Role of Superoxide in Post-Ischemic Liver Injury
Ian N. Hines, Hirohisa Harada, Jason M. Hoffman, Kevin P. Pavlick, Sulaiman Bharwani, Robert Wolf and Matthew B. Grisham

Interruption of blood flow to the liver is an unavoidable consequence of liver transplantation
and resectional surgery. A growing body of experimental evidence suggests that reperfusion
of the ischemic liver initiates hepatocellular injury and inflammation culminating in severe
liver injury and organ dysfunction that may necessitate retransplantation. A large number of
studies have implicated reactive oxygen species as potential mediators of this post-ischemic
tissue injury. Recent developments in genetic engineering as well as chemical modeling have
allowed for the production of novel superoxide dismutase (SOD) isoforms and low molecular
weight SOD mimics with extended circulating half-lives or significant membrane permeabilities,
respectively. Application of these newly developed free radical scavengers have shown promising
results in animal models of liver I/R and may become powerful tools in the treatment of
post-ischemic liver injury.