide dismutase(SOD) were detected by kits according to the manufacturer’s directions. Endoplasmic reticulum stress-related protein C/EBP-homologous protein(CHOP) was analyzed by Western blot. Results:The serum levels of ALT,AST and TBIL in POD-1 were significantly lower in simvastatin group than those in control group(P < 0.05),and RT-PCR results showed the levels of IL-1,IL-6,INOS and TNF-α, were significantly lower in simvastatin group than those in control group(P < 0.05). Furthermore,serum MDA was lower in simvastatin group than that in control group(P < 0.05);SOD in simvastatin group was significantly higher than that in control group(P < 0.05). Western blot results displayed that the expression of CHOP was lower in simvastatin group than in control group. Conclusion:Simvastatin pretreatment for HCC patient effectively alleviates liver injury after Pringle’s hepatectomy,and its mechanism could be related to the inhibition of oxidative stress and endoplasmic reticulum stress.
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YANG Wenjie, ZHANG Feng, CHENG Feng, RAO Jianhua, YOU Wei. Effects and mechanisms of simvastatin pretreatment on liver function in hepatocellular carcinoma(HCC) patients undergoing Pringle’s hepatectomy[J].,2020,(9):1338-1343.