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在体外常温机器灌注过程中人类肾脏的酶促血型转换。

Enzymatic blood group conversion of human kidneys during ex vivo normothermic machine perfusion.

机构信息

Department of Surgery, University of Cambridge, Cambridge, UK.

出版信息

Br J Surg. 2023 Jan 10;110(2):133-137. doi: 10.1093/bjs/znac293.

DOI:10.1093/bjs/znac293
PMID:36038141
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10364487/
Abstract

A major restriction to transplantation is the requirement for ABO blood group compatibility between donor and recipient. In this study, an α-galactosidase enzyme from was used successfully to remove type B blood group antigens enzymatically from human kidneys using normothermic machine perfusion. This provides the first step for a strategy to overcome the ABO barrier in kidney transplantation.

摘要

移植的一个主要限制是供体和受者之间 ABO 血型相容性的要求。在这项研究中,使用来自 的 α-半乳糖苷酶,通过常温机器灌注成功地从人类肾脏中酶促去除 B 型血液组抗原。这为克服肾脏移植中 ABO 障碍的策略提供了第一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6968/10364487/8376a7e0be2d/znac293f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6968/10364487/8836a56fca27/znac293f1a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6968/10364487/8376a7e0be2d/znac293f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6968/10364487/8836a56fca27/znac293f1a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6968/10364487/8376a7e0be2d/znac293f2.jpg

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Enzymatic conversion of blood group B kidney prevents hyperacute antibody-mediated injuries in ABO-incompatible transplantation.B血型肾脏的酶促转化可预防ABO血型不相容移植中由抗体介导的超急性损伤。

本文引用的文献

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Ex vivo enzymatic treatment converts blood type A donor lungs into universal blood type lungs.体外酶处理可将A型血供体肺转化为通用血型肺。
Sci Transl Med. 2022 Feb 16;14(632):eabm7190. doi: 10.1126/scitranslmed.abm7190.
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Machine perfusion of donor organs for transplantation.器官移植供体的机械灌注。
Artif Organs. 2021 Jul;45(7):682-695. doi: 10.1111/aor.13894. Epub 2021 Mar 9.
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Current protocols and outcomes of ABO-incompatible kidney transplantation.ABO血型不相容肾移植的当前方案及结果
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Challenges and opportunities in organ donation after circulatory death.循环性死亡后器官捐献的挑战与机遇
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Enzymatic conversion of human blood group A kidneys to universal blood group O.将人类血型 A 肾脏转化为通用血型 O 的酶促转化。
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Current Evidence and Future Perspectives to Implement Continuous and End-Ischemic Use of Normothermic and Oxygenated Hypothermic Machine Perfusion in Clinical Practice.在临床实践中实施常温及氧合低温机器灌注持续和缺血末期使用的当前证据及未来展望。
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Production of human blood group B antigen epitope conjugated protein in Escherichia coli and utilization of the adsorption blood group B antibody.人血型B抗原表位缀合蛋白在大肠杆菌中的生产及血型B抗体吸附利用
Microb Cell Fact. 2016 Aug 11;15(1):138. doi: 10.1186/s12934-016-0538-z.
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Blood group antigen-targeting peptide suppresses anti-blood group antibody binding to antigen in renal glomerular capillaries after ABO-incompatible blood reperfusion.血型抗原靶向肽可抑制 ABO 不相容血液再灌注后肾小球毛细血管内抗血型抗体与抗原的结合。
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