Inhaled NO accelerates restoration of liver function in adults following orthotopic liver transplantation
J. Clin. Invest. John D. Lang, et al. 117:2583 doi:10.1172/JCI31892 [
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Figure 1iNO therapy and human liver transplantation. (
A) Experimental protocol for administering placebo or iNO to patients and sample (blood and liver biopsy) collection. (
B) Methemoglobin (metHb) levels as a function of blood draw.
#P ≤ 0.001 for corresponding placebo versus iNO measurements by unpaired
t test. (
C) Volume of platelets transfused during surgery
#P ≤ 0.05. (
D and
E) Average percent decrease in PT and PTT after surgery. Data are normalized to coagulation times measured immediately (<1 hour) after surgery and were 26.7 ± 1.4 seconds (placebo) and 34.4 ± 2.5 seconds (iNO) for PT and 54.6 ± 7.3 seconds (placebo) and 70.2 ± 6.5 seconds (iNO) for PTT. (
F and
G) Average percent decrease in serum ALT and AST levels after surgery. Data were normalized to ALT and AST levels measured immediately (<1 hour) after surgery and were 601.8 ± 145.4 U/l (placebo) and 689.3 ± 149.5 U/l (iNO) for ALT and 922.1 ± 228.7 U/l (placebo) and 940.9 ± 211.3 U/l (iNO) for AST. For data in panels
D–
G, *
P ≤ 0.05, **
P ≤ 0.01, ***
P ≤ 0.001 for corresponding placebo versus iNO measurements. (
H) Cox analysis of patient hospital length of stay.
P = 0.034 adjusted for sex and cold ischemic time. Filled squares: placebo; filled circles: iNO.