Ex Vivo Liver Machine Perfusion: Comprehensive Review of Common Animal Models

The most common preservation technique for liver grafts is static cold storage. Due to the organ shortage for liver transplantation (LT), extended criteria donor (ECD) allografts are increasingly used—despite the higher risk of inferior outcome after transplantation. Ex vivo liver machine perfusion...

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Veröffentlicht in:Tissue engineering. Part B, Reviews Reviews, 2023-02, Vol.29 (1), p.1-27
Hauptverfasser: Muth, Vanessa, Gassner, Joseph M G V, Moosburner, Simon, Lurje, Georg, Michelotto, Julian, Strobl, Felix, Knaub, Kristina, Engelmann, Cornelius, Tacke, Frank, Selzner, Markus, Pratschke, Johann, Sauer, Igor M, Raschzok, Nathanael
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container_end_page 27
container_issue 1
container_start_page 1
container_title Tissue engineering. Part B, Reviews
container_volume 29
creator Muth, Vanessa
Gassner, Joseph M G V
Moosburner, Simon
Lurje, Georg
Michelotto, Julian
Strobl, Felix
Knaub, Kristina
Engelmann, Cornelius
Tacke, Frank
Selzner, Markus
Pratschke, Johann
Sauer, Igor M
Raschzok, Nathanael
description The most common preservation technique for liver grafts is static cold storage. Due to the organ shortage for liver transplantation (LT), extended criteria donor (ECD) allografts are increasingly used—despite the higher risk of inferior outcome after transplantation. Ex vivo liver machine perfusion (MP) has been developed to improve the outcome of transplantation, especially with ECD grafts, and is currently under evaluation in clinical trials. We performed a literature search on PubMed and ISI Web of Science to assemble an overview of rodent and porcine animal models of ex vivo liver MP for transplantation, which is essential for the present and future development of clinical liver MP. Hypothermic, subnormothermic, and normothermic MP systems have been successfully used for rat and pig LT. In comparison with hypothermic systems, normothermic perfusion often incorporates a dialysis unit. Moreover, it enables metabolic assessment of liver grafts. Allografts experiencing warm ischemic time have a superior survival rate after MP compared with cold storage alone, irrespective of the temperature used for perfusion. Furthermore, ex vivo MP improves the outcome of regular and ECD liver grafts in animal models. Small and large animal models of ex vivo liver MP are available to foster the further development of this new technology.
doi_str_mv 10.1089/ten.teb.2022.0018
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Due to the organ shortage for liver transplantation (LT), extended criteria donor (ECD) allografts are increasingly used—despite the higher risk of inferior outcome after transplantation. Ex vivo liver machine perfusion (MP) has been developed to improve the outcome of transplantation, especially with ECD grafts, and is currently under evaluation in clinical trials. We performed a literature search on PubMed and ISI Web of Science to assemble an overview of rodent and porcine animal models of ex vivo liver MP for transplantation, which is essential for the present and future development of clinical liver MP. Hypothermic, subnormothermic, and normothermic MP systems have been successfully used for rat and pig LT. In comparison with hypothermic systems, normothermic perfusion often incorporates a dialysis unit. Moreover, it enables metabolic assessment of liver grafts. Allografts experiencing warm ischemic time have a superior survival rate after MP compared with cold storage alone, irrespective of the temperature used for perfusion. Furthermore, ex vivo MP improves the outcome of regular and ECD liver grafts in animal models. 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subjects Allografts
Animal models
Animals
Clinical trials
Cold storage
Cryopreservation
Dialysis
Ischemia
Liver
Liver transplantation
Liver Transplantation - methods
Liver transplants
Models, Animal
Organ Preservation - methods
Perfusion
Perfusion - methods
Quality control
Rats
Review Articles
Swine
Therapeutic applications
title Ex Vivo Liver Machine Perfusion: Comprehensive Review of Common Animal Models
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