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Abstract

The enormous success of organ transplantation is due in part to the development of methods to preserve organs from the time they are donated until they are transplanted. Preservation has the goal of maintaining the viability of organs ex vivo for a period of time that will allow maximal utilization of all cadaveric organs. Over the past 25 years of organ transplantation it has become clear that most organs can be transported to an appropriate recipient within about 24 h after procurement. To give a margin of safety and to maximize utilization of all organs, ideal preservation times would be at least two to three times this clinical minimum (48–72 h).

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References

  1. Greig PD, Forster J, Supezina RA, Strasberg SM, Mohamed M, Blendis LM, Taylor BR, Levy GA, Langer B. Donor-specific factors predict graft function followin; liver transplantation. Transplant Proc 1990; 22: 2072–3.

    PubMed  CAS  Google Scholar 

  2. Cywes R, Mullen JBM, Stratis MA, Greig PD, Levy GA, Harvey PRC, Strasberg SM. Prediction of the outcome of transplantation in man by platelet adherence in donor liver allografts. Evidence of the importance of prepreservation injury. Transplantation 1993; 56: 316–23.

    Article  PubMed  CAS  Google Scholar 

  3. Adam R, Reynes M, Bao YM, Astrazcioglu I, Azoulay D, Chiche L, Bismuth H. Impact of glycogen content of the donor liver in clinical liver transplantation. Transplant Proc 1993; 25: 1536–7.

    PubMed  CAS  Google Scholar 

  4. Boudjema K, Lindell SL, Southard JH, Belzer FO. The effects of fasting on the quality of liver preservation by simple cold storage. Transplantation 1990; 50: 943–8.

    Article  PubMed  CAS  Google Scholar 

  5. Collins GM, Bravo-Shugarman MB, Terasaki PI. Kidney preservation for transplantation: initial perfusion sud 30 hour ice storage. Lancet 1969; 2: 1219–25.

    Article  PubMed  CAS  Google Scholar 

  6. Belzer FO, Ashby BS, Dumphy JE. 24- and 72-hour preservation of canine kidneys. Lancet 1967; 2: 536–9.

    Article  PubMed  CAS  Google Scholar 

  7. Belzer FO, Ashby BS, Gulyassy PF, Powell M. Succes,ful seventeen-hour preservation and transplantation of human-cadaver kidney. N Engl J Med 1968; 278: 608–10.

    Article  PubMed  CAS  Google Scholar 

  8. Pienaar BH, Lindell SL, van Gulik TM, Southard JH, Fetzer FO. Seventy-two-hour preservation of the canine liver by machine perfusion. Transplantation 1990; 49: 258–60.

    Article  PubMed  CAS  Google Scholar 

  9. Wicomb WN, Cooper DKC, Barnard CN. Twenty-four-hour preservation of the pig heart by a portable hypothermic perfusion system. Transplantation 1982; 34: 246–50.

    Article  PubMed  CAS  Google Scholar 

  10. Jamieson NV, Sundberg R, Lindell S, Southard JH, Belzer FO. Preservation of the canine liver for 24–48 hours wing simple cold storage with UW solution. Transplantation 1988; 46: 517–25.

    Article  PubMed  CAS  Google Scholar 

  11. Ploeg RJ, Goossens D, NcAnulty JF, Southard JH, Belzer FO. Successful 72-hour cold storage of dog kidneys with UW solution. Transplantation 1988; 46: 191–6.

    Article  PubMed  CAS  Google Scholar 

  12. Jeevanandam V, Auteri JS, Sanchez JA, Hsu D, Marboe C, Smith CR, Rose EA. Cardiac transplantation after prolonged graft preservation with the University of Wisconsin solution. J Thorac Cardiovasc Surg 1992; 104: 224–8.

    PubMed  CAS  Google Scholar 

  13. Wahlberg JA, Love R, Landegaard L, Southard JH, Belzer FO. 72-hour preservation of the canine pancreas. Transplantation 1987; 43: 5–10.

    Article  PubMed  CAS  Google Scholar 

  14. McAnulty JF, Vreugdenhil PK, Lindell S, Southard 1H, Belzer FO. Successful seven-day perfusion preservation of the canine kidney. Transplant Proc 1993; 25: 1642–44.

    PubMed  CAS  Google Scholar 

  15. Henry ML, Sommer BG, Ferguson RM. Improved immediate function of renal allografts with Belzer perfusate. Transplantation 1988; 45: 73–5.

    Article  PubMed  CAS  Google Scholar 

  16. Caine, RY, Pegg DE, Pryse-Davis J, Leigh-Brown F. Renal preservation by ice cooling. An experimental study relating to kidney transplantation from cadavers. Br Med J 1963; 2: 651–4.

    Google Scholar 

  17. Moen J, Claesson K, Pienaar BH, Ploeg RJ, McAnulty JF, Vreugdenhil P, Lindell S, Southard JH, Belzer FO. Preservation of dog liver, kidney, and pancreas using the Belzer-UW solution with a high-sodium and low-potassium content. Transplantation 1989; 47: 940–5.

    Article  PubMed  CAS  Google Scholar 

  18. Sumimoto R, Lindell SL, Southard.JH, Belzer FO. A comparison of histidine-lactobionate and UW solution in 48 hour dog liver preservation. Transplantation 1992: 54: 610–14.

    Article  PubMed  CAS  Google Scholar 

  19. Bonventre JV, Weinberg JM. Kidney preservation ex vivo for transplantation. Annu Rev Med 1992; 43: 523–53.

    Article  PubMed  CAS  Google Scholar 

  20. Clavien P, Harvey PRC, Strasberg SM. Preservation and reperfusion injuries in liver allografts. An overview and synthesis of current studies. Transplantation 1992; 53: 957–8.

    Article  PubMed  CAS  Google Scholar 

  21. Blankensteijn JD, Terpstra OT. Liver preservation: past and the future. Hepatology 1991: 13: 1235–50.

    Article  PubMed  CAS  Google Scholar 

  22. Chueng JY, Bonventre JV, Malis CD, Leaf A. Calcium and ischemic injury. N Engl J Med 1986; 314: 670–6.

    Google Scholar 

  23. Bienvenu K, Granger DN. Leukocyte adhesion in ischemia reperfusion. Blood Cells 1993; 19: 279–89.

    PubMed  CAS  Google Scholar 

  24. Weinberg JM. The cell biology of ischemic renal injury. Kidney Int 1991; 39: 476–500.

    Article  PubMed  CAS  Google Scholar 

  25. Bulkley GB. Free radicals and other reactive oxygen metabolites: clinical relevance and the therapeutic efficacy of antioxidant therapy. Surgery 1993; 113: 479–83.

    PubMed  CAS  Google Scholar 

  26. Parks DA, Bulkley GB, Granger ON. Role of oxygen free radicals in shock, ischemia, and organ preservation. Surgery 1983; 94: 428–32.

    PubMed  CAS  Google Scholar 

  27. Connor HD, Gao W, Nukina S, Lemasters LI, Mason RP, Thurman RG. Evidence that free radicals are involved in graft failure following orthotopic liver transplantation in the rat–an electron spin paramagnetic resonance spin trapping study. Transplantation 1992; 54: 199–204.

    Article  PubMed  CAS  Google Scholar 

  28. Fuller BJ, Gower JD, Green CJ. Free radical damage and organ preservation: fact or fiction? A review of the interrelationship between oxidative stress and physiological ion disbalance. Cryobiology 1988; 25: 377–93.

    Article  PubMed  CAS  Google Scholar 

  29. Hoshino T, Maley WR, Bulkley GB. Williams GM. Ablation of free radical-mediated reperfusion injury for the salvage of kidneys taken from non-heartbeating donors. Transplantation 1988; 45: 284–9.

    Article  PubMed  CAS  Google Scholar 

  30. Gao W, Takei Y, Marzi I, Lindert KA, Caldwell-Kenkel JC, Currin RT, Tanaka Y. Lemasters JJ. Thurman RG. Carolina rinse solution–a new strategy to increase survival time after orthotopic liver transplantation in the rat. Transplantation 1991; 52: 417–24.

    Article  PubMed  CAS  Google Scholar 

  31. Tokunaga Y, Wicomb WN. Concepcion W, Nakazato P, Cox KL, Esquivel CO. Collins GM. Improved rat liver preservation using chlorpromazine in a new sodium lactobionate sucrose solution. Transplant Proc 1991; 23: 660–1.

    PubMed  CAS  Google Scholar 

  32. McAnulty JF. Vreugdenhil PK, Southard JH, Belzer FO. Improved survival of kidneys for seven with a phospholipase inhibitor. Transplant Proc 1991: 23: 691–2.

    PubMed  CAS  Google Scholar 

  33. Takei Y, Marzi I. Kauffman PC. Currin RT. Lemasters JJ. Thurman RG. Increase in survival time of liver transplants by protease inhibitors and a calcium channel blocker, nisoldipine. Transplantation 1990; 50: 14–20.

    Article  PubMed  CAS  Google Scholar 

  34. Anaise D, Ishimaru M, Madariaga J, Irisawa A, Lane B, Zeidan B. Sonoda K, Shabtai M, Waltzer WC. Rapaport FT. Protective effects of trifuopeiazine on the microcirculation of cold-stored livers. Transplantation 1990: 50: 933–9.

    Article  PubMed  CAS  Google Scholar 

  35. Hamamoto I, Nemoto EM, Evans RW, Mischinger H. Fujita S, Muncie N, Todo S. Rat liver lipids during ex vivowarm and cold ischemia and reperfusion. J Surg Res 1993; 55: 382–9.

    Article  PubMed  CAS  Google Scholar 

  36. Kim S, Belzer FO. Southard JH. The loss of mitochondrial respiratory function and its suppression during cold ischemic preservation of rat livers with LW solution. Hepatology 1992; 16: 742–8.

    Article  Google Scholar 

  37. Ferguson D, Gores GI, Krom R. Cytosolic protease activity is increased during liver storage and is inhibited by glutathione. Transplant Proc 1991: 23: 1552–3.

    PubMed  CAS  Google Scholar 

  38. McKeown CMB. Edwards V. Phillips MJ, Harvey PRC, Petrunka CN, Strasberg SM. Sinusoidal lining cell damage: the critical injury in cold preservation of liver allografts in the rat. Transplantation 1988: 46: 178–91.

    Article  PubMed  CAS  Google Scholar 

  39. Caldwell-Kenkel JC, Thurman RG. Lemasters JJ. Selective loss of nonparenchymal cell viability after cold ischemic storage of rat livers. Transplantation 1988:45: 834–7.

    Article  PubMed  CAS  Google Scholar 

  40. Ross H, Marshall VC, Escort ML. 72-hr canine kidney preservation without continuous perfusion. Transplantation 1976; 21: 498–501.

    Article  PubMed  CAS  Google Scholar 

  41. Andrews PM, Coffey AK. Factors that improve the preservation of nephron morphology during cold storage. Lab Invest 1982; 46: 100–20.

    PubMed  CAS  Google Scholar 

  42. Lain FT, Ubhi CS. Mayor AID. Lodge IPA, Giles GR. Clinical evaluation of PBS 140 solution for cadaveric renal preservation. Transplantation 1989; 48: 1067–8.

    Google Scholar 

  43. Van Gulik TM. Nio CR, Cortissos F. Klopper PJ, van der Heyde MN. Comparison of FITK solution and LW solution in 24- and 48-hour preservation of canine hepatic allografts. Transplant Prm 1993: 25: 554.

    Google Scholar 

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© 1997 Springer Science+Business Media Dordrecht

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Southard, J.H. (1997). Biochemistry and cell physiology of organ preservation. In: Collins, G.M., Dubernard, J.M., Land, W., Persijn, G.G. (eds) Procurement, Preservation and Allocation of Vascularized Organs. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5422-2_12

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  • DOI: https://doi.org/10.1007/978-94-011-5422-2_12

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6280-0

  • Online ISBN: 978-94-011-5422-2

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