Abstract
A high priority in organ transplantation research is to increase the number of hours that an organ can be successfully preserved. Transplant programmes rely on hypothermia and flush solutions to maintain organ viability during the storage period. We studied long-term morphology in lungs stored for 24 or 48 hours using two modified versions of University of Wisconsin solution, one mimicking the extracellular medium and the other the intracellular medium. Four weeks after transplantation, X-ray and angiograms were used to assess the proportion of ventilating tissue, and light and electron microscopy to analyse morphology. Pulmonary tissue presented near-normal histological appearance in well preserved areas while fibrosis and chronic inflammation were found in scarring processes. Electron microscopy studies revealed some damage-related changes in tissue which appeared histologically normal. Four weeks after transplantation, quality and quantity of recovery were uniform for both solutions tested after 24 hours of storage. However, without reaching significance, after 48 hours the quantity of successfully preserved pulmonary tissue was greater in the group stored in the intracellular solution.
Full text
PDF











Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Fujimura S., Handa M., Kondo T., Ichinose T., Shiraishi Y., Nakada T. Successful 48-hour simple hypothermic preservation of canine lung transplants. Transplant Proc. 1987 Feb;19(1 Pt 2):1334–1336. [PubMed] [Google Scholar]
- Hall S. M., Odom N., McGregor C. G., Haworth S. G. Transient ultrastructural injury and repair of pulmonary capillaries in transplanted rat lung: effect of preservation and reperfusion. Am J Respir Cell Mol Biol. 1992 Jul;7(1):49–57. doi: 10.1165/ajrcmb/7.1.49. [DOI] [PubMed] [Google Scholar]
- Hardesty R. L., Griffith B. P. Autoperfusion of the heart and lungs for preservation during distant procurement. J Thorac Cardiovasc Surg. 1987 Jan;93(1):11–18. [PubMed] [Google Scholar]
- Harjula A. L., Mattila S., Järvinen A., Myllärniemi H., Salmenpera M. Endothelial cell damage following crystalloid cardioplegic solution infusion. Scanning electron microscope study of coronary bypass grafts. Arch Surg. 1984 Aug;119(8):946–949. doi: 10.1001/archsurg.1984.01390200064015. [DOI] [PubMed] [Google Scholar]
- Hooper T. L., Jones M. T., Thomson D. S., Cook L., Owen S., Wilkes S., Woodcock A., Webster A. H., Hasleton P., McGregor C. G. Hypertonic citrate solution as an alternative to modified Euro-Collins' solution for lung preservation. Transplantation. 1991 May;51(5):1043–1048. doi: 10.1097/00007890-199105000-00022. [DOI] [PubMed] [Google Scholar]
- Jamieson N. V., Sundberg R., Lindell S., Claesson K., Moen J., Vreugdenhil P. K., Wight D. G., Southard J. H., Belzer F. O. Preservation of the canine liver for 24-48 hours using simple cold storage with UW solution. Transplantation. 1988 Oct;46(4):517–522. doi: 10.1097/00007890-198810000-00010. [DOI] [PubMed] [Google Scholar]
- Kawahara K., Ikari H., Hisano H., Takahashi T., Honshou S., Ayabe H., Tomita M. Twenty-four-hour canine lung preservation using UW solution. Transplantation. 1991 Mar;51(3):584–587. doi: 10.1097/00007890-199103000-00008. [DOI] [PubMed] [Google Scholar]
- Keshavjee S. H., Yamazaki F., Cardoso P. F., McRitchie D. I., Patterson G. A., Cooper J. D. A method for safe twelve-hour pulmonary preservation. J Thorac Cardiovasc Surg. 1989 Oct;98(4):529–534. [PubMed] [Google Scholar]
- Kimblad P. O., Sjöberg T., Massa G., Solem J. O., Steen S. High potassium contents in organ preservation solutions cause strong pulmonary vasocontraction. Ann Thorac Surg. 1991 Sep;52(3):523–528. doi: 10.1016/0003-4975(91)90917-f. [DOI] [PubMed] [Google Scholar]
- Locke T. J., Hooper T. L., Flecknell P. A., McGregor C. G. Preservation of the lung: comparison of flush perfusion with cold modified blood and core cooling by cardiopulmonary bypass. J Heart Lung Transplant. 1991 Jan-Feb;10(1 Pt 1):1–8. [PubMed] [Google Scholar]
- Moen J., Claesson K., Pienaar H., Lindell S., Ploeg R. J., McAnulty J. F., Vreugdenhil P., Southard J. H., Belzer F. O. Preservation of dog liver, kidney, and pancreas using the Belzer-UW solution with a high-sodium and low-potassium content. Transplantation. 1989 Jun;47(6):940–945. doi: 10.1097/00007890-198906000-00004. [DOI] [PubMed] [Google Scholar]
- Oka T., Puskas J. D., Mayer E., Cardoso P. F., Shi S. Q., Wisser W., Slutsky A. S., Patterson G. A. Low-potassium UW solution for lung preservation. Comparison with regular UW, LPD, and Euro-Collins solutions. Transplantation. 1991 Dec;52(6):984–988. doi: 10.1097/00007890-199112000-00009. [DOI] [PubMed] [Google Scholar]
- Okouchi Y., Tamaki T., Kozaki M. A comparison of initial flushing solutions in liver preservation. Transplantation. 1992 Sep;54(3):560–561. doi: 10.1097/00007890-199209000-00035. [DOI] [PubMed] [Google Scholar]
- Patterson G. A., Cooper J. D., Dark J. H., Jones M. T. Experimental and clinical double lung transplantation. J Thorac Cardiovasc Surg. 1988 Jan;95(1):70–74. [PubMed] [Google Scholar]
- Pickford M. A., Gower J. D., Simpkin S., Sampson M., Green C. J. Function of single rat lung isografts after 48-hour cold storage. The effect of treatment with free radical antagonists and prostacyclin PGI2. Transplantation. 1991 Apr;51(4):743–749. doi: 10.1097/00007890-199104000-00001. [DOI] [PubMed] [Google Scholar]
- Pickford M. A., Green C. J., Sarathchandra P., Fryer P. R. Ultrastructural changes in rat lungs after 48 h cold storage with and without reperfusion. Int J Exp Pathol. 1990 Aug;71(4):513–528. [PMC free article] [PubMed] [Google Scholar]
- Pillai R., Fraser C., Bando K., Brawn J., Reitz B., Baumgartner W. Core cooling remains the most effective technique of extended heart-lung (HL) preservation: further experimental evidence. Transplant Proc. 1990 Apr;22(2):551–552. [PubMed] [Google Scholar]
- Solberg S., Larsen T., Jørgensen L., Sørlie D. Cold induced endothelial cell detachment in human saphenous vein grafts. J Cardiovasc Surg (Torino) 1987 Sep-Oct;28(5):571–575. [PubMed] [Google Scholar]
- Taylor A. E. Pulmonary edema: ischemia reperfusion endothelial injury and its reversal by c-AMP. Proc Natl Sci Counc Repub China B. 1991 Jul;15(3):191–195. [PubMed] [Google Scholar]
- Toledo-Pereyra L. H., Condie R. M. Lung transplantation. Hypothermic storage for 24 hours in a colloid hyperosmolar solution. J Thorac Cardiovasc Surg. 1978 Dec;76(6):846–852. [PubMed] [Google Scholar]
- Wheeldon D. Thoracic organ preservation. Perfusion. 1991;6(3):191–202. doi: 10.1177/026765919100600308. [DOI] [PubMed] [Google Scholar]
- Yamazaki F., Yokomise H., Keshavjee S. H., Miyoshi S., Cardoso P. F., Slutsky A. S., Patterson G. A. The superiority of an extracellular fluid solution over Euro-Collins' solution for pulmonary preservation. Transplantation. 1990 Apr;49(4):690–694. doi: 10.1097/00007890-199004000-00007. [DOI] [PubMed] [Google Scholar]







