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Updated: Jun 29, 2026

Normothermic Ex Vivo Kidney Perfusion for the Preservation of Kidney Grafts prior to Transplantation
Published on: July 15, 2015
Preservation of the kidney by carbon monoxide: a black swan phenomenon
1Division of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota 55905, USA. nath.karl@mayo.edu
Abstract:
Nakao and colleagues demonstrate that carbon monoxide added to organ preservation solution reduces donor-kidney injury that occurs after cold storage and transplantation and improves the survival of the recipient. These findings are important because they highlight the role of the cytochrome P450 system in the pathogenesis of donor-kidney injury and they suggest a strategy for preserving the donor kidney, namely, the addition of carbon monoxide to organ preservation solution.
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