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The role of oxygen free radicals in organ preservation

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Summary

There is controversy over the role of oxygen free radical-induced damage in preserved organs following reperfusion. Furthermore, there has been no definative study that shows a dramatic improvement in organ functions, delayed graft functions, or improved longeviety in organ transplants with oxygen free radical scavenger therapy. However, the presence of glutathione in a new organ preservation solution (University of Wisconsin, UW, solution) yields improved preservation of the liver and heart. The beneficial effect of glutathione may involve in scavenging of cytotoxic products of oxygen metabolism. The results discussed here show that glutathione improves liver preservation. Also, it is shown that glycine, an amino acid component of glutathione, can also give cytoprotection to the rabbit and dog liver tested by either isolated perfusion or orthotopic transplantation. Thus, there may be an involvement of oxygen free radicals in damage to organs hypothermically preserved and transplanted. The injury my occur within the cells or may be due to oxygen free radicals generated in the extracellular environment.

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Abbreviations

UW solution:

University of Wisconsin solution

AST:

amino acid transferase

LDH:

Lactate dehydrogenase

GSH:

glutathione

References

  1. Canavesse C, Stratta P, Vercellone A (1980) The case for oxygen free radicals in the pathogenesis of ischemic acute renal failure. Nephron 49:9–15

    Google Scholar 

  2. McCord JM (1985) Oxygen derived free-radicals in postischemic tissue injury. N Engl J Med 312:159–163

    Google Scholar 

  3. Adkison D, Hollwarth ME, Benoit JN, Parks DA, Granger DN (1986) Role of free radicals in ischemia-reperfusion injury to the liver. Acta Physiol Scand 548:101–109

    Google Scholar 

  4. Koyama I, Bulkely GB, Williams GM, Im M (1985) The role of oxygen free radicals in mediating the reperfusion injury of cold-preserved ischaemic kidneys. Transplantation 40:590–595

    Google Scholar 

  5. Marubayashi S, Dohi K, Sumimoto K, Sugino K, Ochi K, Kawaskai T (1988) Role of free radicals in ischemic rat liver preservation: Prevention of damage by Vitamin E, coQ 10, or reduced glutathione administration. Transplant Proc 20:974–975

    Google Scholar 

  6. Winchell RJ, Halasz NA (1989) Lack of effect of oxygenradical scavenging systems in the preserved reperfused rabbit kidney. Transplantation 48:393–396

    Google Scholar 

  7. Ploeg RJ, Vreugdenhil P, Goossens D, McAnulty JF, Southard JH, Belzer FO (1988) Effect of pharmacological agents on the function of hypothermically perfused dog kidney during normothermic reperfusion. Surgery 103:676–683

    Google Scholar 

  8. Jamieson NV, Lindell S, Sundberg R, Southard JH, Belzer FO (1989) Evaluation of simplified variants of the UW solution using the isolated perfused rabbit liver. Transplant Proc 21:1294–1295

    Google Scholar 

  9. Jamieson NV, Sundberg R, Lindell S, Southard JH, Belzer FO (1988) An analysis of the components of the UW solution using the isolated perfused rabbit liver model. Transplantation 46:512–516

    Google Scholar 

  10. Jamieson NV, Sundberg R, Lindell S, Claesson K, Moen J, Vreugdenhil PK, Wight DGD, Southard JH, Belzer FO (1988) Preservation of the canine liver for 24–48 h using simple cold storage with UW solution. Transplantation 46:517–522

    Google Scholar 

  11. Den Butter B, Lindell SL, Marsh DC, Southard JH, Belzer FO (1991) Effects of amino acids in reperfusion of the liver following preservation. Transplant Proc (in press)

  12. Boudjema K, van Gulik TM, Lindell SL, Vreugdenhil PK, Southard JH, Belzer FO (1990) Effect of oxidized and reduced glutathione in liver preservation. Transplantation 50:948–951

    Google Scholar 

  13. Marsh DC, Hjelmhaug JA, Vreugdenhil PK, Belzer FO, Southard JH (1991) Glycine prevention of cold ischemic injury in isolated hepatocytes. Cryobiology 28:105–109

    Google Scholar 

  14. Vreugdenhil PK, Belzer FO, Southard JH (1991) Effect of cold storage on tissue and cellular glutathione. Cryobiology 28:143–149

    Google Scholar 

  15. Scaduto RC Jr, Gattone VH, Grotyohann LW, Wertz J, Martin LF (1988) Effect of altered glutathione content on renal ischemic injury. Am J Physiol 255:F911-F921

    Google Scholar 

  16. Anundi I, Hogberg J, Stead AH (1979) Glutathione depletion is isolated hepatocytes: its relation to the lipid peroxidation and cell damage. Actra Pharmacol Toxicol 45:45–51

    Google Scholar 

  17. Biguzas M, Jablonski P, Howden BO, Thomas AC, Walls K, Scott DF, Marshall VC (1990) Evaluation of UW solution in rat kidney preservation. II. The effect of pharmacological additives. Transplantation 49:1051–1056

    Google Scholar 

  18. Yu W, Coddington D, Bitter-Suermann H (1990) Rat liver preservation: I. The components of UW solution that are essential to its success. Transplantation 49:1060–1065

    Google Scholar 

  19. Astier A, Paul M (1989) Instability of reduced glutathione in commercial Belzer cold storage solution. Lancet 2:556

    Google Scholar 

  20. Marsh DC, Hjelmhaug JA, Vreugdenhil PK, Kerr JA, Rice MJ, Belzer FO, Southard JH (1991) Hypothermic preservation of hepatocytes III. Effects of resuspension media on viability after up to 7 days of storage. Hepatology 13:500–508

    Google Scholar 

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Supported by NIH grant 35143

Manuscripts published in this issue were the matter of a Symposium held at the University of Ulm, April 24–27, 1991

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Southard, J.H., den Butter, B., Marsh, D.C. et al. The role of oxygen free radicals in organ preservation. Klin Wochenschr 69, 1073–1076 (1991). https://doi.org/10.1007/BF01645161

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