Reduction of Renal Preservation/Reperfusion Injury by Controlled Hyperthermia During Ex Vivo Machine Perfusion
| العنوان: | Reduction of Renal Preservation/Reperfusion Injury by Controlled Hyperthermia During Ex Vivo Machine Perfusion |
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| المؤلفون: | Charlotte von Horn, Thomas Minor |
| المصدر: | Clinical and Translational Science, Vol 14, Iss 2, Pp 544-549 (2021) Clinical and Translational Science |
| بيانات النشر: | Wiley, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Hyperthermia, 030213 general clinical medicine, medicine.medical_specialty, Adenosine, Allopurinol, Organ Preservation Solutions, Sus scrofa, Medizin, Urology, Cold storage, Kidney, 030226 pharmacology & pharmacy, Article, General Biochemistry, Genetics and Molecular Biology, 03 medical and health sciences, chemistry.chemical_compound, Raffinose, 0302 clinical medicine, medicine, Animals, Insulin, Viaspan, Rewarming, General Pharmacology, Toxicology and Pharmaceutics, Creatinine, Machine perfusion, business.industry, Research, General Neuroscience, lcsh:Public aspects of medicine, lcsh:RM1-950, lcsh:RA1-1270, Articles, Organ Preservation, General Medicine, medicine.disease, Glutathione, Kidney Transplantation, Perfusion, lcsh:Therapeutics. Pharmacology, chemistry, Reperfusion Injury, Models, Animal, Tissue and Organ Harvesting, Female, business, Reperfusion injury, Ex vivo |
| الوصف: | The possible reno-protective effect of a controlled brief heat-shock treatment during isolated ex vivo machine perfusion of donor grafts prior to reperfusion should be investigated in a primary in vitro study. Porcine kidneys (n = 14) were retrieved after 20 minutes of cardiac standstill of the donor and subjected to 20 hours of static cold storage in University of Wisconsin solution. Prior to reperfusion, kidneys were subjected to 2 hours of reconditioning machine perfusion with gradual increase in perfusion temperature up to 35°C. In half of the kidneys (n = 7), a brief hyperthermic impulse (10 minutes perfusion at 42°C) was implemented in the machine perfusion period. Functional recovery of the grafts was observed upon normothermic reperfusion in vitro. Hyperthermic treatment resulted in a 50% increase of heat shock protein (HSP) 70 and HSP 27 mRNA and was accompanied by ~ 50% improvement of tubular re-absorption of sodium and glucose upon reperfusion, compared with the controls. Furthermore, renal loss of aspartate aminotransferase was significantly reduced to one-third of the controls as was urinary protein loss, evaluated by the albumin to creatinine ratio. It is concluded that ex vivo heat-shock treatment seems to be an easily implementable and promising option to enhance renal self-defense machinery against reperfusion injury after preservation that merits further investigation in preclinical models. CA Minor |
| اللغة: | English |
| تدمد: | 1752-8054 1752-8062 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::300ff2ab47f045e3ec80f66baef6ae1d https://doaj.org/article/aedd0e7904734a909a97959f3e530286 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....300ff2ab47f045e3ec80f66baef6ae1d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17528054 17528062 |
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