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肺移植实验供体模型研究。

Study of Experimental Organ Donation Models for Lung Transplantation.

机构信息

Laboratório de Pesquisa em Cirurgia Torácica, Departamento de Cardiopneumologia, Instituto do Coracao, Faculdade de Medicina HCFMUSP, Universidade de São Paulo.

Laboratório de Pesquisa em Cirurgia Torácica, Departamento de Cardiopneumologia, Instituto do Coracao, Faculdade de Medicina HCFMUSP, Universidade de São Paulo;

出版信息

J Vis Exp. 2024 Mar 15(205). doi: 10.3791/62975.

DOI:10.3791/62975
PMID:38557783
Abstract

Experimental models are important tools for understanding the etiological phenomena involved in various pathophysiological events. In this context, different animal models are used to study the elements triggering the pathophysiology of primary graft dysfunction after transplantation to evaluate potential treatments. Currently, we can divide experimental donation models into two large groups: donation after brain death and donation after circulatory arrest. In addition, the deleterious effects associated with hemorrhagic shock should be considered when considering animal models of organ donation. Here, we describe the establishment of three different lung donation models (post-brain death donation, post-circulatory death donation, and post-hemorrhagic shock donation) and compare the inflammatory processes and pathological disorders associated with these events. The objective is to provide the scientific community with reliable animal models of lung donation for studying the associated pathological mechanisms and searching for new therapeutic targets to optimize the number of viable grafts for transplantation.

摘要

实验模型是理解各种病理生理事件中病因现象的重要工具。在这种情况下,使用不同的动物模型来研究触发移植后原发性移植物功能障碍的病理生理学的因素,以评估潜在的治疗方法。目前,我们可以将实验性供体模型分为两大类:脑死亡后供体和心脏停搏后供体。此外,在考虑器官捐献的动物模型时,应考虑与出血性休克相关的有害影响。在这里,我们描述了三种不同的肺捐献模型(脑死亡后捐献、心脏停搏后捐献和出血性休克后捐献)的建立,并比较了这些事件相关的炎症过程和病理紊乱。目的是为科学界提供可靠的肺捐献动物模型,以研究相关的病理机制,并寻找新的治疗靶点,以优化用于移植的有活力的移植物数量。

相似文献

1
Study of Experimental Organ Donation Models for Lung Transplantation.肺移植实验供体模型研究。
J Vis Exp. 2024 Mar 15(205). doi: 10.3791/62975.
2
Influence of Donor Type-Donation After Brain Death Versus Donation After Circulatory Death-on Lung Transplant Outcomes.脑死亡后供体捐献与循环死亡后供体捐献对肺移植结局的影响。
Transplant Proc. 2023 Dec;55(10):2292-2294. doi: 10.1016/j.transproceed.2023.09.001. Epub 2023 Oct 13.
3
Current status and further potential of lung donation after circulatory death.心肺死亡后肺捐献的现状和进一步的潜力。
Clin Transplant. 2021 Jul;35(7):e14335. doi: 10.1111/ctr.14335. Epub 2021 May 18.
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Lung transplantation from donation after circulatory death, evolution, and current status in the United States.美国循环死亡后器官捐献肺移植的发展历程与现状
Clin Transplant. 2023 Mar;37(3):e14884. doi: 10.1111/ctr.14884. Epub 2023 Jan 2.
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Impact of donor time to cardiac arrest in lung donation after circulatory death.心肺死亡后肺捐献中供体心脏停搏到捐献时间的影响。
J Thorac Cardiovasc Surg. 2021 Apr;161(4):1546-1555.e1. doi: 10.1016/j.jtcvs.2020.04.181. Epub 2020 Jun 16.
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Organ donation after circulatory death as compared with organ donation after brain death in Switzerland - an observational study.瑞士心跳死亡后与脑死亡后器官捐献的比较——一项观察性研究。
Swiss Med Wkly. 2022 Feb 18;152:w30139. doi: 10.4414/smw.2022.w30132. eCollection 2022 Feb 14.
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Lungs from donation after circulatory death donors: an alternative source to brain-dead donors? Midterm results at a single institution.心肺死亡器官捐献供肺:脑死亡供者的另一种选择?单中心中期结果。
Eur J Cardiothorac Surg. 2012 Sep;42(3):542-9. doi: 10.1093/ejcts/ezs096. Epub 2012 Feb 26.
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A Multicenter Study on Long-Term Outcomes After Lung Transplantation Comparing Donation After Circulatory Death and Donation After Brain Death.一项比较心肺死亡后捐献和脑死亡后捐献的肺移植长期结局的多中心研究。
Am J Transplant. 2017 Oct;17(10):2679-2686. doi: 10.1111/ajt.14339. Epub 2017 May 30.
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Lung Transplantation From Donation After Brain Death Donors on Extracorporeal Support.脑死亡后体外支持供体的肺移植。
Transplantation. 2022 Jul 1;106(7):e356-e357. doi: 10.1097/TP.0000000000004145. Epub 2022 Jun 17.
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Outcome of pancreas transplantation from donation after circulatory death compared to donation after brain death.与脑死亡后捐献相比,循环死亡后捐献的胰腺移植结果。
Pancreatology. 2017 Jan-Feb;17(1):13-18. doi: 10.1016/j.pan.2016.11.002. Epub 2016 Nov 7.

引用本文的文献

1
Angiotensin-converting enzyme 2 activation attenuates inflammation and oxidative stress in brain death donor followed by rat lung transplantation.血管紧张素转换酶 2 激活可减轻脑死亡供体随后的大鼠肺移植后的炎症和氧化应激。
Sci Rep. 2024 Oct 9;14(1):23567. doi: 10.1038/s41598-024-75043-7.