Protective effects of a hydrogen-rich solution during cold ischemia in rat lung transplantation

Molecular hydrogen can reduce the oxidative stress of ischemia-reperfusion injury in various organs for transplantation and potentially improve survival rates in recipients. This study aimed to evaluate the protective effects of a hydrogen-rich preservation solution against ischemia-reperfusion inju...

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Veröffentlicht in:The Journal of thoracic and cardiovascular surgery 2020-05, Vol.159 (5), p.2110-2118
Hauptverfasser: Saito, Masao, Chen-Yoshikawa, Toyofumi F., Takahashi, Mamoru, Kayawake, Hidenao, Yokoyama, Yuhei, Kurokawa, Ryosuke, Hirano, Shin-ichi, Date, Hiroshi
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container_end_page 2118
container_issue 5
container_start_page 2110
container_title The Journal of thoracic and cardiovascular surgery
container_volume 159
creator Saito, Masao
Chen-Yoshikawa, Toyofumi F.
Takahashi, Mamoru
Kayawake, Hidenao
Yokoyama, Yuhei
Kurokawa, Ryosuke
Hirano, Shin-ichi
Date, Hiroshi
description Molecular hydrogen can reduce the oxidative stress of ischemia-reperfusion injury in various organs for transplantation and potentially improve survival rates in recipients. This study aimed to evaluate the protective effects of a hydrogen-rich preservation solution against ischemia-reperfusion injury after cold ischemia in rat lung transplantation. Lewis rats were divided into a nontransplant group (n = 3), minimum-ischemia group (n = 3), cold ischemia group (n = 6), and cold ischemia with hydrogen-rich (more than 1.0 ppm) preservation solution group (n = 6). The rats in the nontransplant group underwent simple thoracotomy, and the rats in the remaining 3 groups underwent orthotopic left lung transplantation. The ischemic time was
doi_str_mv 10.1016/j.jtcvs.2019.09.175
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This study aimed to evaluate the protective effects of a hydrogen-rich preservation solution against ischemia-reperfusion injury after cold ischemia in rat lung transplantation. Lewis rats were divided into a nontransplant group (n = 3), minimum-ischemia group (n = 3), cold ischemia group (n = 6), and cold ischemia with hydrogen-rich (more than 1.0 ppm) preservation solution group (n = 6). The rats in the nontransplant group underwent simple thoracotomy, and the rats in the remaining 3 groups underwent orthotopic left lung transplantation. The ischemic time was &lt;30 minutes in the minimum-ischemia group and 6 hours in the cold ischemia groups. After 2-hour reperfusion, we evaluated arterial blood gas levels, pulmonary function, lung wet-to-dry weight ratio, and histologic features of the lung tissue. The expression of proinflammatory cytokines was measured using quantitative polymerase chain reaction assays, and 8-hydroxydeoxyguanosine levels were evaluated using enzyme-linked immunosorbent assays. When compared with the nontransplant and minimum-ischemia groups, the cold ischemia group had lower dynamic compliance, lower oxygenation levels, and higher wet-to-dry weight ratios. However, these variables were significantly improved in the cold ischemia with hydrogen-rich preservation solution group. This group also had fewer signs of perivascular edema, lower interleukin-1β messenger RNA expression, and lower 8-hydroxydeoxyguanosine levels than the cold ischemia group. The use of a hydrogen-rich preservation solution attenuates ischemia-reperfusion injury in rat lungs during cold ischemia through antioxidant and anti-inflammatory effects. A hydrogen-rich preservation solution during cold ischemia (ISCH) attenuated lung ischemia-reperfusion injury in rat lung transplantation through inhibition of perivascular edema and alveolar hemorrhage. The hydrogen group had significantly better oxygenation levels and lower 8-hydroxydeoxyguanosine (8-OHdG) levels. ISCH/H2, Cold ischemia with hydrogen-rich preservation solution group; pO2, partial pressure of oxygen. 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This study aimed to evaluate the protective effects of a hydrogen-rich preservation solution against ischemia-reperfusion injury after cold ischemia in rat lung transplantation. Lewis rats were divided into a nontransplant group (n = 3), minimum-ischemia group (n = 3), cold ischemia group (n = 6), and cold ischemia with hydrogen-rich (more than 1.0 ppm) preservation solution group (n = 6). The rats in the nontransplant group underwent simple thoracotomy, and the rats in the remaining 3 groups underwent orthotopic left lung transplantation. The ischemic time was &lt;30 minutes in the minimum-ischemia group and 6 hours in the cold ischemia groups. After 2-hour reperfusion, we evaluated arterial blood gas levels, pulmonary function, lung wet-to-dry weight ratio, and histologic features of the lung tissue. The expression of proinflammatory cytokines was measured using quantitative polymerase chain reaction assays, and 8-hydroxydeoxyguanosine levels were evaluated using enzyme-linked immunosorbent assays. When compared with the nontransplant and minimum-ischemia groups, the cold ischemia group had lower dynamic compliance, lower oxygenation levels, and higher wet-to-dry weight ratios. However, these variables were significantly improved in the cold ischemia with hydrogen-rich preservation solution group. This group also had fewer signs of perivascular edema, lower interleukin-1β messenger RNA expression, and lower 8-hydroxydeoxyguanosine levels than the cold ischemia group. The use of a hydrogen-rich preservation solution attenuates ischemia-reperfusion injury in rat lungs during cold ischemia through antioxidant and anti-inflammatory effects. A hydrogen-rich preservation solution during cold ischemia (ISCH) attenuated lung ischemia-reperfusion injury in rat lung transplantation through inhibition of perivascular edema and alveolar hemorrhage. The hydrogen group had significantly better oxygenation levels and lower 8-hydroxydeoxyguanosine (8-OHdG) levels. ISCH/H2, Cold ischemia with hydrogen-rich preservation solution group; pO2, partial pressure of oxygen. 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subjects hydrogen-rich solution
ischemia-reperfusion injury
lung transplantation
title Protective effects of a hydrogen-rich solution during cold ischemia in rat lung transplantation
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