Waiting lists for transplantation have stimulated interest in the use of non-heart-beating donor (NHBD) organs. Recent studies on organ preservation have shown advantages of machine perfusion (MP) over cold storage (CS). To supply the liver with specific nutrients during MP, the preservation solutio
Photo-irradiation improved functional preservation of the isolated rat heart
โ Scribed by Zhu, Qingyan; Yu, Wei; Yang, Xiaoping; Hicks, George L.; Lanzafame, Raymond J.; Wang, Tingchung
- Publisher
- John Wiley and Sons
- Year
- 1997
- Tongue
- English
- Weight
- 172 KB
- Volume
- 20
- Category
- Article
- ISSN
- 0196-8092
No coin nor oath required. For personal study only.
โฆ Synopsis
Background and Objective: Photo-irradiation causes a variety of effects in different cells and tissues. We hypothesized that photoirradiation may improve cardiac preservation based on these observations. Study Design/Materials and Methods: For pre-storage treatment (Pre), the heart in an anesthetized open-chest rat was irradiated using an Argon-dye laser with a wavelength of 660 nm at a fluence of 16.8 J/cm 2 or sham-operated. The heart was excised, perfused with Krebs-Henseleit Buffer, cardioplegically arrested, and stored by immersion at 0ยฐC for 18 hrs. Functional recovery was evaluated by working reperfusion for 30 min. For post-storage treatment (Post), the isolated hearts were stored for 18 hrs at 0ยฐC; laser irradiation at a fluence of 36 J/cm 2 was administered during working reperfusion. Hearts which did not receive irradiation during reperfusion served as control. Furthermore, isolated cardiomyocytes were used to study laser effect on cellular ATP content, catalase activity, and nitric oxide (NO) release. Results: Both Pre and Post groups showed significant improvement in recovery of aortic flow, cardiac output, and work compared to the corresponding control groups (P<0.05). Combined Pre/Post laser treatment did not improve function. Investigation using isolated rat cardiomyocytes found that both end-storage ATP and end-reperfusion catalase activity in the laser-treated group were significantly higher than those in the untreated cells (P<0.05). NO release increased by 15% in the laser group after 18 hrs of 37ยฐC incubation.
Conclusion:
๐ SIMILAR VOLUMES
Early graft dysfunction after lung transplantation is a significant and unpredictable problem. Our study aimed at a detailed investigation of structure-function correlations in a rat isolated heart-lung model of ischemia/ reperfusion injury. Variable degrees of injury were induced by preservation w