Evidence map›Paper›PMID 34805491›Full record

ArticleTransplantation direct2021

Dual Lactate Clearance in the Viability Assessment of Livers Donated After Circulatory Death With Ex Situ Normothermic Machine Perfusion.

Min Xu, Fangyu Zhou, Ola Ahmed, Lucy V Randle, Jun-Kyu Shin, Yuehui Zhu, Gundumi A Upadhya, Kathleen Byrnes, Brian Wong, Jae-Sung Kim and 2 more

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Hyperspectral Imaging as a Tool for Viability Assessment During Normothermic Machine Perfusion of Human Livers: A Proof of Concept Pilot Study.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    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

12 authors at 2 institutions in 2 countries.

Min XuDepartment of Surgery, Washington University School of Medicine, St. Louis, MO.
Fangyu ZhouDepartment of Surgery, Washington University School of Medicine, St. Louis, MO.
Ola AhmedDepartment of Surgery, Washington University School of Medicine, St. Louis, MO.
Lucy V RandleDepartment of Surgery, University of Cambridge, Cambridge, United Kingdom.
Jun-Kyu ShinDepartment of Surgery, Washington University School of Medicine, St. Louis, MO.
Yuehui ZhuDepartment of Surgery, Washington University School of Medicine, St. Louis, MO.
Gundumi A UpadhyaDepartment of Surgery, Washington University School of Medicine, St. Louis, MO.
Kathleen ByrnesDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO.
Brian WongDepartment of Surgery, Washington University School of Medicine, St. Louis, MO.
Jae-Sung KimDepartment of Surgery, Washington University School of Medicine, St. Louis, MO.
Yiing LinDepartment of Surgery, Washington University School of Medicine, St. Louis, MO.
William C ChapmanDepartment of Surgery, Washington University School of Medicine, St. Louis, MO.
Washington University in St. Louis · USUniversity of Cambridge · GB

Funding

Autophagy in liver injuryR01DK079879 · NIDDK · WASHINGTON UNIVERSITY · PI Jae-Sung Kim · 2009 to 2026
$5.0M
NIDDK NIH HHS R01 DK079879
6 · The paper itself

Abstract

Perfusate lactate clearance (LC) is considered one of the useful indicators of liver viability assessment during normothermic machine perfusion (NMP); however, the applicable scope and potential mechanisms of LC remain poorly defined in the setting of liver donation after circulatory death.

methodsThe ex situ NMP of end-ischemic human livers was performed using the OrganOx Metra device. We further studied the extracellular signal-regulated kinases (phospho-extracellular signal-regulated kinase1/2 [pERK1/2]) pathway and several clinical parameters of these livers with successful LC (sLC, n = 5) compared with non-sLC (nLC, n = 5) in the perfusate (<2.2 mmol/L at 2 h, n = 5, rapid retrieval without normothermic regional perfusion).

resultsWe found the pERK1/2 level was substantially higher in the nLC livers than in the sLC livers (n = 5) at 2- and 6-h NMP (

conclusionsThe dual LC in perfusate and bile can be helpful in evaluating the hypoxic injury of hepatocytes and cholangiocytes during the NMP of donation after circulatory death in liver donors.

Identifiers

PMID34805491
PMCPMC8601326
OpenAlexW3217010328

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.