Evidence map›Paper›PMID 42807186›Full record

ArticleFrontiers in immunology2026

Immune activation during liver machine perfusion is shaped by perfusate composition and is independent of the ischemic injury.

Ida H Færden, Marte Bliksøen, Camilla Schjalm, Kristin Pettersen, Olav M I B Liavåg, Waleed M Majeed, Morten Hagness, Tom E Mollnes, Søren E Pischke

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Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ida H FærdenDepartment of Immunology, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Marte BliksøenSection for Transplantation Surgery, Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
Camilla SchjalmDepartment of Immunology, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Kristin PettersenResearch Laboratory, Nordland Hospital, Bodø, Norway.
Olav M I B LiavågSection for Transplantation Surgery, Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
Waleed M MajeedDepartment of Immunology, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Morten HagnessSection for Transplantation Surgery, Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
Tom E MollnesDepartment of Immunology, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Søren E PischkeDepartment of Immunology, Oslo University Hospital Rikshospitalet, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ischemia-reperfusion injury remains a major challenge in liver transplantation and plays a major role in pathophysiology leading to graft failure. Machine perfusion (MP) is a promising approach to restitute marginal donor livers. However, the impact of MP on innate immunity remains insufficiently defined. We hypothesized that MP activates the innate inflammatory response. Thus, we investigated whether the ischemic injury and perfusate composition [plasma-rich perfusate (PRP) versus plasma-poor perfusate (PPP)] modulate the inflammatory response, identified by complement activation and cytokine release. Methods: Thirty porcine livers were subjected to Results: Except for interleukin-1β (IL-1β) in bile tissue in the BileINJ group and tumor necrosis factor (TNF) in plasma in the GlobalINJ group, all mediators assessed whether in perfusate, liver, or bile tissue did not differ significantly between ischemic injury groups and CTRL. Data were therefore combined into a common PRP group for further comparisons. In PRP perfusate, MP induced robust complement activation (sC5b-9: median fold change (FC) 4 [2-6 interquartile range]) and cytokine release (IL-1β: FC 88 [51-165], IL-6: FC 1,549 [587-3,053], IL-8: FC 389 [120-1,259], IL-10: FC 404 [222-656], all Conclusions: Liver MP reliably induced innate immune-driven inflammation regardless of prior ischemic injury. The magnitude of the inflammatory response was substantially lower in the PPP group compared to the PRP group. Future therapeutic trials targeting innate immunity during

Indexed as

LiverLiver TransplantationOrgan PreservationOrgan Preservation SolutionsPerfusionReperfusion InjuryAnimalsComplement ActivationCytokinesFemaleImmunity, InnateSwineCytokinesOrgan Preservation Solutionscomplement activationcytokine production and releaseinnate immunityliver machine perfusionliver transplantation

Identifiers

PMID42807186
PMCPMC13616650

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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.