Nacif Lucas Souto, Kim Vera, Galvão Flavio, Ono Suzane Kioko, Pinheiro Rafael Soares, Carrilho Flair José, D'Albuquerque Luiz Carneiro
Disciplina de Transplante de Figado e Orgaos do Aparelho Digestivo, Departamento de Gastroenterologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, Brazil.
Transl Gastroenterol Hepatol. 2018 Nov 12;3:91. doi: 10.21037/tgh.2018.10.14. eCollection 2018.
Translational medicine has become a priority, but there is still a big difference between the arrival of new treatments and investment. Basic science should not be neglected because the translation from basic research is not sustained in the absence of basic research. The purpose of this literature review was to analyze the translational medicine in the liver transplant field: liver ischemia-reperfusion injury (IRI), immunosuppression, clinical and surgical complications, small-for-size syndrome (SFSS), rejection, and ongoing innovations (liver machine, liver preservation, artificial livers, and regenerative medicine). We performed a systematic literature review that were updated in October 2016. The searches were performed in the Cochrane Central Register of Controlled Trials and Review, PubMed/Medline, Embase, and LILACS databases. All the selected studies on the management of translational medical research in liver transplantation (LT) were analyzed. Initially the search found 773 articles. Methodological viewing and analysis of the articles, followed by the application of scientific models, including translational medicine in the liver transplant field. In conclusions, this review demonstrates the application of scientific research with translation medical benefits regarding the LT. The literature has a great tendency, improvements and investments in the study of translational medicine in LT. Innovative studies and technologies from basic science help to clarify clinical doubts. Moreover, evidence increases the importance of scientific research in quality of clinical practice care.
转化医学已成为当务之急,但新疗法的出现与投资之间仍存在巨大差距。基础科学不应被忽视,因为没有基础研究,基础研究的转化就无法持续。这篇文献综述的目的是分析肝移植领域的转化医学:肝缺血再灌注损伤(IRI)、免疫抑制、临床和手术并发症、小肝综合征(SFSS)、排斥反应以及正在进行的创新(肝脏机器、肝脏保存、人工肝脏和再生医学)。我们进行了一项于2016年10月更新的系统文献综述。检索在Cochrane对照试验和综述中央登记库、PubMed/Medline、Embase和LILACS数据库中进行。对所有选定的关于肝移植(LT)转化医学研究管理的研究进行了分析。最初检索到773篇文章。对文章进行方法学审视和分析,随后应用科学模型,包括肝移植领域的转化医学。总之,本综述展示了具有肝移植转化医学益处的科学研究的应用。文献在肝移植转化医学研究方面有很大的趋势、改进和投资。基础科学的创新研究和技术有助于澄清临床疑问。此外,证据增加了科学研究在临床实践护理质量方面的重要性。