Prevention of primary nonfunction after canine liver allotransplantation: The effect of gadolinium chloride

Effective suppression of Kupffer cell function is believed to contribute to the prevention of preservation/reperfusion injury. In this study, effect of gadolinium, a synthetic Kupffer cell suppressant, on the reperfusion injury was examined using a canine partial liver transplantation model. About a...

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Veröffentlicht in:Transplantation proceedings 2004-09, Vol.36 (7), p.1928-1930
Hauptverfasser: Chung, K.Y., Jeong, G.Y., Choi, K.B., Sung, S.H., Kim, Y.S.
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container_end_page 1930
container_issue 7
container_start_page 1928
container_title Transplantation proceedings
container_volume 36
creator Chung, K.Y.
Jeong, G.Y.
Choi, K.B.
Sung, S.H.
Kim, Y.S.
description Effective suppression of Kupffer cell function is believed to contribute to the prevention of preservation/reperfusion injury. In this study, effect of gadolinium, a synthetic Kupffer cell suppressant, on the reperfusion injury was examined using a canine partial liver transplantation model. About a 70% partial liver segment was harvested and reimplanted in a mongrel recipient dog weighing 20 to 25 kg. Gadolinium chloride (10 mg/kg) was infused via the cephalic vein 24 hours before harvest of the partial liver (gadolinium group, n = 5). Serum aspartate aminotransferase (AST), alkaline phosphatase (ALP), lactate dehydrogenase (LDH), and morphologic grading of graft were compared with those of a control group ( n = 5). Statistical analysis was done with an independent t-test. Average total ischemic time was 4 hours and 27 minutes. At 1 hour after reperfusion, there were no significant differences in AST, ALP, or LDH levels, or pathologic scores. At 48 hours after reperfusion, AST ( P = .03) and LDH ( P = .05) levels were significantly lower in the gadolinium group. Kupffer cell blockade using gadolinium chloride may be effective to reduce ischemia reperfusion injury, but the effect is not evident at an early stage of reperfusion.
doi_str_mv 10.1016/j.transproceed.2004.09.006
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In this study, effect of gadolinium, a synthetic Kupffer cell suppressant, on the reperfusion injury was examined using a canine partial liver transplantation model. About a 70% partial liver segment was harvested and reimplanted in a mongrel recipient dog weighing 20 to 25 kg. Gadolinium chloride (10 mg/kg) was infused via the cephalic vein 24 hours before harvest of the partial liver (gadolinium group, n = 5). Serum aspartate aminotransferase (AST), alkaline phosphatase (ALP), lactate dehydrogenase (LDH), and morphologic grading of graft were compared with those of a control group ( n = 5). Statistical analysis was done with an independent t-test. Average total ischemic time was 4 hours and 27 minutes. At 1 hour after reperfusion, there were no significant differences in AST, ALP, or LDH levels, or pathologic scores. At 48 hours after reperfusion, AST ( P = .03) and LDH ( P = .05) levels were significantly lower in the gadolinium group. 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In this study, effect of gadolinium, a synthetic Kupffer cell suppressant, on the reperfusion injury was examined using a canine partial liver transplantation model. About a 70% partial liver segment was harvested and reimplanted in a mongrel recipient dog weighing 20 to 25 kg. Gadolinium chloride (10 mg/kg) was infused via the cephalic vein 24 hours before harvest of the partial liver (gadolinium group, n = 5). Serum aspartate aminotransferase (AST), alkaline phosphatase (ALP), lactate dehydrogenase (LDH), and morphologic grading of graft were compared with those of a control group ( n = 5). Statistical analysis was done with an independent t-test. Average total ischemic time was 4 hours and 27 minutes. At 1 hour after reperfusion, there were no significant differences in AST, ALP, or LDH levels, or pathologic scores. At 48 hours after reperfusion, AST ( P = .03) and LDH ( P = .05) levels were significantly lower in the gadolinium group. Kupffer cell blockade using gadolinium chloride may be effective to reduce ischemia reperfusion injury, but the effect is not evident at an early stage of reperfusion.</description><subject>Animals</subject><subject>Anti-Inflammatory Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Dogs</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Gadolinium - therapeutic use</subject><subject>Kupffer Cells - drug effects</subject><subject>Kupffer Cells - pathology</subject><subject>L-Lactate Dehydrogenase - blood</subject><subject>Liver Function Tests</subject><subject>Liver Transplantation - methods</subject><subject>Liver Transplantation - physiology</subject><subject>Medical sciences</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Psychology</topic><topic>Fundamental immunology</topic><topic>Gadolinium - therapeutic use</topic><topic>Kupffer Cells - drug effects</topic><topic>Kupffer Cells - pathology</topic><topic>L-Lactate Dehydrogenase - blood</topic><topic>Liver Function Tests</topic><topic>Liver Transplantation - methods</topic><topic>Liver Transplantation - physiology</topic><topic>Medical sciences</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tissue, organ and graft immunology</topic><topic>Transplantation, Homologous</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chung, K.Y.</creatorcontrib><creatorcontrib>Jeong, G.Y.</creatorcontrib><creatorcontrib>Choi, K.B.</creatorcontrib><creatorcontrib>Sung, S.H.</creatorcontrib><creatorcontrib>Kim, Y.S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Transplantation proceedings</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chung, K.Y.</au><au>Jeong, G.Y.</au><au>Choi, K.B.</au><au>Sung, S.H.</au><au>Kim, Y.S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevention of primary nonfunction after canine liver allotransplantation: The effect of gadolinium chloride</atitle><jtitle>Transplantation proceedings</jtitle><addtitle>Transplant Proc</addtitle><date>2004-09-01</date><risdate>2004</risdate><volume>36</volume><issue>7</issue><spage>1928</spage><epage>1930</epage><pages>1928-1930</pages><issn>0041-1345</issn><eissn>1873-2623</eissn><coden>TRPPA8</coden><abstract>Effective suppression of Kupffer cell function is believed to contribute to the prevention of preservation/reperfusion injury. 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subjects Animals
Anti-Inflammatory Agents - therapeutic use
Biological and medical sciences
Dogs
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Gadolinium - therapeutic use
Kupffer Cells - drug effects
Kupffer Cells - pathology
L-Lactate Dehydrogenase - blood
Liver Function Tests
Liver Transplantation - methods
Liver Transplantation - physiology
Medical sciences
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tissue, organ and graft immunology
Transplantation, Homologous
title Prevention of primary nonfunction after canine liver allotransplantation: The effect of gadolinium chloride
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