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仓鼠到大鼠的肾脏移植:技术、功能结果及并发症

Hamster to rat kidney transplantation: technique, functional outcome and complications.

作者信息

Salomon S, Steinbrüchel D, Nielsen B, Kemp E

机构信息

Laboratory of Nephropathology, Odense University Hospital, Denmark.

出版信息

Urol Res. 1996;24(4):211-6. doi: 10.1007/BF00295894.

DOI:10.1007/BF00295894
PMID:8873379
Abstract

Hamster to rat kidney transplantation has only recently been introduced as model of concordant xenografting. The kidney model offers unique possibilities for studying both immunological and functional aspects of xenografts as opposed to the widely used heterotopic heart model. This article provides a detailed description of surgical technique as well as data on functional outcome and complications. The renal artery with a small segment of the aorta is sutured end-to-side to the abdominal aorta of the recipient, and the renal vein is anastomosed end-to-side to the inferior vena cava. The urinary system is reconstructed by bladder-to-bladder anastomosis. Xenografts will maintain close to normal serum-creatinine levels for 2-3 days, after which they are rejected. Complications occurred in 22% of xenografts. Postrenal obstruction due to severe hematuria or ureter stenosis was the most frequent problem encountered.

摘要

仓鼠到大鼠的肾脏移植作为一种协调性异种移植模型,直到最近才被引入。与广泛使用的异位心脏模型不同,肾脏模型为研究异种移植的免疫学和功能方面提供了独特的可能性。本文详细描述了手术技术以及功能结果和并发症的数据。带有一小段主动脉的肾动脉端侧缝合到受体的腹主动脉上,肾静脉端侧吻合到下腔静脉。泌尿系统通过膀胱对膀胱吻合进行重建。异种移植在2 - 3天内将维持接近正常的血清肌酐水平,之后被排斥。22%的异种移植发生了并发症。由于严重血尿或输尿管狭窄导致的肾后梗阻是最常遇到的问题。

相似文献

1
Hamster to rat kidney transplantation: technique, functional outcome and complications.仓鼠到大鼠的肾脏移植:技术、功能结果及并发症
Urol Res. 1996;24(4):211-6. doi: 10.1007/BF00295894.
2
Vascular transplantation of Syrian hamster heart into Lewis rat: effect of brequinar, cyclosporine, cobra venom factor, and splenectomy.叙利亚仓鼠心脏移植至Lewis大鼠的血管移植:布雷喹那、环孢素、眼镜蛇毒因子及脾切除术的影响
Transplant Proc. 1994 Jun;26(3):1217-9.
3
Different immune effects on cardiac allografts and xenografts induced by neonatal intrathymic inoculation with allogeneic and xenogeneic antigens.新生期经胸腺内接种同种异体和异种抗原对心脏同种异体移植和异种移植产生的不同免疫效应。
J Heart Lung Transplant. 1996 Oct;15(10):1034-8.
4
Functional analysis of hamster kidney xenografts in the rat: possible functional incompatibility and adaptation of hamster kidney grafts in a xenogenic rat environment.大鼠体内仓鼠肾异种移植的功能分析:仓鼠肾移植在异种大鼠环境中可能存在的功能不相容性及适应性
Transplant Proc. 1996 Apr;28(2):694-5.
5
Simplified three-cuff method in concordant hamster-to-rat liver xenotransplantation.仓鼠到大鼠肝脏异种移植中简化的三袖套法
Transplant Proc. 1994 Jun;26(3):1191-2.
6
Stable technique for reconstruction of hepatic artery in hamster-to-rat liver transplantation.仓鼠到大鼠肝移植中肝动脉重建的稳定技术。
Transplant Proc. 2000 Nov;32(7):2341-2. doi: 10.1016/s0041-1345(00)01691-2.
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Leflunomide controls rejection in hamster to rat cardiac xenografts.来氟米特可控制仓鼠对大鼠心脏异种移植的排斥反应。
Transplantation. 1994 Oct 15;58(7):828-34.
8
Improved techniques for kidney transplantation in mice.小鼠肾移植的改良技术
Microsurgery. 1995;16(2):103-9. doi: 10.1002/micr.1920160212.
9
Serum protein immunogenicity: implications for liver xenografting.血清蛋白免疫原性:对肝脏异种移植的影响。
Electrophoresis. 2000 Mar;21(5):965-75. doi: 10.1002/(SICI)1522-2683(20000301)21:5<965::AID-ELPS965>3.0.CO;2-D.
10
Accommodated xenografts survive in the presence of anti-donor antibodies and complement that precipitate rejection of naive xenografts.适应性异种移植物在存在抗供体抗体和补体的情况下能够存活,而这些抗供体抗体和补体可导致天然异种移植物发生排斥反应。
J Immunol. 1999 Sep 1;163(5):2850-7.

本文引用的文献

1
Effect of leflunomide, cyclosporine, and splenectomy in two different organ systems of concordant xenotransplantation in rats.
Transplant Proc. 1996 Apr;28(2):698-9.
2
Sequential morphological, functional and xenoreactive antibody analysis of hamster kidneys transplanted into unmodified rats.对移植到未修饰大鼠体内的仓鼠肾脏进行连续的形态学、功能和异种反应性抗体分析。
Transplant Proc. 1996 Apr;28(2):687-8.
3
Evidence for a primarily humoral rejection mechanism in concordant xenogeneic heart transplantation. A sequential immunohistological study in a hamster-to-rat model.协调性异种心脏移植中主要体液排斥机制的证据。仓鼠至大鼠模型的序贯免疫组织学研究。
APMIS. 1993 Aug;101(8):587-94. doi: 10.1111/j.1699-0463.1993.tb00151.x.
4
Treatment of hamster heart to rat xenotransplantation.仓鼠心脏用于大鼠异种移植的处理
Transpl Immunol. 1994;2(1):3-9. doi: 10.1016/0966-3274(94)90071-x.
5
Organ xenografting between rodents: an evolutionary perspective.啮齿动物之间的器官异种移植:进化视角
Transpl Int. 1994 May;7(3):216-22. doi: 10.1007/BF00327090.
6
A new model for heterotopic heart transplantation in rodents: graft atrial septectomy.一种用于啮齿动物异位心脏移植的新模型:移植心房切除术。
Transplant Proc. 1994 Jun;26(3):1298-9.
7
Sensitive detection of xenogeneic antibodies with the gel technique.用凝胶技术灵敏检测异种抗体。
Transplant Proc. 1994 Jun;26(3):1274-5.
8
Leflunomide controls rejection in hamster to rat cardiac xenografts.来氟米特可控制仓鼠对大鼠心脏异种移植的排斥反应。
Transplantation. 1994 Oct 15;58(7):828-34.
9
Hamster-to-rat heart and liver xenotransplantation with FK506 plus antiproliferative drugs.使用FK506加抗增殖药物进行仓鼠到大鼠的心脏和肝脏异种移植。
Transplantation. 1993 Apr;55(4):701-7; discussion 707-8. doi: 10.1097/00007890-199304000-00003.
10
Hamster to rat kidney xenotransplantation. Effects of FK 506, cyclophosphamide, organ perfusion, and complement inhibition.仓鼠到大鼠的肾脏异种移植。FK 506、环磷酰胺、器官灌注及补体抑制的作用。
Transplantation. 1995 Apr 27;59(8):1183-8. doi: 10.1097/00007890-199504270-00018.