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Extracorporeal Assist - Liver, Spleen, and Lung
1a Department of Surgery , University of Kentucky Medical School , Lexington , Kentucky , U.S.A.
Animal organs, including livers, spleens, and lungs from pigs and calves, show metabolic efficiency when perfused with human blood. These preparations have potential applications in supporting patients with liver failure and in immunotherapy for melanoma.
Area of Science:
- Xenotransplantation research
- Biomedical engineering
- Immunotherapy
Background:
- Animal organs (livers, spleens, lungs) can be perfused with human blood.
- Previous studies demonstrate metabolic efficiency of animal livers with human blood.
- Potential for using animal organs in clinical settings.
Purpose of the Study:
- To evaluate the metabolic efficiency of animal livers perfused with human blood.
- To explore the use of pig and calf spleens and lungs in conjunction with human blood.
- To investigate the preliminary application of cellular and circulating antibodies from these preparations for immunotherapy in metastatic malignant melanoma patients.
- To assess the feasibility of using pig and calf lungs as biologic oxygenators for human blood.
Main Methods:
- Perfusion of animal livers with human blood.
- Washing of pig and calf spleens free of blood before perfusion.
- Utilization of cellular and circulating antibodies from perfused organs for immunotherapy.
- Laboratory evaluation of pig and calf lungs as biologic oxygenators.
Main Results:
- Demonstrated metabolic efficiency of animal livers perfused with human blood.
- Confirmed function of pig and calf spleens when perfused with human blood.
- Preliminary immunotherapy attempts on five metastatic malignant melanoma patients.
- Laboratory studies evaluating animal lungs as biologic oxygenators.
Conclusions:
- Animal organs, specifically livers, spleens, and lungs, exhibit functional compatibility with human blood.
- These preparations hold promise for supporting patients with liver failure.
- Further research is warranted for immunotherapy applications and as biologic oxygenators.
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