Mechanisms of Hypothermic Machine Perfusion to Decrease Donation After Cardiac Death Graft Inflammation: Through the Pathway of Upregulating Expression of KLF2 and Inhibiting TGF-β Signaling

2016 ◽  
Vol 41 (1) ◽  
pp. 82-88 ◽  
Author(s):  
Zhongzhong Liu ◽  
Zibiao Zhong ◽  
Jianan Lan ◽  
Mingxia Li ◽  
Wei Wang ◽  
...  
2020 ◽  
Vol 220 (5) ◽  
pp. 1270-1277 ◽  
Author(s):  
Guergana G. Panayotova ◽  
Jesus Rosado ◽  
Flavio Paterno ◽  
Dayanand Deo ◽  
George Dikdan ◽  
...  

2018 ◽  
Vol 2 (2) ◽  
pp. 1-1 ◽  
Author(s):  
Victoria Gómez-Dos-Santos ◽  
◽  
Vital Hevia-Palacios ◽  
Edurne Ramos-Muñoz ◽  
María Laura García-Bermejo ◽  
...  

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Yijie Zhang ◽  
Qi Pan ◽  
Ying Cheng ◽  
Yongfeng Liu

Abstract Background Hypothermic machine perfusion (HMP) improves the quality of donor livers for transplantation, both in animal models and in clinical practice. Treatment with SP600125, an inhibitor of c-Jun N-terminal kinase (JNK), can suppress the JNK signaling pathway to alleviate donor liver ischemia–reperfusion injury (IRI). We performed the present study with the objective of exploring the protective effects exerted by a combination of HMP and SP600125 on liver xenograft viability for donation after cardiac death (DCD) in a porcine model. Methods 54 adult BAMA mini-pigs were randomly assigned to 5 groups, including sham, cold storage for 4 h (CS 4 h), CS 4 h + SP600125, CS 2 h + HMP 2 h, and CS 2 h + HMP 2 h + SP600125 groups. Donor livers in the CS 4 h and CS 4 h + SP600125 groups were conventionally cold preserved for 4 h, whereas donor livers in the CS 2 h + HMP 2 h and CS 2 h + HMP 2 h + SP600125 groups were cold preserved for 2 h and then treated with HMP for 2 h. The preservation and perfusion solutions contained SP600125 (20 µM). Follow-up was conducted for 5 days after liver transplantation to compare the surgical outcomes by means of serological examination, pathological results, and survival rate. Results The most satisfactory outcome after liver transplantation was observed in the CS 2 h + HMP 2 h + SP600125 group, which presented with minimal damage of donor livers during 5 days’ follow-up. Additionally, serological examination, pathological results, and survival rate concurred in showing better results in the CS 2 h + HMP 2 h ± SP600125 group than in the CS 4 h ± SP600125 group. Conclusion HMP in combination with SP600125 has hepatoprotective properties and improves the quality and viability of porcine livers collected after DCD, thus improving prognosis after liver transplantation.


2018 ◽  
Vol 23 ◽  
pp. 822-827 ◽  
Author(s):  
Ryo Yoshikawa ◽  
Naoto Matsuno ◽  
Noriyuki Morito ◽  
Mikako Gouchi ◽  
Masahide Otani ◽  
...  

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