Evidence map›Paper›PMID 35958587›Full record

ArticleFrontiers in immunology2022

Pan-caspase inhibition during normothermic machine perfusion of discarded livers mitigates

Siavash Raigani, John Santiago, Anders Ohman, Megan Heaney, Sofia Baptista, Taylor M Coe, Reinier J de Vries, Ivy Rosales, Angela Shih, James F Markmann and 4 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 21 citations in OpenAlex.

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  6. Revealing the potential of non-transplanted donor organs: a comparative analysis in the Eurotransplant region.Transplant international : official journal of the European Society for Organ Transplantation · 2026
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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

14 authors at 4 institutions in 1 country.

Siavash RaiganiDivision of Transplant Surgery, Massachusetts General Hospital, Boston, MA, United States.
John SantiagoDepartment of Pediatrics, Rhode Island Hospital and Brown University, Providence, RI, United States.
Anders OhmanDepartment of Pediatrics, Rhode Island Hospital and Brown University, Providence, RI, United States.
Megan HeaneyDepartment of Pediatrics, Rhode Island Hospital and Brown University, Providence, RI, United States.
Sofia BaptistaDivision of Transplant Surgery, Massachusetts General Hospital, Boston, MA, United States.
Taylor M CoeDivision of Transplant Surgery, Massachusetts General Hospital, Boston, MA, United States.
Reinier J de VriesCenter for Engineering in Medicine and Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States.
Ivy RosalesDepartment of Pathology, Massachusetts General Hospital, Boston, MA, United States.
Angela ShihDepartment of Pathology, Massachusetts General Hospital, Boston, MA, United States.
James F MarkmannDivision of Transplant Surgery, Massachusetts General Hospital, Boston, MA, United States.
Philip GruppusoCenter for Engineering in Medicine and Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States.
Korkut UygunDivision of Transplant Surgery, Massachusetts General Hospital, Boston, MA, United States.
Jennifer SandersDepartment of Pediatrics, Rhode Island Hospital and Brown University, Providence, RI, United States.
Heidi YehDivision of Transplant Surgery, Massachusetts General Hospital, Boston, MA, United States.
Massachusetts General Hospital · USHarvard University · USRhode Island Hospital · USBrown University · US

Funding

TRAINING IN ENVIRONMENTAL PATHOLOGYT32ES007272 · NIEHS · BROWN UNIVERSITY · PI ZHITKOVICH, ANATOLY · 1992 to 2021
$7.5M
High subzero preservation of liver for transplantationR01DK114506 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI TONER, MEHMET, UYGUN, KORKUT · 2017 to 2025
$4.4M
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
NIDDK NIH HHS R01 DK096075NIDDK NIH HHS R01 DK107875NIDDK NIH HHS R01 DK114506NIEHS NIH HHS T32 ES007272
6 · The paper itself

Abstract

Access to liver transplantation is limited by a significant organ shortage. The recent introduction of machine perfusion technology allows surgeons to monitor and assess ex situ liver function prior to transplantation. However, many donated organs are of inadequate quality for transplant, though opportunities exist to rehabilitate organ function with adjunct therapeutics during normothermic machine perfusion. In this preclinical study, we targeted the apoptosis pathway as a potential method of improving hepatocellular function. Treatment of discarded human livers during normothermic perfusion with an irreversible pan-caspase inhibitor, emricasan, resulted in significant mitigation of innate immune and pro-inflammatory responses at both the transcriptional and protein level. This was evidenced by significantly decreased circulating levels of the pro-inflammatory cytokines, interleukin-6, interleukin-8, and interferon-gamma, compared to control livers. Compared to emricasan-treated livers, untreated livers demonstrated transcriptional changes notable for enrichment in pathways involved in innate immunity, leukocyte migration, and cytokine-mediated signaling. Targeting of unregulated apoptosis may represent a viable therapeutic intervention for immunomodulation during machine perfusion.

Indexed as

Liver TransplantationOrgan PreservationCaspasesHumansImmunity, InnateLiverPerfusionCaspasesapoptosiscaspaseischemia reperfusion injuryliver transplantmachine perfusionnormothermic

Identifiers

PMID35958587
PMCPMC9360556
OpenAlexW4287921656

What OpenQuestion holds

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LicenceCC BY
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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.