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Flow distribution during infusion of UW and HTK solution in anaesthetised rats

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Abstract

Purpose

Organ transplantation necessitates the use of preservation solutions to maintain the integrity of the organs during retrieval. The aim of this study was to investigate the flow distribution in abdominal organs in rats during acute infusion of preservation solution.

Methods

Microspheres were used to estimate the distribution of flow in the pancreas, duodenum, ileum, colon, liver, kidneys and lungs in untreated Wistar–Furth rats and in animals with an opened abdominal cavity and catheterised aorta. Some animals were infused by free flow of 5 ml of UW, HTK or Ringer solution containing microspheres at a pressure of 100 cm H2O through an intra-aortic catheter.

Results

Opening of the abdominal cavity did not affect any of the organ blood flow values. However, the fraction of total pancreatic blood flow diverted through the islets increased. During infusion of microsphere-containing UW, HTK or Ringer solution, splanchnic and renal organ flow values, represented by microsphere contents, were similar. The fraction of microspheres found in the islets was lower in UW-infused rats. The number of microspheres present in the lungs or liver was very low, suggesting that shunting was negligible.

Conclusions

Infusion of HTK and UW solution into anaesthetised rats results in a flow distribution which is similar to that in normal animals in most abdominal organs, but there is a reduction in islet blood perfusion by UW but not HTK solution.

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References

  1. D’Alessandro AM, Southard JH, Love RB, Belzer FO (1994) Organ preservation. Surg Clin North Am 74:1083–1095

    PubMed  Google Scholar 

  2. St Peter SD, Imber CJ, Friend PJ (2002) Liver and kidney preservation by perfusion. Lancet 359:604–613

    Article  PubMed  Google Scholar 

  3. Wilson CH, Brook NR, Talbot D (2006) Preservation solutions for solid organ transplantation. Mini Rev Med Chem 6:1081–1090

    Article  PubMed  CAS  Google Scholar 

  4. Maathuis MH, Leuvenink HG, Ploeg RJ (2007) Perspectives in organ preservation. Transplantation 83:1289–1298

    Article  PubMed  Google Scholar 

  5. Southard JH, Belzer FO (1995) Organ preservation. Annu Rev Med 46:235–247

    Article  PubMed  CAS  Google Scholar 

  6. Bilzer M, Gerbes AL (2000) Preservation injury of the liver: mechanisms and novel therapeutic strategies. J Hepatol 32:508–515

    Article  PubMed  CAS  Google Scholar 

  7. Bretschneider HJ (1980) Myocardial protection. Thorac Cardiovasc Surg 28:295–302

    Article  PubMed  Google Scholar 

  8. Fridell JA, Mangus RS, Tector AJ (2009) Clinical experience with histidine–tryptophan–ketoglutarate solution in abdominal organ preservation: a review of recent literature. Clin Transplant 23:305–312

    Article  PubMed  Google Scholar 

  9. Brunicardi FC, Stagner J, Bonner-Weir S et al (1996) Microcirculation of the islets of Langerhans. Long Beach Veterans Administration Regional Medical Education Center Symposium. Diabetes 45:385–392

    PubMed  CAS  Google Scholar 

  10. Jansson L (1994) The regulation of pancreatic islet blood flow. Diabetes Metab Rev 10:407–416

    Article  PubMed  CAS  Google Scholar 

  11. Jindal R, Gray D (1994) Preservation and storage of pancreatic islets. Transplantation 57:317–321

    Article  PubMed  CAS  Google Scholar 

  12. Clayton HA, London NJ (1996) Survival and function of islets during culture. Cell Transplant 5:1–12, discussion 13–17, 19

    Article  PubMed  CAS  Google Scholar 

  13. Iwanaga Y, Sutherland DE, Harmon JV, Papas KK (2008) Pancreas preservation for pancreas and islet transplantation. Curr Opin Organ Transplant 13:445–451

    Article  PubMed  Google Scholar 

  14. Morrison CP, Wemyss-Holden SA, Dennison AR, Maddern GJ (2002) Islet yield remains a problem in islet autotransplantation. Arch Surg 137:80–83

    Article  PubMed  Google Scholar 

  15. Boker A, Rothenberg L, Hernandez C, Kenyon NS, Ricordi C, Alejandro R (2001) Human islet transplantation: update. World J Surg 25:481–486

    Article  PubMed  CAS  Google Scholar 

  16. Carlsson PO, Källskog Ö, Bodin B, Andersson A, Jansson L (2002) Multiple injections of coloured microspheres for islet blood flow measurements in anaesthetised rats: influence of microsphere size. Ups J Med Sci 107:111–120

    Article  PubMed  Google Scholar 

  17. Jansson L, Hellerström C (1981) A rapid method of visualizing the pancreatic islets for studies of islet capillary blood flow using non-radioactive microspheres. Acta Physiol Scand 113:371–374

    Article  PubMed  CAS  Google Scholar 

  18. LoCicero J 3rd, Massad M, Matano J, Greene R, Dunn M, Michaelis LL (1991) Contribution of the bronchial circulation to lung preservation. J Thorac Cardiovasc Surg 101:807–814, discussion 814–805

    PubMed  Google Scholar 

  19. Bitu-Moreno J, Francischetti I, Siemer R et al (1999) Influence of different routes of flush perfusion on the distribution of lung preservation solutions in parenchyma and airways. Eur J Cardiothorac Surg 15:481–489

    Article  PubMed  CAS  Google Scholar 

  20. Sasaki S, McCully JD, Alessandrini F, LoCicero J 3rd (1995) Impact of initial flush potassium concentration on the adequacy of lung preservation. J Thorac Cardiovasc Surg 109:1090–1095, discussion 1095–1096

    Article  PubMed  CAS  Google Scholar 

  21. Brinkmann M, Borgermann J, Splittgerber FH et al (2002) Pulmonary blood flow is inhomogeneously reduced after Euro Collins-preservation and lung transplantation. Ann Thorac Surg 73:226–232

    Article  PubMed  Google Scholar 

  22. Unruh H (1993) Pulmonary endothelial cell function after modified Eurocollins solution infusion. J Heart Lung Transplant 12:700–705

    PubMed  CAS  Google Scholar 

  23. Svensson AM, Östenson CG, Sandler S, Efendic S, Jansson L (1994) Inhibition of nitric oxide synthase by NG-nitro-L-arginine causes a preferential decrease in pancreatic islet blood flow in normal rats and spontaneously diabetic GK rats. Endocrinology 135:849–853

    Article  PubMed  CAS  Google Scholar 

  24. Carlsson PO, Sandler S, Jansson L (1998) Pancreatic islet blood perfusion in the nonobese diabetic mouse: diabetes-prone female mice exhibit a higher blood flow compared with male mice in the prediabetic phase. Endocrinology 139:3534–3541

    Article  PubMed  CAS  Google Scholar 

  25. Uhlmann D, Armann B, Ludwig S et al (2002) Comparison of Celsior and UW solution in experimental pancreas preservation. J Surg Res 105:173–180

    Article  PubMed  CAS  Google Scholar 

  26. Garcia-Valdecasas JC, Fondevila C (2010) In-vivo normothermic recirculation: an update. Curr Opin Organ Transplant 15:173–176

    Article  PubMed  Google Scholar 

  27. Jansson L, Kullin M, Karlsson FA, Bodin B, Hansen JB, Sandler S (2003) K(ATP) channels and pancreatic islet blood flow in anesthetized rats: increased blood flow induced by potassium channel openers. Diabetes 52:2043–2048

    Article  PubMed  CAS  Google Scholar 

  28. Karlsson FA, Björk E (1997) Beta-cell rest: a strategy for the prevention of autoimmune diabetes. Autoimmunity 26:117–122

    Article  PubMed  CAS  Google Scholar 

  29. Benz S, Pfeffer F, Adam U, Schareck W, Hopt UT (1998) Impairment of pancreatic microcirculation in the early reperfusion period during simultaneous pancreas–kidney transplantation. Transpl Int 11(Suppl 1):S433–S435

    PubMed  Google Scholar 

  30. Shimizu H, Miyazaki M, Ito H, Nakagawa K, Ambiru S, Nakajima N (1996) Evaluation of early graft function by hepatic venous hemoglobin oxygen saturation following orthotopic liver transplantation in the rat. Transplantation 62:1499–1501

    Article  PubMed  CAS  Google Scholar 

  31. Wahlberg JA, Southard JH, Belzer FO (1986) Development of a cold storage solution for pancreas preservation. Cryobiology 23:477–482

    Article  PubMed  CAS  Google Scholar 

  32. Leonhardt U, Barthel M, Tytko A et al (1990) Effect of three protective solutions on vascular resistance of the perfused porcine pancreas. Transplant Proc 22:720–723

    PubMed  CAS  Google Scholar 

  33. Leonhardt U, Tytko A, Exner B et al (1993) The effect of different solutions for organ preservation on immediate postischemic pancreatic function in vitro. Transplantation 55:11–14

    Article  PubMed  CAS  Google Scholar 

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Acknowledgements

The skilled technical assistance of Astrid Nordin is gratefully acknowledged. Financial support was received from the Juvenile Diabetes Research Foundation, the Swedish Research Council (72X-109, 72XD-15043), the Swedish Diabetes Association, Barndiabetesfonden, the NOVO Nordic Research Fund and the Family Ernfors Fund.

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Correspondence to Leif Jansson.

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Author contributions

Leif Jansson: study conception and design; acquisition of data; analysis and interpretation of data; drafting of the manuscript

Per-Ola Carlsson: analysis and interpretation of data; critical revision of the manuscript

Birgitta Bodin: acquisition of data

Örjan Källskog: study conception and design; analysis and interpretation of data; critical revision of the manuscript

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Jansson, L., Carlsson, PO., Bodin, B. et al. Flow distribution during infusion of UW and HTK solution in anaesthetised rats. Langenbecks Arch Surg 396, 677–683 (2011). https://doi.org/10.1007/s00423-011-0747-1

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  • DOI: https://doi.org/10.1007/s00423-011-0747-1

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