Evidence map›Paper›PMID 26262504›Full record

ArticleTransplantation2015

Ex Vivo Perfusion With Adenosine A2A Receptor Agonist Enhances Rehabilitation of Murine Donor Lungs After Circulatory Death.

Matthew L Stone, Ashish K Sharma, Valeria R Mas, Ricardo C Gehrau, Daniel P Mulloy, Yunge Zhao, Christine L Lau, Irving L Kron, Mary E Huerter, Victor E Laubach

Open access · greenAbstract read
In one paragraph

Article in Transplantation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 46 citations in OpenAlex.

  1. Review
  2. Hippo to the rescue? Advancing technologies in ex vivo lung perfusion.American journal of respiratory cell and molecular biology · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Frontiers in immunology · 2025
    Review
  7. The establishment of anJournal of thoracic disease · 2024
    Article
  8. Review
  9. Review
  10. Design and Implementation of a Rat Ex Vivo Lung Perfusion Model.Journal of visualized experiments : JoVE · 2023
    Article
  11. Article
  12. Article
  13. Review
  14. The potential of ex vivo lung perfusion on improving organ quality and ameliorating ischemia reperfusion injury.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Review
  15. Review
  16. Review
  17. MicroRNA-206 antagomiR‒enriched extracellular vesicles attenuate lung ischemia‒reperfusion injury through CXCL1 regulation in alveolar epithelial cells.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2020
    Article
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Matthew L Stone1 Department of Surgery, University of Virginia, Charlottesville, VA.
Ashish K Sharma
Valeria R Mas
Ricardo C Gehrau
Daniel P Mulloy
Yunge Zhao
Christine L Lau
Irving L Kron
Mary E Huerter
Victor E Laubach
University of Virginia · US

Funding

Cardiovascular Surgery Training ProgramT32HL007849 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI KRON, IRVING L., LAUBACH, VICTOR E · 1998 to 2025
$7.0M
Ex vivo perfusion in a lung box for rehabilitation of donor lungsR01HL119218 · NHLBI · UNIVERSITY OF VIRGINIA · PI KRON, IRVING L., LAUBACH, VICTOR E · 2013 to 2017
$3.3M
T cell-mediated lung ischemia-reperfusion injuryR01HL077301 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI LAUBACH, VICTOR E · 2005 to 2013
$3.0M
NHLBI NIH HHS R01 HL077301NHLBI NIH HHS R01HL077301NHLBI NIH HHS R01 HL119218NHLBI NIH HHS R01HL119218NHLBI NIH HHS T32 HL007849NHLBI NIH HHS T32HL007849
6 · The paper itself

Abstract

backgroundEx vivo lung perfusion (EVLP) enables assessment and rehabilitation of marginal donor lungs before transplantation. We previously demonstrated that adenosine A2A receptor (A2AR) agonism attenuates lung ischemia-reperfusion injury. The current study utilizes a novel murine EVLP model to test the hypothesis that A2AR agonist enhances EVLP-mediated rehabilitation of donation after circulatory death (DCD) lungs.

methodsMice underwent euthanasia and 60 minutes warm ischemia, and lungs were flushed with Perfadex and underwent cold static preservation (CSP, 60 minutes). Three groups were studied: no EVLP (CSP), EVLP with Steen solution for 60 minutes (EVLP), and EVLP with Steen solution supplemented with ATL1223, a selective A2AR agonist (EVLP + ATL1223). Lung function, wet/dry weight, cytokines and neutrophil numbers were measured. Microarrays were performed using the Affymetrix GeneChip Mouse Genome 430A 2.0 Array.

resultsEx vivo lung perfusion significantly improved lung function versus CSP, which was further, significantly improved by EVLP + ATL1223. Lung edema, cytokines, and neutrophil counts were reduced after EVLP and further, significantly reduced after EVLP + ATL1223. Gene array analysis revealed differential expression of 1594 genes after EVLP, which comprise canonical pathways involved in inflammation and innate immunity including IL-1, IL-8, IL-6, and IL-17 signaling. Several pathways were uniquely regulated by EVLP + ATL1223 including the downregulation of genes involved in IL-1 signaling, such as ADCY9, ECSIT, IRAK1, MAPK12, and TOLLIP.

conclusionsEx vivo lung perfusion modulates proinflammatory genes and reduces pulmonary dysfunction, edema, and inflammation in DCD lungs, which are further reduced by A2AR agonism. This murine EVLP model provides a novel platform to study rehabilitative mechanisms of DCD lungs.

Indexed as

Lung TransplantationAdenosine A2 Receptor AgonistsAnimalsDisease Models, AnimalExtracorporeal CirculationLungMaleMiceMice, Inbred C57BLPerfusionReperfusion InjuryAdenosine A2 Receptor Agonists

Identifiers

PMID26262504
PMCPMC4668207
OpenAlexW2472180330

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.