Ren Xiao-Ping, Song Yang, Ye Yi-Jie, Li Peng-Wei, Han Ke-Cheng, Shen Zi-Long, Shan Ji-Gang, Luther Kristin, Yang Bao-Feng
Hand and Microsurgical Center, the Second Affiliated Hospital of Harbin Medical University, Harbin, China; State-Province Key Laboratories of Biomedicine-Pharmaceutics, Harbin Medical University, Harbin, China; Department of Molecular Pharmacology & Therapeutics, Stritch School of Medicine, Loyola University Chicago, Chicago, IL, USA.
CNS Neurosci Ther. 2014 Dec;20(12):1056-60. doi: 10.1111/cns.12341. Epub 2014 Nov 4.
There is still no effective way to save a surviving healthy mind when there is critical organ failure in the body. The next frontier in CTA is allo-head and body reconstruction (AHBR), and just as animal models were key in the development of CTA, they will be crucial in establishing the procedures of AHBR for clinical translation.
Our approach, pioneered in mice, involves retaining the donor brain stem and transplanting the recipient head. Our preliminary data in mice support that this allows for retention of breathing and circulatory function. Critical aspects of the current protocol include avoiding cerebral ischemia through cross-circulation (donor to recipient) and retaining the donor brain stem. Successful clinical translation of AHBR will become a milestone of medical history and potentially could save millions of people.
This experimental study has confirmed a method to avoid cerebral ischemia during the surgery and solved an important part of the problem of how to accomplish long-term survival after transplantation and preservation of the donor brain stem.
当身体出现重要器官衰竭时,目前仍没有有效的方法来挽救尚存的健康大脑。全脑和身体重建(AHBR)是CTA的下一个前沿领域,正如动物模型在CTA的发展中起着关键作用一样,它们对于建立用于临床转化的AHBR程序也至关重要。
我们在小鼠身上率先采用的方法包括保留供体脑干并移植受体头部。我们在小鼠身上的初步数据支持这一方法能够保留呼吸和循环功能。当前方案的关键方面包括通过交叉循环(供体到受体)避免脑缺血以及保留供体脑干。AHBR的成功临床转化将成为医学史上的一个里程碑,并有可能挽救数百万人的生命。
这项实验研究证实了一种在手术期间避免脑缺血的方法,并解决了移植后如何实现长期存活以及保留供体脑干这一问题的重要部分。