Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 113
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
Transplant Proc ; 50(9): 2826-2829, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30401405

RESUMO

BACKGROUND: Machine perfusion (MP) techniques are expected to prove useful for preserving the organ viability and recovering organ function for organ transplantation. Furthermore, an accurate assessment of organ viability using MP is important for expanding the donor criteria. In this study, an ex vivo reperfusion model (ERM) simulating transplantation using diluted autologous blood under normothermic conditions was evaluated for its utility of MP under subnormothermic conditions for livers donated after cardiac death (DCD). METHODS: The liver preservation methods for DCD porcine livers were evaluated using the ERM. This investigation was performed using a novel perfusion system developed by our research group. Porcine livers were procured with a warm ischemia time (WIT) of 60 minutes. The organs were then preserved using subnormothemic machine perfusion (SNMP) or static cold storage (CS) for 4 hours. We also compared these tissues with SNMP livers procured under a WIT of 0 minutes. After the preservation, the livers were reperfused for 2 hours using the ERM with diluted autologous blood oxygenated by a membrane oxygenator under NMP conditions. Reperfusion was evaluated based on perfusion flow dynamics and outflow of deviating enzymes. RESULTS: In the early stages of reperfusion, pressure in the blood vessels increased sharply in the CS group. Furthermore, the amount of aspartate aminotransferase accumulation was lower in the SNMP group than in the other groups. These results suggest ischemia-reperfusion injury is suppressed in SNMP conditions. CONCLUSION: An ERM has use in evaluating the utility of MP for the DCD liver.


Assuntos
Transplante de Fígado/métodos , Modelos Biológicos , Preservação de Órgãos/métodos , Animais , Morte , Perfusão/métodos , Reperfusão , Traumatismo por Reperfusão/prevenção & controle , Suínos , Isquemia Quente
2.
Transplant Proc ; 50(9): 2830-2833, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30401406

RESUMO

INTRODUCTION: Subnormothermic machine perfusion (SNMP) shows some advantages for the preservation of grafts donated after cardiac death (DCD) and improvements in machine perfusion (MP) technology are important to enhance organ preservation outcomes for liver transplantation. In this study, we focused on purified subnormothermic machine perfusion (PSNMP) and volumes of perfusate removed to substitute for purification and replaced by modified University of Wisconsin-gluconate after the start of perfusion and investigated, in particular, the optimum perfusate purification volume. Several purification volumes under SNMP were compared. In addition, the perfusate purification during MP was indicated as a potential technique to enhance the organ quality of DCD grafts and extended-criteria donors. METHODS: The PSNMP at several volumes (0.5 L, 1.5 L, and 3 L) were compared with regular SNMP without any purification treatment (untreated control). In the PSNMP group, all perfusate was removed to substitute for purification of the perfusate by modified University of Wisconsin-gluconate solution after the start of perfusion. After removing the perfusate, new perfusate with the same components was perfused to preserve the porcine livers obtained under warm ischemia for 60 minutes using SNMP at 22°C porcine liver for 4 hours. RESULTS: The concentrations of aspartate aminotransferase and lactate dehydrogenase in the untreated group were significantly higher during perfusion compared to those of the intervention group. There are no significant differences among the volume conditions of the purification groups. CONCLUSIONS: The optimal volume of perfusate purification was confirmed with a simple experimental comparison between untreated and PSNMP conditions.


Assuntos
Transplante de Fígado/métodos , Soluções para Preservação de Órgãos/administração & dosagem , Preservação de Órgãos/métodos , Perfusão/métodos , Animais , Morte , Suínos , Doadores de Tecidos/provisão & distribuição , Isquemia Quente/métodos
3.
Transplant Proc ; 49(1): 153-158, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28104124

RESUMO

BACKGROUND: With the goal of in vivo cultivation of human hepatocytes that have not been sufficient in full differentiation in vitro, the advantage of neonatal thymectomy was verified on expansion of xenogeneic human hepatocyte in the micro-miniature pig (MMP). METHODS: The thymus was excised immediately after the birth of the MMPs via cesarean section. Newborns were fed by artificial feeding under specific pathogen-free conditions. The thymectomized and nonthymectomized littermates were transplanted with human hepatocytes via a portal vein with or without partial hepatectomy at the MMP adult stage. RESULTS: The growth of thymectomized MMPs and the sham operated littermates was not significantly different; the former weighed 1.98 ± 0.30 kg (average ± standard deviation, n = 4) and the latter weighed 2.28 ± 0.39 kg (n = 4) at 1 month of age, and 17.48 ± 1.92 kg and 16.75 ± 2.68 kg at 12 months of age. Blood thymosin α1 concentrations in the thymectomy group were significantly lower than in the control group (0.22 ± 0.05 ng/mL vs 0.46 ± 0.16 ng/mL; n = 4, 12 months old, P = .029). After human hepatocyte transplantation, human albumin levels were detectable on day 28 in the peripheral blood of the thymectomy plus hepatectomy group (14.3 ± 4.9 ng/mL [± range, n = 2]) but were not detectable even on day 21 in the control group. CONCLUSIONS: Neonatal thymectomy was successfully achieved in infantile MMPs born via cesarean section. These pigs were considered to be an ideal in vivo bioreactor for human hepatocytes.


Assuntos
Hepatócitos/citologia , Modelos Animais , Timectomia , Animais , Feminino , Hepatectomia , Xenoenxertos , Humanos , Suínos , Porco Miniatura
4.
Transplant Proc ; 48(4): 1244-6, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-27320596

RESUMO

INTRODUCTION: Machine perfusion (MP) is particularly expected to preserve and resuscitate an organ obtained from extended criteria donors or donation after cardiac death to expand the donated organ pool for organ transplantation. This method requires to be investigated an optimal preservation condition. The aim of this study is investigation of the optimal oxygenation conditions under rewarming MP (RMP). METHODS: Porcine livers were perfused with an RMP system developed by our research group. All livers were procured under warm ischemia time of 60 minutes, and preserved in static cold storage for 2 hours, and perfused for 2 hours using the RMP. For group 1, the livers were supplied with oxygen constantly through perfusate. For group 2, the livers were supplied with oxygen increasingly with controlling flow rates and oxygen concentration. Effluent enzymes were obtained during perfusion preservation. RESULTS: The average levels of alanine aminotransferase were lower in group 2 than in group 1 during RMP, and also decreasing the hepatic artery pressures after 60 minutes. CONCLUSIONS: Regulated oxygenation of RMP has possibility to improve the graft preservation for liver transplantation.


Assuntos
Criopreservação/métodos , Transplante de Fígado , Fígado/irrigação sanguínea , Preservação de Órgãos/métodos , Perfusão/métodos , Reaquecimento/métodos , Isquemia Quente , Animais , Biomarcadores/metabolismo , Morte , Feminino , Fígado/metabolismo , Preservação de Órgãos/instrumentação , Perfusão/instrumentação , Reaquecimento/instrumentação , Sus scrofa , Doadores de Tecidos
5.
Transplant Proc ; 46(4): 1104-6, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24815139

RESUMO

BACKGROUND: Liver ischemia/reperfusion (I/R) injury is a high risk factor in liver transplantation and it influences graft survival. One of the major events during I/R injury is the generation of cytotoxic oxygen radicals. Recently, hydrogen gas has been reported to have antioxidant properties and protective effects against organ dysfunction induced by I/R injury. The aim of this study is to investigate effects of hydrogen on porcine liver reperfusion injury. MATERIALS AND METHODS: Six outbred pigs weighing 20 kg were used for the experiment. Under general anesthesia, the venous bypass between the left femoral vein and the splenic vein to the left jugular vein was made using a centrifugal pump. Then, we used a total vascular exclusion clamp (all in- and out-flow to the liver was clamped) for 60 minutes. Hydrogen (5 ppm) saturated with lactate Ringer's solution was prepared. This solution was infused through the portal vein just before reperfusion (hydrogen group). RESULTS: Aspartate aminotransferase levels in the control versus hydrogen group in 30, 60, and 120 minutes after reperfusion were 1560.3, 1925.3, and 2342.5 versus 175.3, 200.7, and 661.00 IU/L, respectively. Lactate dehydrogenase (LDH) levels in the control versus hydrogen groups in 30, 60, and 120 minutes after reperfusion were 23,235.0, 3496.7, and 4793.5 versus 663.3, 802.0, and 983.7 IU/L, respectively. The hydrogen gas level in liver tissue increased to 954.6 ppm immediately after reperfusion; however, it disappeared within 30 minutes. CONCLUSION: The solution containing hydrogen gas was safe and had remarkably protective effects on the porcine during liver I/R and may be applied in the clinical setting.


Assuntos
Antioxidantes/farmacologia , Hidrogênio/administração & dosagem , Hepatopatias/prevenção & controle , Fígado/efeitos dos fármacos , Traumatismo por Reperfusão/prevenção & controle , Animais , Aspartato Aminotransferases/metabolismo , Biomarcadores/metabolismo , Modelos Animais de Doenças , Feminino , Gases , Infusões Intravenosas , Soluções Isotônicas/administração & dosagem , L-Lactato Desidrogenase/metabolismo , Fígado/irrigação sanguínea , Fígado/enzimologia , Fígado/cirurgia , Hepatopatias/metabolismo , Veia Porta , Traumatismo por Reperfusão/metabolismo , Lactato de Ringer , Sus scrofa , Fatores de Tempo
6.
Transplant Proc ; 46(4): 1095-8, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24815137

RESUMO

BACKGROUND: Use of grafts from donors after cardiac death (DCD) would greatly contribute to the expansion of the donor organ pool. However, this requires the development of novel preservation methods to recover the organ from changes due to warm ischemia time (WIT). METHODS: Porcine livers were perfused with a newly developed machine perfusion (MP) system. The livers were perfused with modified University of Wisconsin solution (UW) - gluconate. All grafts were procured after acute hemorrhagic shock with the ventilator off. For group 1 (n = 6), grafts were procured after WIT of 60 minutes and preserved by hypothermic MP (HMP) for 3 hours. For group 2 (n = 5), grafts were preserved with 2 hours of simple cold storage (SCS) and HMP for 2 hours. For group 3 (n = 6), grafts were preserved with 2 hours of SCS and rewarming up to 25°C by MP for 2 hours (RMP). The preserved liver grafts were transplanted orthotopically. RESULTS: The alanine aminotransferase level in perfusate in RMP during perfusion preservation was maintained at less than that of HMP. The levels of aspartate aminotransferase and lactate dehydrogenase in the 2 hours after reperfusion were significantly lower in group 3. Histologically, the necrosis of hepatocytes was less severe in group 3. The survival rate in group 3 was 2/4, but 0/4 in the other group. CONCLUSION: RMP is expected to facilitate the recovery of the DCD liver grafts.


Assuntos
Parada Cardíaca , Transplante de Fígado/métodos , Fígado/cirurgia , Preservação de Órgãos/métodos , Perfusão/métodos , Traumatismo por Reperfusão/prevenção & controle , Reaquecimento/métodos , Coleta de Tecidos e Órgãos/métodos , Adenosina/farmacologia , Alanina Transaminase/metabolismo , Alopurinol/farmacologia , Animais , Aspartato Aminotransferases/metabolismo , Biomarcadores/metabolismo , Isquemia Fria , Modelos Animais de Doenças , Feminino , Glutationa/farmacologia , Sobrevivência de Enxerto , Hepatectomia , Insulina/farmacologia , L-Lactato Desidrogenase/metabolismo , Fígado/efeitos dos fármacos , Fígado/metabolismo , Fígado/patologia , Transplante de Fígado/efeitos adversos , Necrose , Preservação de Órgãos/efeitos adversos , Soluções para Preservação de Órgãos/farmacologia , Perfusão/efeitos adversos , Rafinose/farmacologia , Traumatismo por Reperfusão/etiologia , Traumatismo por Reperfusão/patologia , Reaquecimento/efeitos adversos , Sus scrofa , Fatores de Tempo , Coleta de Tecidos e Órgãos/efeitos adversos , Isquemia Quente
7.
Transplant Proc ; 45(5): 1684-9, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23769024

RESUMO

BACKGROUND: Utilization of grafts from donors after cardiac death (DCD) greatly expands the organ pool. However, implementation of such a strategy requires the development of novel preservation methods to achieve recovery from changes owing to warm ischemia. METHODS: To assess potential methods, porcine livers harvested after 60 minutes of warm ischemic time (WIT) were perfused and preserved under the following conditions: Group 1 (n = 3), 2-hour simple cold storage and 2-hour machine perfusion (MP) at 8°C; group 2 (n = 3), 2 hours at 25°C and MP at 25°C and group 3 (n = 3), 2-hour simple cold storage and gradual rewarming to 25°C by MP. The preserved liver grafts were transplanted orthotopically into recipients. RESULTS: The aspartate aminotransferase (AST), lactate dehydrogenase (LDH), and hyaluronic acid (HA) levels in recipient blood at 2 hours after reperfusion were significantly lower among group 3: AST, 789 ± 258.8, 1203 ± 217.0, and 421 ± 55.8 IU/L; LDH, 1417 ± 671.2, 2132 ± 483.9, and 634 ± 263.9 IU/L; and HA, 1660 ± 556.5, 1463 ± 332.3, and 575 ± 239.0 ng/mL for groups 1, 2 and 3, respectively. Histologically, necrosis and swelling of hepatocytes were less severe among group 3 than groups 1 and 2. Group 3 animals showed better vital responses and started spontaneous breathing within 2 hours after reperfusion; 1 recipient survived for >24 hours, although all animals in groups 1 and 2 died within 2 to 3 hours after reperfusion. CONCLUSION: Rewarming by MP preservation may facilitate recovery and resuscitation of DCD liver grafts.


Assuntos
Transplante de Fígado , Perfusão , Cuidados Pós-Operatórios , Animais , Aspartato Aminotransferases/sangue , Feminino , Ácido Hialurônico/sangue , L-Lactato Desidrogenase/sangue , Suínos , Temperatura
8.
Transplant Proc ; 45(5): 1690-2, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23769025

RESUMO

Organ preservation using machine perfusion is an effective method compared with conventional preservation techniques using static cold storage. A newly developed MP preservation system to control perfusate temperatures from hypothermic to subnormothermic conditions is introduced. This system is useful not only for liver preservation, but also for evaluation of graft viability for recovery. This novel method has been proposed for preservation of porcine liver grafts. An innovative preservation system is especially important to obtain viable organs from extended criteria or donation after cardiac death donors. In this study, we introduce a new machine perfusion preservation system (NES-01) to evaluate graft viability for recovery of liver functions, using porcine grafts.


Assuntos
Transplante de Fígado , Perfusão , Temperatura , Animais , L-Lactato Desidrogenase/metabolismo , Soluções para Preservação de Órgãos , Suínos
9.
Transplant Proc ; 45(5): 1700-3, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23769027

RESUMO

Warm ischemia (WI)-related injury interferes with recovery of primary hepatocyte after collagenase digestion of surgically resected or non-heart-beating donor livers as human cell sources. We speculated that digestion is impaired due to reduced microcirculation, caused by microembolism after WI. We sought to improve hepatocyte recovery after WI using a rat model. Anesthetized 9-week-old male Sprague-Dawley rats underwent a midline abdominal incision to insert a 22-gauge cannula into the portal vein. WI was initiated by ligating both the cannula and the hepatic artery. We compared Euro-Collins (EC) perfusion solution with 2 anticoagulants-heparin or citrate phosphate dextrose (CPD)-versus ethylene glycol tetraacetic acid (EGTA) combined with Ca(2+)- and Mg(2+)-free Hank's solution (CM-free Hank's solution). Use of CM-free Hank's solution yielded only 0.75 ± 0.15 × 10(8) and 0.82 ± 0.20 × 10(8) cells at 30 and 60 minutes WI respectively. However, CPD, but not heparin, added to the EC solution produced the best cell recovery (CPD: 2.15 ± 0.38 × 10(8); heparin: 1.63 ± 0.31 × 10(8)). During macroscopic observation, CPD added to EC solution also demonstrated best blood flushing. CPD added to EC solution achieved greater hepatocyte recovery than CM-free Hank's solution by restoring microcirculation during flushing of blood from liver tissue subjected to WI.


Assuntos
Citratos , Glucose , Hepatócitos/citologia , Soluções Hipertônicas , Isquemia/patologia , Fígado/irrigação sanguínea , Perfusão , Animais , Masculino , Ratos , Ratos Sprague-Dawley
10.
Transplant Proc ; 45(5): 1808-10, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23769049

RESUMO

INTRODUCTION: Research on hepatocyte transplantation as an alternative or supplementary treatment for liver transplantation is progressing. However, to advance to clinical trials, confidence in the technique must be established and its safety must be validated by conducting experiments using animals of comparable sizes to humans, such as pigs. We used transgenic pigs expressing red fluorescence protein for investigating the distribution and survival of transplanted cells. MATERIALS AND METHODS: Donor hepatocytes were isolated from transgenic Kusabira-Orange (KO)-expressing pigs (age, 41 days; weight, 10 kg) created by in vitro fertilization using sperm from a transgenic-cloned KO pig by Matsunari et al. and ova from a domestic pig. The hepatocyte transplant recipients were the nontransgenic, KO-negative littermates. In these recipient pigs, double lumen cannulae were inserted into the supramesenteric veins to access the hepatic portal region. KO-positive donor hepatocytes from the transgenic male pig were isolated using collagenase perfusion. Hepatocytes (1 × 10(9) cells) were transplanted through the cannula. For estimating allogeneic immunogenicity, full-thickness skin (3 × 3 cm) from the same donor was grafted orthotopically on the neck region of the recipients. Immunosuppressive treatment was not implemented. The recipient pigs were humanely killed at 7 and 39 days after transplantation, and the organs were harvested, including the lungs, heart, liver, pancreas, and kidneys. RESULTS: Strong red fluorescence was detected in both the parenchymal and nonparenchymal hepatocytes of the transgenic male donor pig by fluorescent microscopy. Transplanted cells were detected in the liver and lung of the recipient pigs at 7 days after perfusion. Hepatocytes remained in the liver and lung of recipients on day 39, with lower numbers than that on day 7. CONCLUSION: Transgenic pigs expressing the fluorescent protein KO serve as a useful model of cell transplantation in preclinical studies.


Assuntos
Hepatócitos/transplante , Proteínas Luminescentes/química , Proteínas Luminescentes/genética , Animais , Animais Geneticamente Modificados , Suínos , Proteína Vermelha Fluorescente
11.
Transplant Proc ; 44(4): 942-5, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22564591

RESUMO

INTRODUCTION: The aims of this study were to compare extracellular and intracellular-type University of Wisconsin (UW) solutions for liver grafts and to assess oxygenation in this perfusion system. MATERIALS AND METHODS: The organ preservation system consisted of 3 circulating systems for the portal vein, hepatic artery, and maintenance of the perfusion solution. The portal vein or hepatic artery system had a roller pump, a flow meter, and a pressure sensor. In this study, we perfused livers with UW or extracellular type UW-gluconate at 4°C-6°C for 4 hours. The flow rates at the entrance were 0.5 mL/min/g liver in the portal vein and 0.2 mL/min/liver in the hepatic artery. Orthotopic liver transplantation was performed in pigs: group 1-a, grafts procured after acute hemorrhagic shock were preserved by a solution without O(2); group 1-b, grafts were preserved with O(2); group 2-a, grafts were perfused using intracellular type solution (UW); and group 2-b, grafts were perfused using extracellular-type solution (UW-gluconate). RESULTS: Effluent aspartate aminotransferase (AST) and lactate dehydrogenase (LDH) levels in group 1-b were lower than those in group 1-a. Survival rates in group 2-a and group 2-b were 1/4 and 3/3, respectively. Effluent AST and LDH levels in the perfusate of group 2-b were lower than group 2-a. Histological study revealed necrosis of hepatocytes and sinusoidal congestion in group 2-a. CONCLUSION: A beneficial effect of extracellular-type solution with oxygenation in a novel continuous machine preservation system yielded well-preserved liver graft function.


Assuntos
Gluconatos/administração & dosagem , Artéria Hepática/cirurgia , Transplante de Fígado , Fígado/cirurgia , Soluções para Preservação de Órgãos/administração & dosagem , Preservação de Órgãos/instrumentação , Oxigênio/administração & dosagem , Perfusão/instrumentação , Veia Porta/cirurgia , Adenosina/administração & dosagem , Alopurinol/administração & dosagem , Animais , Aspartato Aminotransferases/metabolismo , Temperatura Baixa , Desenho de Equipamento , Glutationa/administração & dosagem , Insulina/administração & dosagem , L-Lactato Desidrogenase/metabolismo , Fígado/irrigação sanguínea , Fígado/enzimologia , Fígado/patologia , Necrose , Rafinose/administração & dosagem , Sus scrofa , Fatores de Tempo
12.
Transplant Proc ; 44(4): 946-7, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22564592

RESUMO

INTRODUCTION: Grafts from donation after cardiac death (DCD) will greatly contribute to the expand the donor pool. However, these grafts may require the development of the preservation methods because of primary nonfunction and severe ischemic bile duct injury. METHODS: Porcine livers were perfused with a newly developed machine perfusion (MP) system. Each system for the portal vein or the hepatic artery had a roller pump, a flow meter, and a pressure sensor. The livers were perfused with University of Wisconsin (UW)-gluconate at 4°C-6°C for 3 hours after 2 hours simple cold storage (CS). The portal vein flow rate was 0.5 mL/min/g liver (pressure, 10 mm Hg) and the hepatic artery flow rate was 0.2 mL/min/g liver (pressure, 30 mm Hg). Orthotopic liver transplantation was performed in pigs comparing Group 1 (n = 4) procured after acute hemorrhagic shock preserved by MP, Group 2 (n = 3) procured after warm ischemia time (WIT) of 30 minutes with CS preservation, and Group 3 (n = 4) procured with 30 minutes of WIT and MP preservation. RESULTS: Collected effluent aspartate aminotransferase (AST) and lactate dehydrogenase (LDH) levels in the perfusion solution and serum AST and LDH were significantly lower in Group 1. AST and LDH results were lower in Group 3 than Group 2. Survival rates in Groups 1 and 3 were 3/4, but 0/3 in Group 2. CONCLUSION: MP preservation was a useful promising preservation mode for DCD liver grafts.


Assuntos
Gluconatos/administração & dosagem , Artéria Hepática/cirurgia , Transplante de Fígado , Fígado/cirurgia , Soluções para Preservação de Órgãos/administração & dosagem , Preservação de Órgãos/métodos , Perfusão/métodos , Veia Porta/cirurgia , Adenosina/administração & dosagem , Alopurinol/administração & dosagem , Animais , Aspartato Aminotransferases/metabolismo , Temperatura Baixa , Desenho de Equipamento , Glutationa/administração & dosagem , Insulina/administração & dosagem , L-Lactato Desidrogenase/metabolismo , Fígado/irrigação sanguínea , Fígado/enzimologia , Preservação de Órgãos/instrumentação , Perfusão/instrumentação , Rafinose/administração & dosagem , Suínos , Fatores de Tempo , Isquemia Quente/efeitos adversos
13.
Transplant Proc ; 44(4): 959-61, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22564596

RESUMO

A novel method using machine perfusion for pretransplant screening and evaluation of the viability of liver grafts has been proposed, seeking to prevent severe ischemia-reperfusion injury and to reduce the risk of primary graft nonfunction. This study sought to evaluate the viability of critical grafts, which were obtained from expanded criteria donors or donation after cardiac death donors during preservation with a new machine preservation perfusion system (NES-01). The normalized pressure transition in the hepatic artery was employed as an evaluation index for liver viability. As a result, the normalized pressure (p/p(0)) in the hepatic artery showed a distinctive transition under each experimental conditions controlled by warm ischemic time (WIT). The high viability graft, obtained under the condition of WIT as 0 minutes (WIT0), showed a quick response to hepatic artery pressure after initiating perfusion, whereas the normalized pressure showed a sudden decrease. In contrast, the normalized pressure among WIT60, which may cause the graft to lose viability, showed a poor hepatic artery response. These findings corresponded to the cumulative release of enzymes. The findings of our study suggest that monitoring of the pressure drop rate in the hepatic artery during machine perfusion can be used to evaluate liver graft viability.


Assuntos
Artéria Hepática/cirurgia , Transplante de Fígado/métodos , Fígado/cirurgia , Preservação de Órgãos/métodos , Perfusão/métodos , Coleta de Tecidos e Órgãos/métodos , Alanina Transaminase/sangue , Animais , Aspartato Aminotransferases/sangue , Biomarcadores/sangue , Pressão Sanguínea , Desenho de Equipamento , Artéria Hepática/fisiopatologia , L-Lactato Desidrogenase/sangue , Fígado/irrigação sanguínea , Fígado/enzimologia , Fígado/patologia , Transplante de Fígado/efeitos adversos , Transplante de Fígado/instrumentação , Preservação de Órgãos/efeitos adversos , Preservação de Órgãos/instrumentação , Perfusão/efeitos adversos , Perfusão/instrumentação , Traumatismo por Reperfusão/etiologia , Traumatismo por Reperfusão/prevenção & controle , Suínos , Fatores de Tempo , Sobrevivência de Tecidos , Coleta de Tecidos e Órgãos/efeitos adversos , Coleta de Tecidos e Órgãos/instrumentação , Isquemia Quente
14.
Ultrasound Obstet Gynecol ; 36(5): 607-12, 2010 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-20842654

RESUMO

OBJECTIVE: Current fetal cardiac intervention for restrictive atrial septum is invasive and technically demanding. We investigated the feasibility of computer-assisted high-intensity focused ultrasound (HIFU) for cardiac intervention on the atrial septum of a beating heart. METHODS: To create an interatrial communication in the beating heart of nine anesthetized rabbits, the heart was exposed surgically and placed under a water-filled tank, in contact with the tank's membranous base. A HIFU transducer (3.3 MHz) coupled with a diagnostic ultrasound probe (10.0 MHz) was placed in the tank over the beating heart. The focus of the HIFU transducer was set so that it could create a hole in the target area on the atrial septum during the early diastolic phase. HIFU delivery was controlled based on ultrasound images captured with real-time image-recognition software. We attempted to create interatrial communication using HIFU and assessed the cardiac tissue specimen pathologically. RESULTS: In eight of nine rabbits, small holes in the atrial septum were successfully created. Serious complications occurred in two animals: a fatal atrioventricular block in one and a cardiac tamponade in the other. CONCLUSION: HIFU combined with a computer-assisted imaging system might be useful to create interatrial communication in beating hearts. This procedure may be helpful for making current fetal cardiac intervention less invasive.


Assuntos
Septo Interatrial , Ablação por Ultrassom Focalizado de Alta Intensidade/métodos , Animais , Estudos de Viabilidade , Ablação por Ultrassom Focalizado de Alta Intensidade/efeitos adversos , Masculino , Coelhos , Terapia Assistida por Computador/métodos , Transdutores
15.
Xenobiotica ; 38(11): 1355-64, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18846481

RESUMO

1. The aims were to attest whether HepG2-GS-3A4, a cell line into which the human CYP3A4 gene was introduced, can be used for a screening of chemicals that will inhibit CYP3A4 activity. 2. The capacity of the cells for metabolizing CYP3A4 substrates in vitro was evaluated. Also determined was the effect of CYP3A4 inhibitors and non-inhibitors on nifedipine hydroxylation. Western blot, immunohistochemostry and determination of beta-nicotinamide adenine dinucleotide phosphate (NADPH)-reductase activity were performed. 3. HepG2-GS-3A4 selectively metabolized substrates of CYP3A4 (diazepam, nordiazepam, lidocaine, atorvastatin, and nifedipine) to a greater degree than control. The metabolites were easily detected in the culture medium. Values of V(max) of HepG2-GS-3A4 were about 30- to 100-fold higher than those of the control, while values of K(m) were comparable. Pre-incubation of cimetidine and ketoconazole significantly inhibited nifedipine hydroxylation, while addition of inhibitors specific to other isoforms of CYPs had no substantial effect. The HepG2-GS-3A4 expressed a higher amount of CYP3A4 protein and mRNA than control. Most NADPH reductase activity was detected in microsomal fractions. 4 In conclusion, HepG2-GS-3A4 sufficiently and selectively metabolize substrates of CYP3A4, and inhibitors of CYP3A4 reduced the metabolism. Because the metabolites were easily detected in the culture medium, this cell might be useful for the new and easy screening of new drugs for the evaluation of CYP3A4-inhibiting activity in vitro.


Assuntos
Linhagem Celular Tumoral , Inibidores do Citocromo P-450 CYP3A , Citocromo P-450 CYP3A/genética , Inibidores Enzimáticos/farmacologia , Amônia/metabolismo , Animais , Atorvastatina , Cricetinae , Citocromo P-450 CYP3A/metabolismo , Avaliação Pré-Clínica de Medicamentos , Inibidores Enzimáticos/metabolismo , Glutamato-Amônia Ligase/metabolismo , Ácidos Heptanoicos/metabolismo , Ácidos Heptanoicos/farmacologia , Humanos , Cetoconazol/metabolismo , Cetoconazol/farmacologia , Lidocaína/metabolismo , Lidocaína/farmacologia , Nifedipino/metabolismo , Nifedipino/farmacologia , Pirróis/metabolismo , Pirróis/farmacologia
16.
Cell Biol Int ; 30(12): 992-8, 2006 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-16962796

RESUMO

We report the differentiation potential of an immortalized non-tumorigenic human liver epithelial cell line, THLE-5b. Under basic culture conditions THLE-5b showed undifferentiated phenotypes. When grown as cell aggregates, THLE-5b exhibited a hepatocyte-like ultrastructure, ammonia metabolic activity and several other indicators that suggest hepatocytic maturation, including up-regulation or induction of liver-specific genes such as albumin and tryptophane 2,3-dioxygenase, and down-regulation of biliary cell markers such as gamma-glutamyl transpeptidase (GGT). Under these conditions, transcriptional factors such as HNF-1 and HNF-4alpha were also up-regulated or induced. In Matrigel culture, expression of GGT was up-regulated. THLE-5b expressed both albumin and alpha 1-antitrypsin, but lost expression of CK19 in severe combined immunodeficient mice. Thus, THLE-5b can be aligned with progenitor cells, which are committed to the hepatocytic or biliary epithelial cell lineage. These results imply that bipotent progenitor cell populations similar to THLE-5b cells may exist in adult human liver.


Assuntos
Técnicas de Cultura de Células , Diferenciação Celular , Linhagem Celular , Células Epiteliais/citologia , Fígado/citologia , Células-Tronco/citologia , Animais , Citocromo P-450 CYP3A , Sistema Enzimático do Citocromo P-450/genética , Células Epiteliais/transplante , Células Epiteliais/ultraestrutura , Expressão Gênica , Humanos , Imuno-Histoquímica , Camundongos , Camundongos SCID , Células-Tronco/ultraestrutura
17.
Transplant Proc ; 37(1): 143-5, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15808575

RESUMO

To find more effective and less toxic immunosuppressive strategies in long-term treatment for organ transplantation patients, we examined the effects on rat heart allograft survival of a novel sphigosine-1-phosphate receptor agonist, KRP-203, combined with a subtherapeutic dose of cyclosporine (CsA). Rat heart transplantation was performed across a major histocompatibility complex-incompatible (DA to LEW) rat combination. KRP-203 alone showed little or no effect on heart allograft survival. In contrast, KRP-203 combined with a subtherapeutic dose of CsA led to prolonged allograft survival. Histologic analyses showed that the combination completely suppressed acute rejection, as characterized by allograft vasculopathy, mononuclear cell infiltration, and myocardial necrosis in the heart allografts. RT-PCR analysis showed that the allografts treated with CsA or KRP-203 alone showed no suppression of IL-10, IFN-gamma, and TNF-alpha mRNA expression, but when combined with a subtherapeutic dose of CsA it completely suppressed their mRNA expressions. Furthermore, the combination treatment reduced donor-specific antibody production. KRP-203 combined with a subtherapeutic dose of CsA synergistically prolonged rat heart allograft survival. The combination of CsA with KRP-203 may provide an option to prevent allograft rejection and reduce adverse effects.


Assuntos
Ciclosporina/uso terapêutico , Sobrevivência de Enxerto/imunologia , Transplante de Coração/imunologia , Imunossupressores/uso terapêutico , Complicações Pós-Operatórias/patologia , Compostos de Sulfidrila/uso terapêutico , Animais , Citocinas/genética , Quimioterapia Combinada , Sobrevivência de Enxerto/efeitos dos fármacos , Teste de Histocompatibilidade , Complexo Principal de Histocompatibilidade , Masculino , Complicações Pós-Operatórias/prevenção & controle , Ratos , Ratos Endogâmicos Lew , Ratos Endogâmicos , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Transplante Homólogo/imunologia
18.
Vet Immunol Immunopathol ; 103(1-2): 113-27, 2005 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-15626467

RESUMO

A battery of mouse monoclonal antibodies (mAbs) reactive with porcine peripheral blood (PB) leukocytes was generated. Among the mAbs, 6F10 was found to react probably with cluster of differentiation (CD)8 alpha-chain, while 7G3 and 3E12 were found to recognize gammadelta T-cells, as revealed by two-color flow cytometric and immunoprecipitation studies. 7G3 was shown to react with the constant (C) region of the T-cell receptor (TCR) delta-chain by the following facts: (1) 7G3 immunoprecipitated full-length TCR delta-chain protein fused with glutathione S-transferase (GST) produced by Esherichia coli and (2) 7G3 reacted with TCR delta-chain expressing Cos-7 cells transfected with either full-length or N-terminal deleted mutant cDNA, but did not react with Cos-7 cells transfected with C-terminal deleted mutant TCR delta-chain cDNA. All three mAbs produced high-quality immunostaining results on frozen sections, revealing a distinct distribution of gammadelta T-cells and CD8(+) cells. This report precisely characterizes mAbs against porcine TCR for the first time, facilitating molecular biological investigations of the porcine immune system.


Assuntos
Anticorpos Monoclonais/imunologia , Linfócitos/imunologia , Receptores de Antígenos de Linfócitos T gama-delta/imunologia , Suínos/imunologia , Sequência de Aminoácidos , Animais , Citometria de Fluxo , Imuno-Histoquímica , Imunoprecipitação , Dados de Sequência Molecular , Receptores de Antígenos de Linfócitos T gama-delta/análise , Receptores de Antígenos de Linfócitos T gama-delta/genética
19.
Transplant Proc ; 36(8): 2443-5, 2004 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-15561274

RESUMO

INTRODUCTION: In vivo gene transfection using a recombinant adenoviral vector leads to diminished gene expression in a time-dependent manner that disappears within 4 weeks. CTLA4Ig blocks CD28-mediated costimulatory signal, and inhibits immune responses. We investigated the duration of transgene expression after administration of adenoviral vector containing CTLA4Ig gene (AdCTLA4Ig). METHODS: We injected 1 x 10(9) plaque forming units (pfu) of AdCTLA4Ig into rats (n = 7) via the tail vein. Thereafter, the blood samples were collected for assay of serum CTLA4Ig levels using enzyme-linked immunosorbent assay. RESULTS: The CTLA4Ig level reached the maximum (range, 65-86 microg/mL; average, 75 microg/mL) on days 3 to 5 after injection. Detectable levels of CTLA4Ig were observed up to 49 days. When we injected AdCTLA4Ig in combination with FTY720 administration, the maximum levels were higher and the detectable levels persisted longer. CONCLUSIONS: Because directly injected adenoviral transgene expression had been reported to disappear between 21 to 30 days, we conclude that AdCTLA4Ig inhibits the immune response and prolongs the transgene (CTLA4Ig gene) expression. Some additional immunosuppressants, like FTY720, may be useful to enhance AdCTLA4Ig effects.


Assuntos
Regulação da Expressão Gênica , Imunoconjugados/genética , Abatacepte , Adenoviridae , Animais , Ensaio de Imunoadsorção Enzimática , Vetores Genéticos , Imunoconjugados/sangue , Cinética , Masculino , Ratos , Ratos Endogâmicos Lew , Proteínas Recombinantes de Fusão/biossíntese , Transfecção
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...