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PROTECTIONAND EVALUATION OF LIVER GRAFTFUNCTIONS PROCURED FROM NON-HEART-BEATING DONORS

Research Project

Project/Area Number 09671207
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field General surgery
Research InstitutionTSUKUBA UNIVERSITY

Principal Investigator

TAKADA Yasutsugu  TSUKUBA UNIVERSITY,INSSTITUTE OF CLINICAL MEDICINE,ASSOCIATE PROFESSOR, 臨床医学系, 講師 (10272197)

Project Period (FY) 1997 – 1998
Project Status Completed (Fiscal Year 1998)
Budget Amount *help
¥3,100,000 (Direct Cost: ¥3,100,000)
Fiscal Year 1998: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 1997: ¥2,000,000 (Direct Cost: ¥2,000,000)
KeywordsLIVER TRANSPLANTATION / PIG / NON-HEART-BEATING DONOR / ENDOTHELIN / TAK-044 / GRAFTVIABILITY / MICROCIRCULATION / グラフト バイアビリティー / 肝虚血障害 / 血小板活性化因子
Research Abstract

Experiment 1> Orthotopic LTx usingpigs were performed. In the donors, cardiac arrest was induced by KCl injection and the liverwas subjected to 90 min of warm isehemia. Thereafter, the liverwas harvested and stored for 4 lx)urs usingcold Euio-Collins solution In the treated group, TAK-044 was administered to both donons and recipients at the dose of 10 mg/kg All the untreated recipient pigs died within 12 hr after operation, whereas all of the treated pigs surviwd more than 4 days (p<0.01). The improved survival seen in the treated group was associated with a reduction in the serum concentrations of GOT and LDH, a restoration of hepatic energy charge, and a suppression in the portal venous pressure. Concentrations of GOT and LDH in the washed out preservation solution at the time of graft rinsing immediately before RPF, were cIosely correlated with the graft outcome, and were significantly lowerin the treated group. <Experiment 2> In the domrs, cardiac arrest was induced by stopping the ventilator. The liver was subjected to 45 min of warm is chemia followed by 8 hr cold preservation using the UW solution TAK-044 was administered only to recipients at the dose of 10 mg/kg Postoperative survival as well as graft function were significantly better in treated group than in the untreated group. Conclusions. The present study suggests that TAK-044 can improve the hepatic allograft function, indicatinga potential for use in cIinical LTx from NHBD.The concentrations of GOT and LDH in the washed out preservation solution may provide an accurate means of evaluating liver allograft viability before LTx

Report

(3 results)
  • 1998 Annual Research Report   Final Research Report Summary
  • 1997 Annual Research Report
  • Research Products

    (21 results)

All Other

All Publications (21 results)

  • [Publications] Takada Y,et al.: "Prelonged hepatic warm tschemia in non-heart-beating donars. Pictective effects of FK506 and a platalet activating fuctos antagonist in percine liver transplantation" Surgery. 123. 692-698 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Takada Y,et al.: "Energy metabolism of hepatic allagrafts subjected to prolonged warm ischemia and its pharmacalagic incdulation." Transplant Proc. 30. 3694-3695 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 高田泰次. 他: "心停止ドナーからの肝移植-動物実験から臨床応用へ-" Organ Biology. 5. 9-14 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 高田泰次. 他: "肝虚血再潅流障害" 移植. 33. 59-72 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Fukunaga K,et al.: "Protacting the vinbility of hepatric allegrafts procured from non-heart-beateng donois by blockade of endothelin and platzlet actrecting factor in porcine lner trmsplantation" Int Surg.83. 226-231 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Fukunaga K,et al.: "Successful liver trnsplantation from non-heart-beating donors by blackade of endothelin and PAF." Transplant Proc.30. 3797 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Takada Y,Taniguchi H,Fukunaga K,Yuzawa K,Otsuka M,Todoroki T,Iijima T,Fukao K: "Hepatic allograft procurement from non-heart beating donors : Limits of warm is chemia in porcine livertransplantation." Transplantation. 63. 369-373 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Takada Y,Taniguchi H,Fukunaga K,Yuzawa K,Otsuka M,Todoroki T,Iijima T,Fukao K.: "Prolonged hepatic warm is chemia in non-heart-beating donors : Protective effects of FK506 and a platelet activating factor antagonist in porcine livertransplantation" Surgery. 123. 692-698 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Fukunaga K,Takada Y,Taniguchi H,Yuzawa K,Otsuka M,Todoroki T,Goto K,Fukao K.: "Protecting the viability of hepatic allografts procured from non-heart-beating donors by blochade of endothelin and platelet activating factor in porcine livertansplantation" Int Surg. 83. 226-231 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Takada Y,Fukunaga K,Taniguchi H,Otsuka M,Todoroki T,Fukao K.: "Effects of endothelin antagonist on hepatic allograft function procured from non-heart-beating donors.In ; Bismuth H,et al (Eds)" Proceeding of 8th World Congress of the International Gastro-Surgical Club.Bologna : Monduzzi Editore. 963-965 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Takada Y,Fukunaga K,Taniguchi H,Yuzawa K,Otsuka M,Fukao K.: "Energy metabolism of hepatic allografts subjected to prolonged warm is chemia and its pharmacologic modulation" Transplant Proc. 30. 3694-5 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Fukunaga K,Takada Y,Taniguchi H,Otsuka M,Goto K,Fukao K.: "Successful livertransplantation from non-heart-beating donors by blockade of endothelin and PAF" Transplant Proc. 30. 3797 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Fukunaga K,Takada Y,Taniguchi H,Mei G,Seino K,Yuzawa K,Otsuka M,Todoroki T,Goto K,Fukao K.: "Endothelin antagonist treatment for successful livertansplantation from non-heart-beating donors" Transplantation. 67. 328-32 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Takada Y,et al.: "Prolonged hepatic warm ischemia in non-heart-beating donors. Protective effects of FK506 and a platelet activating factor antagonist in porcine liver transplantation." Surgery. 123. 692-698 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Takada Y,et al.: "Energy metabolism of hepatic allografts subjected to prolonged warm ischemia and its pharmacologic modulation." Transplant. 30. 3694-3695 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高田泰次,他: "心停止ドナーからの肝移植 -動物実験から臨床応用へ-" Organ Biology. 5. 9-14 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高田泰次,他: "肝虚血再潅流障害" 移植. 33. 59-72 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Fukunaga K,et al.: "Protecting the viability of hepatic allografts procured from non-heart-beating donors by blockade of endothelin and platelet activating factor in porcine liver transplantation." Int Surg. 83. 226-231 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Fukunaga K,et al: "Successful liver transplantation from non-heart-beating donors by blockade of endothelin and PAF." Transplant Proc. 30. 3797 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] TAKADA Y., et al: "Prolonged hepatic warm ischemia in non-heart-beating donors:protective effects of FK506 and a platelet activating factor antagonist in porcine liver transplantation" Surgery. (in press).

    • Related Report
      1997 Annual Research Report
  • [Publications] FUKUNAG K., et al: "Protecting the viability of hepatic allografts procured from non-heart-beating donors by blockade of endothelin and platelet activating factor in porcine liver" International Surgery. (in press).

    • Related Report
      1997 Annual Research Report

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Published: 1997-04-01   Modified: 2016-04-21  

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