Evidence map›Paper›PMID 28520579›Full record

ArticleTransplantation2017

The Use of an Acellular Oxygen Carrier in a Human Liver Model of Normothermic Machine Perfusion.

Richard W Laing, Ricky H Bhogal, Lorraine Wallace, Yuri Boteon, Desley A H Neil, Amanda Smith, Barney T F Stephenson, Andrea Schlegel, Stefan G Hübscher, Darius F Mirza and 2 more

Open access · greenAbstract read
In one paragraph

Article in Transplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
13.4field-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

57 citing papers in PubMed, 108 citations in OpenAlex.

  1. Article
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  12. Oxygen carriers affect kidney immunogenicity duringFrontiers in transplantation · 2023
    Article
  13. Review
  14. Frontiers in bioengineering and biotechnology · 2023
    Article
  15. Article
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  17. Sequential hypothermic and normothermic machine perfusion enables safe transplantation of high-risk donor livers.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Richard W Laing1 Liver Unit, Queen Elizabeth Hospital, University Hospital Birmingham NHS Foundation Trust, Birmingham, United Kingdom. 2 National Institute for Health Research, Birmingham Liver Biomedical Research Unit and Centre for Liver Research, Institute of Immunology and Immunotherapy, Institute for Biomedical Research, College of Medical and Dental Sciences, University of Birmingham, United Kingdom.
Ricky H Bhogal
Lorraine Wallace
Yuri Boteon
Desley A H Neil
Amanda Smith
Barney T F Stephenson
Andrea Schlegel
Stefan G Hübscher
Darius F Mirza
Simon C Afford
Hynek Mergental
University Hospitals Birmingham NHS Foundation Trust · GBQueen Elizabeth Hospital · GB

Funding

Medical Research Council MR/J011509/1Wellcome Trust 200121
6 · The paper itself

Abstract

backgroundNormothermic machine perfusion of the liver (NMP-L) is a novel technique that preserves liver grafts under near-physiological conditions while maintaining their normal metabolic activity. This process requires an adequate oxygen supply, typically delivered by packed red blood cells (RBC). We present the first experience using an acellular hemoglobin-based oxygen carrier (HBOC) Hemopure in a human model of NMP-L.

methodsFive discarded high-risk human livers were perfused with HBOC-based perfusion fluid and matched to 5 RBC-perfused livers. Perfusion parameters, oxygen extraction, metabolic activity, and histological features were compared during 6 hours of NMP-L. The cytotoxicity of Hemopure was also tested on human hepatic primary cell line cultures using an in vitro model of ischemia reperfusion injury.

resultsThe vascular flow parameters and the perfusate lactate clearance were similar in both groups. The HBOC-perfused livers extracted more oxygen than those perfused with RBCs (O2 extraction ratio 13.75 vs 9.43 % ×10 per gram of tissue, P = 0.001). In vitro exposure to Hemopure did not alter intracellular levels of reactive oxygen species, and there was no increase in apoptosis or necrosis observed in any of the tested cell lines. Histological findings were comparable between groups. There was no evidence of histological damage caused by Hemopure.

conclusionsHemopure can be used as an alternative oxygen carrier to packed red cells in NMP-L perfusion fluid.

Indexed as

AdultAgedApoptosisBlood SubstitutesCells, CulturedEnergy MetabolismFemaleHemoglobinsHepatectomyHumansLiverMaleMiddle AgedNecrosisOrgan PreservationOxygen ConsumptionBlood SubstitutesHBOC 201HemoglobinsReactive Oxygen Species

Identifiers

PMID28520579
PMCPMC5656179
OpenAlexW2616232259

What OpenQuestion holds

Textmetadata
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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.