Ontell S J, Makowka L, Ove P, Starzl T E
Department of Surgery, University of Pittsburgh School of Medicine, Pennsylvania.
Gastroenterology. 1988 Dec;95(6):1617-24. doi: 10.1016/s0016-5085(88)80086-6.
The present study compares rat liver preservation for 9, 12, and 24 h in the standard Eurocollins solution with preservation for the same time periods in the new UW-lactobionate solution. Pharmacologic manipulation with a potent platelet-activating factor antagonist, SRI 63-441, was also evaluated. After cold storage in each of the test solutions, the livers underwent 90 min of warm, oxygenated, sanguinous perfusion. A significant increase in liver weight was noted in Eurocollins-stored versus UW-lactobionate-stored livers. After 90 min of perfusion, livers preserved in UW-lactobionate produced significantly more bile and liberated significantly less glucose and transaminases when compared with Eurocollins-stored livers. Significant augmentation of bile production was observed when donor animals were pretreated with SRI 63-441 and the livers were then stored in UW-lactobionate for 24 h. Eurocollins-stored livers demonstrated increased hepatocyte vacuolization and endothelial disruption when compared with UW-lactobionate-stored livers after 12 and 24 h of preservation. This study demonstrates the superiority of UW-lactobionate solution in liver preservation and suggests that SRI 63-441 may be beneficial in the further reduction of cold ischemic injury.
本研究比较了大鼠肝脏在标准的欧氏液中保存9、12和24小时,与在新的UW-乳酸盐溶液中相同时间段保存的情况。还评估了用强效血小板活化因子拮抗剂SRI 63-441进行的药理操作。在每种测试溶液中冷藏后,肝脏进行了90分钟的温热、含氧、含血灌注。与UW-乳酸盐保存的肝脏相比,欧氏液保存的肝脏重量显著增加。灌注90分钟后,与欧氏液保存的肝脏相比,UW-乳酸盐保存的肝脏产生的胆汁显著更多,释放的葡萄糖和转氨酶显著更少。当供体动物用SRI 63-441预处理,然后将肝脏在UW-乳酸盐中保存24小时时,观察到胆汁分泌显著增加。与UW-乳酸盐保存的肝脏相比,在保存12和24小时后,欧氏液保存的肝脏显示出肝细胞空泡化增加和内皮破坏。本研究证明了UW-乳酸盐溶液在肝脏保存方面的优越性,并表明SRI 63-441可能有助于进一步减轻冷缺血损伤。