The second generation of Carolina Rinse, solution II, improves graft survival following orthotopic liver transplantation in the rat by preventing reperfusion injury by W. Gao, J.J. Lemasters, R.G. Thurman.
Carolina Rinse solution was designed to minimize reperfusion injury following orthotopic liver transplantation. blocks reperfusion-induced endothelial cell killing, diminishes postoperative enzyme release and improves survival dramatically. Adenosine mildly acidotic pH were identified as key components. Here we report results with a simplified formulation, H, which contains extracellular inorganic ions similar Ringer’s solution, adenosine, well antioxidants radical scavengers (allopurinol, glutathione desferrioxamine). In this study, 44 rat livers explanted stored for 12 h in University of Wisconsin (UW) cold storage (non-survival conditions). Control rinsed 15 ml just prior completion implantation surgery. control group, average 30-day poor (8%). However, increased around 60% when grafts II. Survival not improved significantly by rinsing the graft containing adenosine omitted (about 30%). Peak SGOT values nearly 3000 U/l, measured 1–3 days postoperatively rinse decreased 4- 5-fold both II antioxidants. On other hand, addition (around 60%) but did decrease elevation serum enzymes significantly. Thus, it appears that necessary optimal whereas needed prevent transplanted graft. These data consistent hypothesis at least two mechanisms, one involving second non-hepatic, are responsible post-transplant patho-physiology. also reduced 2- 3-fold under conditions (e. g., 8 UW solution). This study demonstrated convincingly very simple II, minimized
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