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Evaluation of IGL-1 preservation solution using an orthotopic liver transplantation model

机译:使用原位肝移植模型评估IGL-1保存溶液

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摘要

AIM: To compare, in a pig liver transplantation model, the protective effect of UW with that of IGL-1, a high-sodium preservation solution containing polyethylene glycol (PEG) as an oncotic supply.METHODS: All livers were harvested and grafted orthotopically according to standard techniques. The livers were washed out and preserved for 7 h in IGL-1 (n = 6) or in UW solution (n = 7) at 4°C. In a sham group (n = 4), the livers underwent a 60-min warm ischemia at 37°C. The hepatocellular injury was assessed in organ preservation solution washed out from the graft at the end of ischemic storage (before revascularization), and in serum 2 h after reperfusion and daily for up to 6 d.RESULTS: Livers preserved in IGL-1 solution released markedly less AST than that preserved in the UW solution before and after revascularization (P < 0.05). Besides, the activity of creatine kinase-BB, a marker of sinusoidal lining cells injury, was higher in the UW group than in the IGL-1 group (P < 0.05). Histological results showed less necrotic regions in livers preserved in IGL-1 solution; however, no difference was observed for inflammation.CONCLUSION: IGL-1 liquid effectively protects parenchymal and non-parenchymal cells against prese-rvation-reperfusion injuries.
机译:目的:在猪肝移植模型中,比较UW和IGL-1的保护作用,IGL-1是一种含有聚乙二醇(PEG)作为高渗溶液的高钠保存溶液。方法:所有肝脏均原位收集并移植根据标准技术。洗净肝脏并在4°C下在IGL-1(n = 6)或UW溶液(n = 7)中保存7小时。在假手术组(n = 4)中,肝脏在37°C进行了60分钟的温暖缺血。在缺血保存结束时(在血运重建之前)从移植物中洗出的器官保存液中以及在再灌注后2 h(每天)和长达6 d的血清中评估肝细胞损伤。结果:保存在IGL-1溶液中的肝脏保存释放血运重建前后的AST明显低于UW溶液中保存的AST(P <0.05)。此外,UW组的肌酸激酶-BB(正弦内膜细胞损伤的标志物)活性高于IGL-1组(P <0.05)。组织学结果显示,IGL-1溶液保存的肝脏坏死区域较少;结论:IGL-1液体可有效保护实质细胞和非实质细胞免受神经刺激后再灌注损伤。

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