皮质脏组织的部分氧气压取决于氧化低温机器 perfusion 过程中活性氧化的百分比
Thomas Prudhomme1, Tom Darius2, Stephan Levy1
1Nantes Université, CHU Nantes, INSERM, Centre for Research in Transplantation and Translational Immunology, Nantes, France.
Artificial organs
|December 6, 2024
概括
在低温机器输液 (HMPO2) 期间较高的氧气水平显著改善了脏的保存. 在HMPO2期间100%的氧化导致了猪DCD模型中最高的组织氧气水平和ATP重合成.
科学领域:
- 器官的保存 器官的保存
- 移植研究 移植研究
- 机器 perfusion 技术 机器 perfusion 技术 机器 perfusion 技术 机器 perfusion 技术 机器 perfusion 技术 机器 perfusion 技术 机器 perfusion 技术
背景情况:
- 氧化低温机器输液 (HMPO2) 在脏保存方面表现有前途.
- 对HMPO2的最佳氧化水平尚未确定.
- 这项研究调查了 perfusion 期间的不同氧度.
研究的目的:
- 为了比较不同氧化水平 (0%,21%,50%,100%) 在22小时HMPO2.2期间的疗效.
- 为了确定氧气水平对组织氧气部分压力 (tpO2) 的影响.
- 评估氧化对代谢恢复的影响,特别是ATP重合成.
主要方法:
- 来自DCD模型的猪脏是在60分钟的温暖缺血后获得的.
- 脏被随机分为五组:静态冷藏,没有氧气的HMP和21%,50%或100%氧气的HMPO2.
- 皮质tPO2被测量为主要结局.
主要成果:
- 与静态冷藏相比,连续的HMPO2显著改变了皮质的tPO2.
- tpO2水平直接取决于 perfusion 期间使用的氧的百分比.
- 与其他组相比,100%的氧化导致显著更高的tpO2和优越的ATP重合成.
结论:
- 连续的HMPO2有效地改变了脏组织的氧化.
- 在HMPO2期间,较高的氧度与改善的tPO2正相关.
- 高氧水平 (50%和100%) 在脏保存期间更好地支持有氧新陈代谢和ATP复合.
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