Abstract
We investigated the clinical posttransplant effect of allopurinol on preserved kidneys. Thirty-four paired kidneys from brain-dead cadavers were preserved by hypothermic pulsatile perfusion with silica gel fraction in separate cassettes. Allopurinol was added to one perfusate and omitted from the other in a randomized, double-blind, prospective plan. There was no difference in the short-term or long-term function of either group of kidneys. Allopurinol does not appear to have as consistent a beneficial effect on non-ischemically damaged human kidneys as that observed experimentally on ischemically damaged canine organs.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Amos D. B., Bashir H., Boyle W., MacQueen M., Tiilikainen A. A simple micro cytotoxicity test. Transplantation. 1969 Mar;7(3):220–223. doi: 10.1097/00007890-196903000-00023. [DOI] [PubMed] [Google Scholar]
- Belzer F. O. Renal preservation. N Engl J Med. 1974 Aug 22;291(8):402–404. doi: 10.1056/NEJM197408222910806. [DOI] [PubMed] [Google Scholar]
- Chatterjee S. N., Berne T. V. Use of cellular membrane stabilizers to prevent ischemic damage to the kidneys. Surg Forum. 1975;26:335–336. [PubMed] [Google Scholar]
- Claes G., Aurell M., Blohmé I., Pettersson S. Experimental and clinical results of continuous hypothermic albumin perfusion. Proc Eur Dial Transplant Assoc. 1972;9:484–490. [PubMed] [Google Scholar]
- Clark E. A., Opelz G., Mickey M. R., Terasaki P. I. Evaluation of Belzer and Collins kidney-preservation methods. Lancet. 1973 Feb 17;1(7799):361–364. doi: 10.1016/s0140-6736(73)90142-6. [DOI] [PubMed] [Google Scholar]
- DeWall R. A., Vasko K. A., Stanley E. L., Kezdi P. Responses of the ischemic myocardium to allopurinol. Am Heart J. 1971 Sep;82(3):362–370. doi: 10.1016/0002-8703(71)90302-4. [DOI] [PubMed] [Google Scholar]
- Elion G. B. Enzymatic and metabolic studies with allopurinol. Ann Rheum Dis. 1966 Nov;25(6 Suppl):608–614. doi: 10.1136/ard.25.suppl_6.608. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Keaveny T. V., Cunningham S. K., FitzGerald P. Proceedings: the effect of allopurinol in sparing ATP, ADP, and AMP in anoxic kidneys. Br J Surg. 1973 Nov;60(11):907–907. [PubMed] [Google Scholar]
- Lindsay W. G., Toledo-Pereyra L. H., Foker J. E., Varco R. L. Metabolic myocardial protection with allopurinol during cardiopulmonary bypass and aortic cross-clamping. Surg Forum. 1975;26:259–260. [PubMed] [Google Scholar]
- MERRELL M., SHULMAN L. E. Determination of prognosis in chronic disease, illustrated by systemic lupus erythematosus. J Chronic Dis. 1955 Jan;1(1):12–32. doi: 10.1016/0021-9681(55)90018-7. [DOI] [PubMed] [Google Scholar]
- Miller H. C., Alexander J. W., Smith E. J. Evaluation of kidney-preservation methods. Lancet. 1973 Apr 21;1(7808):880–881. doi: 10.1016/s0140-6736(73)91443-8. [DOI] [PubMed] [Google Scholar]
- Moberg A. W., Mozes M. F., Campos R. A., Santiago E. A., Najarian J. S. Simplification of organ preservation techniques: experimental and clinical experience. Transplant Proc. 1972 Dec;4(4):611–615. [PubMed] [Google Scholar]
- Murdock M. I., Cho S. I. The lack of beneficial effect of allopurinol on renal preservation. Transplantation. 1975 Apr;19(4):353–354. doi: 10.1097/00007890-197504000-00012. [DOI] [PubMed] [Google Scholar]
- Owens M. L., Lazarus H. M., Wolcott M. W., Maxwell J. G., Taylor J. B. Allopurinol and hypoxanthine pretreatment of canine kidney donors. Transplantation. 1974 Apr;17(4):424–427. doi: 10.1097/00007890-197404000-00015. [DOI] [PubMed] [Google Scholar]
- Toledo-Pereyra L. H., Condie R. M., Malmberg R., Simmons R. L., Najarian J. S. A fibrinogen-free plasma perfusate for preservation of kidneys for one hundred and twenty hours. Surg Gynecol Obstet. 1974 Jun;138(6):901–905. [PubMed] [Google Scholar]
- Toledo-Pereyra L. H., Condie R. M., Malmberg R., Simmons R. L., Najarian J. S. Long-term kidney preservation with a new plasma perfusate. Proc Clin Dial Transplant Forum. 1973;3:88–91. [PubMed] [Google Scholar]
- Toledo-Pereyra L. H., Najarian J. S. Effective treatment of severely damaged kidneys prior to transplantation. I. Preliminary results. Transplantation. 1973 Jul;16(1):79–80. doi: 10.1097/00007890-197307000-00020. [DOI] [PubMed] [Google Scholar]
- Toledo-Pereyra L. H., Simmons R. L., Najarian J. S. Comparative effects of chlorpromazine, methylprednisolone, and allopurinol during small bowel preservation. Am J Surg. 1973 Nov;126(5):631–634. doi: 10.1016/s0002-9610(73)80011-x. [DOI] [PubMed] [Google Scholar]
- Toledo-Pereyra L. H., Simmons R. L., Najarian J. S. Effect of allopurinol on the preservation of ischemic kidneys perfused with plasma or plasma substitutes. Ann Surg. 1974 Nov;180(5):780–782. doi: 10.1097/00000658-197411000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Vasko K. A., DeWall R. A., Riley A. M. Effect of allopurinol in renal ischemia. Surgery. 1972 May;71(5):787–790. [PubMed] [Google Scholar]