Evidence map›Paper›PMID 31106253›Full record

ArticleTechnology2017

A novel model for ex situ reperfusion of the human liver following subnormothermic machine perfusion.

James H Avruch, Bote G Bruinsma, Pepijn D Weeder, Gautham V Sridharan, Robert J Porte, Heidi Yeh, James F Markmann, Korkut Uygun

Abstract read
In one paragraph

Article in Technology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

8 authors.

James H AvruchCenter for Engineering in Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Bote G BruinsmaCenter for Engineering in Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Pepijn D WeederCenter for Engineering in Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Gautham V SridharanCenter for Engineering in Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Robert J PorteSection of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Heidi YehTransplant Center, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
James F MarkmannTransplant Center, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Korkut UygunCenter for Engineering in Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Funding

Metabolic Modeling for Cadaveric Organ ResuscitationR01DK096075 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI UYGUN, KORKUT, YEH, HEIDI · 2012 to 2022
$3.9M
Expanding the Liver Transplant Organ Pool through Ex Vivo Liver PerfusionR01DK107875 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI MARKMANN, JAMES FRANCIS, UYGUN, KORKUT · 2016 to 2020
$2.8M
Modeling Human Liver Perfusion Dynamics to Discover Targets for ex vivo Organ TherapyR21EB020819 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI UYGUN, KORKUT · 2016 to 2017
$470k
NIBIB NIH HHS R21 EB020819NIDDK NIH HHS R01 DK096075NIDDK NIH HHS R01 DK107875
6 · The paper itself

Abstract

Machine perfusion-based organ preservation techniques are prudently transitioning into clinical practice. Although experimental data is compelling, the outcomes in the highly variable clinical donation-transplantation setting are unpredictable. Here, we offer an intermediate tool for pre-clinical assessment of human donor livers. We present a model for ex situ reperfusion of discarded human livers and report on its application in three human livers that have undergone subnormothermic (21°C) machine perfusion as an experimental preservation method. During reperfusion, the livers macroscopically reperfused in the first 15 minutes, and remained visually well-perfused for 3 hours of ex situ reperfusion. Bile production and oxygen consumption were observed throughout ex situ reperfusion. ATP levels increased 4.25-fold during SNMP. Between the end of SNMP and the end of reperfusion ATP levels dropped 45%. ALT levels in blood increased rapidly in the first 30 minutes and ALT release continued to taper off towards the end of perfusion. Release of CRP, TNF-α, IL-1β, and IL-12, IFN-γ was sustained during reperfusion. These findings support the use of this model for the evaluation of novel human liver preservation techniques.

Indexed as

BiopreservationIschemiaLiver TransplantationMachine PerfusionOrgan PreservationReperfusion

Identifiers

PMID31106253
PMCPMC6524532

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Registered trials

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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.