Corps C L, Ahmed I, McKenzie S, Shires M, Potts D J, Lodge J P A
Transplant Science Group, Department of Hepatology and Transplantation, St. James’s University Hospital, Leeds, West Yorkshire, LS9 7TF, UK.
Transplant Proc. 2010 Nov;42(9):3427-30. doi: 10.1016/j.transproceed.2010.06.029.
An isolated perfused rat liver model was used to investigate biochemical and histologic changes during 2 hours of reperfusion after 24 hours of cold storage to compare Leeds solution (LS) with University of Wisconsin solution (UW). Compared with livers stored in UW, those perfused with LS showed significantly higher bile flow and lower enzyme production (P < .05 by 1-way analysis of variance). For example, after 120 minutes, alanine aminotransferase results were: LS 38.9 U/L vs UW 66.8 U/L and bile flows were LS 10.3 μg/15 min/g liver vs UW 9.2 μg/15 min/g liver. Histologically the reticulin breakdown was greater and its reformation slower in UW-preserved livers. Liver tissue was viable in both groups, as shown by the increased glycogen content after reperfusion in both groups, but seen at a higher rate among LS, perfused livers. In conclusion, LS compared favorably with UW to prevent ischemic damage and so could offer an alternative perfusion medium to UW.
采用离体灌注大鼠肝脏模型,研究冷保存24小时后再灌注2小时期间的生化和组织学变化,以比较利兹溶液(LS)和威斯康星大学溶液(UW)。与储存在UW中的肝脏相比,灌注LS的肝脏胆汁流量显著更高,酶生成更低(单因素方差分析,P <.05)。例如,120分钟后,丙氨酸转氨酶结果为:LS 38.9 U/L,UW 66.8 U/L;胆汁流量为:LS 10.3 μg/15分钟/克肝脏,UW 9.2 μg/15分钟/克肝脏。组织学上,UW保存的肝脏中网状纤维分解更严重,其重塑更慢。两组肝脏组织均存活,两组再灌注后糖原含量增加即表明了这一点,但在灌注LS的肝脏中发生率更高。总之,与UW相比,LS在预防缺血损伤方面表现良好,因此可以作为UW的替代灌注介质。