Assessing Kidney Graft Viability and Its Cells Metabolism During Machine Perfusion
Overview
Chemistry
Molecular Biology
Affiliations
Kidney transplantation is the golden treatment for end-stage renal disease. Static cold storage is currently considered the standard method of preservation, but dynamic techniques, such as machine perfusion (MP), have been shown to improve graft function, especially in kidneys donated by extended criteria donors and donation after circulatory death. With poor organ quality being a major reason for kidneys not being transplanted, an accurate, objective and reliable quality assessment during preservation could add value and support to clinicians' decisions. MPs are emerging technologies with the potential to assess kidney graft viability and quality, both in the hypothermic and normothermic scenarios. The aim of this review is to summarize current tools for graft viability assessment using MP prior to implantation in relation to the ischemic damage.
Burdeyron P, Giraud S, Lepoittevin M, Jordan N, Brishoual S, Jacquard M Clin Transl Med. 2024; 14(12):e70095.
PMID: 39673122 PMC: 11645449. DOI: 10.1002/ctm2.70095.
de Boer E, Sokolova M, Jager N, Schjalm C, Weiss M, Liavag O Transpl Int. 2024; 37:13348.
PMID: 39606689 PMC: 11598510. DOI: 10.3389/ti.2024.13348.
Energy Metabolism and Metformin: Effects on Ischemia-Reperfusion Injury in Kidney Transplantation.
Nemeth D, Iannelli L, Gangitano E, DAndrea V, Bellini M Biomedicines. 2024; 12(7).
PMID: 39062107 PMC: 11275143. DOI: 10.3390/biomedicines12071534.
Darius T, Vergauwen M, Maistriaux L, Evrard R, Schlegel A, Mueller M J Clin Med. 2023; 12(11).
PMID: 37297930 PMC: 10253557. DOI: 10.3390/jcm12113731.
Whole-Organ Pancreas and Islets Transplantations in UK: An Overview and Future Directions.
Martin D, Alberti P, Demartines N, Phillips M, Casey J, Sutherland A J Clin Med. 2023; 12(9).
PMID: 37176684 PMC: 10179530. DOI: 10.3390/jcm12093245.