Evidence map›Paper›PMID 26902852›Full record

ArticleInteractive cardiovascular and thoracic surgery2016

Heterotopic transplantation of a decellularized and recellularized whole porcine heart.

Hiroto Kitahara, Hiroshi Yagi, Kazuki Tajima, Kazuma Okamoto, Akihiro Yoshitake, Ryo Aeba, Mikihiko Kudo, Ichiro Kashima, Shinji Kawaguchi, Akinori Hirano and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Interactive cardiovascular and thoracic surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
11.9field-weighted citation impact, top 1% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Pooled it
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  4. 3DACS biomaterials science & engineering · 2026
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  9. X-Ray Visible Protein Scaffolds by Bulk Iodination.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
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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

15 authors at 1 institution in 1 country.

Hiroto KitaharaDepartment of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Hiroshi YagiDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan hy0624@gmail.com.
Kazuki TajimaDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.
Kazuma OkamotoDepartment of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Akihiro YoshitakeDepartment of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Ryo AebaDepartment of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Mikihiko KudoDepartment of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Ichiro KashimaDepartment of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Shinji KawaguchiDepartment of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Akinori HiranoDepartment of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Mio KasaiDepartment of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Yuta AkamatsuDepartment of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Hidetoshi OkaDepartment of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Yuko KitagawaDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.
Hideyuki ShimizuDepartment of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Keio University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOne of the final treatments for end-stage heart failure is heart transplantation. However, a shortage of donor hearts has created a long waiting list and limited benefits. Our ultimate goal is to create a whole beating heart fabricated on an organ scaffold for human heart transplantation. Here, we successfully performed the first transplantation using a decellularized whole porcine heart with mesenchymal stem cells.

methodsA porcine heart was harvested following cardiac arrest induced by a high-potassium solution and stored at -80°C for 24 h. The porcine heart was completely decellularized with 1% sodium dodecyl sulphate and 1% Triton X-100 under the control of perfusion pressure (100 mmHg) and maintained at 37°C. A decellularized whole-heart scaffold was sterilized with gamma irradiation. Cultured mesenchymal stem cells were collected and either infused into the ascending aorta or injected directly into the left ventricular wall. Finally, recellularized whole-heart scaffolds were transplanted into pigs under systemic anticoagulation treatment with heparin. Coronary artery angiography of the transplanted heart graft was performed.

resultsIn our decellularization method, all cellular components were removed, preserving the heart extracellular matrix. Heterotopic transplantations were successfully performed using a decellularized heart and a recellularized heart. The scaffolds were well perfused, without bleeding from the surface or anastomosis site. Coronary angiography revealed a patent coronary artery in both scaffolds. The transplanted decellularized heart was harvested on Day 3. Haematoxylin and eosin staining showed thrombosis in the coronary arteries and migrated inflammatory cells. Haematoxylin and eosin staining of the transplanted recellularized heart showed similar findings, with the exception of injected mesenchymal stem cells.

conclusionsTo the best of our knowledge, this is the first report of heterotopic transplantation of a decellularized whole porcine heart with mesenchymal stem cells. The scaffolds endured surgical procedures. We detected short-term coronary artery perfusion in the transplanted scaffolds by angiography. Future studies should analyse the histological features of transplanted decellularized scaffolds and optimize the system for recellularization to apply this unique technology clinically.

Indexed as

Tissue ScaffoldsAnimalsDisease Models, AnimalFemaleHeart FailureHeart TransplantationMesenchymal Stem Cell TransplantationSwineTissue EngineeringTransplantation, HeterotopicCell transplantationCoronary artery angiographyDecellularizationHeterotopic transplantationOrgan engineeringRegenerative therapy

Identifiers

PMID26902852
PMCPMC4892160
OpenAlexW2274129347

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.