Evidence map›Paper›PMID 40386942›Full record

ArticleArtificial organs2025

Development of a Protocol for Long-Term Ex Vivo Normothermic Machine Perfusion of Rodent Livers.

Mark Ly, Daniel Babekuhl, Anita Niu, Paul Yousif, Chuanmin Wang, Ngee-Soon Lau, Mark D Gorrell, Geoffrey W McCaughan, Michael Crawford, Carlo Pulitano

Abstract read
In one paragraph

Article in Artificial organs, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Mark LyAustralian National Liver Transplantation Unit, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0001-8067-1573
Daniel BabekuhlCentre for Organ Assessment Repair and Optimisation, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Anita NiuAustralian National Liver Transplantation Unit, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-5807-3240
Paul YousifAustralian National Liver Transplantation Unit, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Chuanmin WangAustralian National Liver Transplantation Unit, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Ngee-Soon LauAustralian National Liver Transplantation Unit, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-2254-8574
Mark D GorrellCentenary Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Geoffrey W McCaughanAustralian National Liver Transplantation Unit, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Michael CrawfordAustralian National Liver Transplantation Unit, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Carlo PulitanoAustralian National Liver Transplantation Unit, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-4420-4107

Funding

Royal Prince Alfred Transplant Institute
6 · The paper itself

Abstract

introductionLong-term normothermic machine perfusion (LT-NMP) enables the assessment and optimization of livers for days and, potentially, weeks. However, models of LT-NMP have only been described for human and pig livers, which are resource intensive and impractical for laboratory research. Cost-effective small animal models of LT-NMP are needed for future research. This study aimed to develop a system for LT-NMP of rat livers for up to 72 h.

methodsThis study was performed in two stages: the development phase (n = 20) and validation phase (n = 5). The perfusion system included an organ reservoir, pump, heat exchanger, long-term oxygenator, and dialysis. Hormonal and nutritional support were continuously infused. During the validation phase, five consecutive grafts were perfused using our protocol. At 72 h postreperfusion, grafts were assessed for viability, which was based on hemodynamic stability, mitochondrial function, bile production, and metabolic activity.

resultsRodent livers were supported up to 107 h using our LT-NMP protocol. All grafts in the validation phase remained viable at 72 h (n = 5/5). The median oxygen consumption and bile production at 72 h were 0.079 mLO

conclusionsThis is the first study to report LT-NMP of rodent livers up to 5 days. Using our protocol, rat livers could reliably be supported until 72 h. This model provides a greater opportunity to investigate novel therapeutics to assess, optimize, and regenerate liver grafts for transplantation.

Indexed as

LiverLiver TransplantationOrgan PreservationPerfusionAnimalsMaleOxygen ConsumptionRatsliver transplantationlong‐term normothermic machine perfusionmachine perfusionorgan preservationrat

Identifiers

PMID40386942
PMCPMC12548313

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LicenceCC BY-NC-ND
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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.