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Experimental study to repair non-heart beating donor lung using ex-vivo lung perfusion for clinical application

Research Project

Project/Area Number 23390333
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Thoracic surgery
Research InstitutionKyoto University

Principal Investigator

DATE Hiroshi  京都大学, 医学(系)研究科(研究院), 教授 (60252962)

Co-Investigator(Kenkyū-buntansha) 小池 薫  京都大学, 医学(系)研究科 (10267164)
板東 徹  京都大学, 医学(系)研究科 (20293954)
阪井 宏彰  京都大学, 医学(系)研究科 (50362489)
陳 豊史  京都大学, 医学(系)研究科 (00452334)
佐藤 寿彦  京都大学, 医学(系)研究科 (40388822)
庄司 剛  京都大学, 医学研究科, 助教 (80402840)
藤永 卓司  京都大学, 医学研究科, 助教 (00444456)
Project Period (FY) 2011-04-01 – 2014-03-31
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥18,980,000 (Direct Cost: ¥14,600,000、Indirect Cost: ¥4,380,000)
Fiscal Year 2013: ¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2012: ¥6,760,000 (Direct Cost: ¥5,200,000、Indirect Cost: ¥1,560,000)
Fiscal Year 2011: ¥8,320,000 (Direct Cost: ¥6,400,000、Indirect Cost: ¥1,920,000)
Keywords心停止ドナー肺 / 肺移植 / EVLP / 心臓死ドナー / 障害肺 / 心停止ドナー / 肺灌流 / 低温EVLP / 冷保存 / 肺潅流
Research Abstract

One of the main obstacles in performing cadaveric lung transplantation from brain dead donor is shortage of available donor, especially in Japan. The purpose of this experimental animal study was to establish a clinically applicable method for lung transplantation utilizing non-heart-beating donors. The donor lungs obtained after cardiac arrest without heparinization were repaired by ex-vivo lung perfusion (EVLP) and were implanted to the recipient animal. Three experimental studies were conducted during 2011-13. 1) EVLP provided better lung preservation than cold static preservation using a canine left lung transplantation model in 2011. 2) Hypothermic EVLP repaired warm ischemic lung injury in a rat perfusion model in 2012. 3) Short term hypothermic EVLP repaired warm ischemic lung injury in a canine left lung transplantation model in 2013.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Annual Research Report
  • 2011 Annual Research Report
  • Research Products

    (20 results)

All 2014 2013 2012 2011 Other

All Journal Article (14 results) (of which Peer Reviewed: 9 results) Presentation (5 results) Remarks (1 results)

  • [Journal Article] Prognostic factors for patients in postoperative brain metastases from surgically resected non-small cell lung cancer.2014

    • Author(s)
      Sakamoto J, Sonobe M, Kobayashi M, Ishikawa M, Kikuchi R, Nakajima D, Yamada T, Nakayama E, Takahashi T, Sato T, Chen F, Bando T, Date H.
    • Journal Title

      Int J Clin Oncol

      Volume: 19 Pages: 50-6

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Protective effect of surfactant inhalation against warm ischemic injury in an isolated rat lung ventilation model2013

    • Author(s)
      Ohsumi A, Chen F, Sakamoto J, Nakajima D, Kobayashi M, Bando T, Date H
    • Journal Title

      PLoS One

      Volume: 8(8) Issue: 8 Pages: e72574-e72574

    • DOI

      10.1371/journal.pone.0072574

    • NAID

      120005324900

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Protective effect of plasmin in marginal donor lungs in an ex vivo lung perfusion model2013

    • Author(s)
      Motoyama H, Chen F, Ohsumi A, Hijiya K, Okita K, Nakajima D, Sakamoto J, Yamada T, Sato M, Aoyama A, Bando T, Date H
    • Journal Title

      J Heart Lung Transplant

      Volume: 32(5) Issue: 5 Pages: 505-10

    • DOI

      10.1016/j.healun.2013.02.007

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Incidence and pattern of hemolytic anemia after minor ABO-mismatch living-donor lobar lung transplantation.2013

    • Author(s)
      Ohsumi A, Chen F, Yurugi K, Maekawa T, Shoji T, Sato M, Aoyama A, Bando T, Date H.
    • Journal Title

      Surg Today

      Volume: 43 Pages: 1250-3

    • NAID

      120005526704

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Adaptation over a wide range of donor graft lung size discrepancies in living-donor lobar lung transplantation.2013

    • Author(s)
      Chen F, Kubo T, Yamada T, sato M, Aoyama A, Bando T, Date H.
    • Journal Title

      Am J Transplant

      Volume: 13 Pages: 1336-42

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Postoperative respiratory management in living-donor lobar lung transplantation.2013

    • Author(s)
      Chen F, Chin K, Sato M, Aoyama A, Murase k, Azuma M, Bando T, Date H.
    • Journal Title

      Clin Transplant.

      Volume: 27

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Protective effect of surfactant inhalation against warm ischemic injury in an isolated rat lung ventilation model.2013

    • Author(s)
      Ohsumi A, Chen F, Sakamoto J, Nakajima D, Kobayashi M, Bando T, Date H.
    • Journal Title

      J Heart Lung Transplant

      Volume: 32 Pages: 505-10

    • NAID

      120005324900

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Reconditioning lungs donated after cardiac death using short-term hypothermic machine perfusion2012

    • Author(s)
      Nakajima D, Chen F, Okita K, Motoyama H, Hijiya K, Ohsumi A, Sakamoto J, Yamada T, Sato M, Aoyama A, Bando T, Date H
    • Journal Title

      Transplantation 2012

      Volume: 94(10) Issue: 10 Pages: 999-1004

    • DOI

      10.1097/tp.0b013e31826f632e

    • NAID

      120005398546

    • Related Report
      2013 Final Research Report 2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Therapeutic Effect of Surfactant Inhalation during Warm Ischemia in an Isolated Rat Lung Perfusion Model2012

    • Author(s)
      Ohsumi A, Chen F, Nakajima D, Sakamoto J, Yamada T, Fujinaga T, Shoji T, Sakai H, Bando T, Date H
    • Journal Title

      Transpl Int

      Volume: 25(10) Issue: 10 Pages: 1096-105

    • DOI

      10.1111/j.1432-2277.2012.01532.x

    • Related Report
      2013 Final Research Report
  • [Journal Article] The effect of beta-2 adrenoreceptor agonist inhalation on lungs donated after cardiac death in a canine lung transplantation model2012

    • Author(s)
      Sakamoto J, Chen F, Nakajima D, Yamada T, Ohsumi A, Zhao X, Sakai H, Bando T, Date H
    • Journal Title

      J Heart Lung Transplant

      Volume: 31(7) Pages: 773-9

    • Related Report
      2013 Final Research Report
  • [Journal Article] Reconditioning of The Lungs from Non-Heart-Beating Donors with Normothermic Ex Vivo Lung Perfusion2012

    • Author(s)
      Nakajima D, Chen F, Yamada T, Sakamoto J, Ohsumi A, Bando T, Date H
    • Journal Title

      J Heart Lung Transplant

      Volume: 31(2) Pages: 187-93

    • Related Report
      2013 Final Research Report
  • [Journal Article] Reconditioning of lungs donated after circulatory death with normothermic ex vivo lung perfusion2012

    • Author(s)
      Nakajima D, et al
    • Journal Title

      The Journal of Heart and Lung Transplantation

      Volume: 31 Issue: 2 Pages: 187-93

    • DOI

      10.1016/j.healun.2011.11.007

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effect of pre-procurement ventilation on lungs donated after cardiac death in a canine lung transplantation model2011

    • Author(s)
      Sakamoto J, Chen F, Yamada T, Nakajima D, Ohsumi A, Kikuchi R, Zhao X, Fujinaga T, Shoji T, Sakai H, Bando T, Date H
    • Journal Title

      Transplantation

      Volume: 92(8) Pages: 864-70

    • NAID

      120004995874

    • Related Report
      2013 Final Research Report
  • [Journal Article] Hypothermic machine perfusion ameliorates ischemia-reperfusion injury in rat lungs from non-heart-beating donors2011

    • Author(s)
      Nakajima D, Chen F, Yamada T, Sakamoto J, Osumi A, Fujinaga T, Shoji T, Sakai H, Bando T, Date H
    • Journal Title

      Transplantation

      Volume: 92(8) Pages: 858-63

    • Related Report
      2013 Final Research Report
  • [Presentation] Reconditioning of lungs donated after cardiac deathwith short-term hypothermic machine perfusion2012

    • Author(s)
      Nakajima D, Chen F, Okita K, Motoyama H, Hijiya K, Ohsumi A, Sakamoto J, Yamada T, Sato M, Aoyama A, Bando T, Date H
    • Organizer
      CO10.02 XXIV International Congress of The Transplantation Society Berlin
    • Place of Presentation
      Germany
    • Related Report
      2013 Final Research Report
  • [Presentation] Protective effect of plasmin for the non-heparinized donor lungs after cardiac death2012

    • Author(s)
      Motoyama H, Chen F, Ohsumi A, Hijiya K, Okita K, Nakajima D, Sakamoto J, Yamada T, Sato M, Aoyama A, Bando T, Date H
    • Organizer
      PO10.36 XXIV International Congress of The Transplantation Society Berlin
    • Place of Presentation
      Germany
    • Related Report
      2013 Final Research Report
  • [Presentation] Prophylactic Surfactant Inhalation Attenuates Warm Ischemic Injury in Rat Lungs from Donation after Cardiac Death Donors2012

    • Author(s)
      Ohsumi A, Chen F, Nakajima D, Sakamoto J, Kobayashi M, Yamada T, Fujinaga T, Shoji T, Sakai H, Bando T, Date H
    • Organizer
      CO33.08 XXIV International Congress of The Transplantation Society Berlin
    • Place of Presentation
      Germany
    • Related Report
      2013 Final Research Report
  • [Presentation] Beta2-ADRENORECEPTOR AGONIST INHALATION AMELIORATES ISCHEMIA REPERFUSION INJURY FOLLOWING LUNG TRANSPLANTATION FROM NON-HEART-BEATING DONORS IN A CANINE MODEL. PB 5-22011

    • Author(s)
      Jin Sakamoto, Fengshi Chen, Daisuke Nakajima, Tetsu Yamada, Akihiro Ohsumi, Takuji Fujinaga, Tsuyoshi Shoji, Hiroaki Sakai, Toru Bando, Hiroshi Date
    • Organizer
      The 12th Congress of the Asian Society of Transplantation
    • Place of Presentation
      Seoul
    • Related Report
      2013 Final Research Report
  • [Presentation] Prophylactic surfactant inhalation ameliorates ischemia-reperfusion injury in rat lungs from donation after cardiac death donors. OB 5-32011

    • Author(s)
      Akihiro Ohsumi, Fengshi Chen, Daisuke Nakajima, Jin Sakamoto, Tetsu Yamada, Takuji Fujinaga, Tsuyoshi Shoji, Hiroaki Sakai, Toru Bando, Hiroshi Date
    • Organizer
      The 12th Congress of the Asian Society of Transplantation
    • Place of Presentation
      Seoul
    • Related Report
      2013 Final Research Report
  • [Remarks]

    • URL

      http://www.thoracic-kyoto-u.gr.jp/

    • Related Report
      2011 Annual Research Report

URL: 

Published: 2011-04-06   Modified: 2019-07-29  

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