Effects of brain death and hemodynamic status on function and immunologic activation of the potential donor liver in the ratvan der Hoeven, JAB., Ter Horst, GJ., Molema, G., de Vos, P., Girbes, ARJ., Postema, F., Freund, RL., Wiersema, J., van Schilfgaarde, R. & Ploeg, RJ., Dec-2000, In : Annals of Surgery. 232, 6, p. 804-812 9 p.
Research output: Contribution to journal › Article › Academic › peer-review
- Bioadhesion, Biocompatibility and Infection (BIOBI)
- Nanobiotechnology and Advanced Therapeutic Materials (NANOBIOMAT)
- Groningen Institute for Organ Transplantation (GIOT)
- Translational Immunology Groningen (TRIGR)
- Vascular Ageing Programme (VAP)
- Groningen Kidney Center (GKC)
- Critical care, Anesthesiology, Peri-operative and Emergency medicine (CAPE)
To assess the effect on the function and immunologic status of potential donor livers of the duration of brain death combined with the presence and absence of hemodynamic instability in the donor.
Summary Background Data
Brain death, regarded as a given condition in organ transplantation, could have significant effects on the donor organ quality.
Brain death was induced in Wistar rats. Short or long periods of brain death in the presence or absence of hemodynamic instability were applied. Sham-operated rats served as controls. Organ function was studied by monitoring standard serum parameters. The inflammatory status of the liver was assessed by determining the immediate early gene products, the expression of cell adhesion molecules, and the influx of leukocytes in the liver.
Progressive organ dysfunction was most pronounced in hemodynamically unstable brain-dead donors. Irrespective of hemodynamic status, a progressive inflammatory activation could be observed in brain-dead rats compared with controls.
Brain death causes progressive liver dysfunction, which is made worse by the coexistence of hemodynamic instability. Further, brain death activates the inflammatory status of the potential donor liver. irrespective of the presence of hypotension. The changes observed may predispose the graft to additional damage from ischemia and reperfusion in the transplant procedure.
|Number of pages||9|
|Journal||Annals of Surgery|
|Publication status||Published - Dec-2000|
|Event||7th Annual Meeting of the European-Surgical-Association - , Netherlands|
Duration: 14-Apr-2000 → 15-Apr-2000
7th Annual Meeting of the European-Surgical-Association
14/04/2000 → 15/04/2000Netherlands
- ADHESION MOLECULES, KIDNEY-TRANSPLANTS, LIGAND MOLECULES, GRAFT FUNCTION, RISK-FACTORS, REJECTION, EXPRESSION, IMPACT, CATECHOLAMINES, DYSFUNCTION