Experimental Assessment of Intestinal Damage in Controlled Donation After Circulatory Death for Visceral Transplantation

There is an urgent need to address the shortage of potential multivisceral grafts in order to reduce the average time in waiting list. Since donation after circulatory death (DCD) has been successfully employed for other solid organs, a thorough evaluation of the use of intestinal grafts from DCD is...

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Autores principales: Stringa, Pablo Luis, Vecchio Dezillio, Leandro Emmanuel, Talayero, Paloma, Serradilla, Javier, Errea, Agustina Juliana, Papa Gobbi, Rodrigo, Camps Ortega, Onys, Pucci Molineris, Melisa Eliana, Lausada, Natalia Raquel, Andres Moreno, Ane Miren, Rumbo, Martín, Hernández Oliveros, Francisco
Formato: Articulo
Lenguaje:Inglés
Publicado: 2023
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Acceso en línea:http://sedici.unlp.edu.ar/handle/10915/162848
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spelling I19-R120-10915-1628482024-02-19T20:08:22Z http://sedici.unlp.edu.ar/handle/10915/162848 Experimental Assessment of Intestinal Damage in Controlled Donation After Circulatory Death for Visceral Transplantation Stringa, Pablo Luis Vecchio Dezillio, Leandro Emmanuel Talayero, Paloma Serradilla, Javier Errea, Agustina Juliana Papa Gobbi, Rodrigo Camps Ortega, Onys Pucci Molineris, Melisa Eliana Lausada, Natalia Raquel Andres Moreno, Ane Miren Rumbo, Martín Hernández Oliveros, Francisco 2023-01-12 2024-02-19T15:57:15Z en Ciencias Médicas donation after cardiac death experimental transplantation intestinal transplantation organ procurement solid organ transplant There is an urgent need to address the shortage of potential multivisceral grafts in order to reduce the average time in waiting list. Since donation after circulatory death (DCD) has been successfully employed for other solid organs, a thorough evaluation of the use of intestinal grafts from DCD is warranted. Here, we have generated a model of Maastricht III DCD in rodents, focusing on the viability of intestinal and multivisceral grafts at five (DCD5) and twenty (DCD20) minutes of cardiac arrest compared to living and brain death donors. DCD groups exhibited time-dependent damage. DCD20 generated substantial intestinal mucosal injury and decreased number of Goblet cells whereas grafts from DCD5 closely resemble those of brain death and living donors groups in terms intestinal morphology, expression of tight junction proteins and number of Paneth and Globet cells. Upon transplantation, intestines from DCD5 showed increased ischemia/reperfusion damage compared to living donor grafts, however mucosal integrity was recovered 48 h after transplantation. No differences in terms of graft rejection, gene expression and absorptive function between DCD5 and living donor were observed at 7 post-transplant days. Collectively, our results highlight DCD as a possible strategy to increase multivisceral donation and transplantation procedures. Instituto de Estudios Inmunológicos y Fisiopatológicos Consejo Nacional de Investigaciones Científicas y Técnicas Articulo Articulo http://creativecommons.org/licenses/by-nc-sa/4.0/ Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) application/pdf
institution Universidad Nacional de La Plata
institution_str I-19
repository_str R-120
collection SEDICI (UNLP)
language Inglés
topic Ciencias Médicas
donation after cardiac death
experimental transplantation
intestinal transplantation
organ procurement
solid organ transplant
spellingShingle Ciencias Médicas
donation after cardiac death
experimental transplantation
intestinal transplantation
organ procurement
solid organ transplant
Stringa, Pablo Luis
Vecchio Dezillio, Leandro Emmanuel
Talayero, Paloma
Serradilla, Javier
Errea, Agustina Juliana
Papa Gobbi, Rodrigo
Camps Ortega, Onys
Pucci Molineris, Melisa Eliana
Lausada, Natalia Raquel
Andres Moreno, Ane Miren
Rumbo, Martín
Hernández Oliveros, Francisco
Experimental Assessment of Intestinal Damage in Controlled Donation After Circulatory Death for Visceral Transplantation
topic_facet Ciencias Médicas
donation after cardiac death
experimental transplantation
intestinal transplantation
organ procurement
solid organ transplant
description There is an urgent need to address the shortage of potential multivisceral grafts in order to reduce the average time in waiting list. Since donation after circulatory death (DCD) has been successfully employed for other solid organs, a thorough evaluation of the use of intestinal grafts from DCD is warranted. Here, we have generated a model of Maastricht III DCD in rodents, focusing on the viability of intestinal and multivisceral grafts at five (DCD5) and twenty (DCD20) minutes of cardiac arrest compared to living and brain death donors. DCD groups exhibited time-dependent damage. DCD20 generated substantial intestinal mucosal injury and decreased number of Goblet cells whereas grafts from DCD5 closely resemble those of brain death and living donors groups in terms intestinal morphology, expression of tight junction proteins and number of Paneth and Globet cells. Upon transplantation, intestines from DCD5 showed increased ischemia/reperfusion damage compared to living donor grafts, however mucosal integrity was recovered 48 h after transplantation. No differences in terms of graft rejection, gene expression and absorptive function between DCD5 and living donor were observed at 7 post-transplant days. Collectively, our results highlight DCD as a possible strategy to increase multivisceral donation and transplantation procedures.
format Articulo
Articulo
author Stringa, Pablo Luis
Vecchio Dezillio, Leandro Emmanuel
Talayero, Paloma
Serradilla, Javier
Errea, Agustina Juliana
Papa Gobbi, Rodrigo
Camps Ortega, Onys
Pucci Molineris, Melisa Eliana
Lausada, Natalia Raquel
Andres Moreno, Ane Miren
Rumbo, Martín
Hernández Oliveros, Francisco
author_facet Stringa, Pablo Luis
Vecchio Dezillio, Leandro Emmanuel
Talayero, Paloma
Serradilla, Javier
Errea, Agustina Juliana
Papa Gobbi, Rodrigo
Camps Ortega, Onys
Pucci Molineris, Melisa Eliana
Lausada, Natalia Raquel
Andres Moreno, Ane Miren
Rumbo, Martín
Hernández Oliveros, Francisco
author_sort Stringa, Pablo Luis
title Experimental Assessment of Intestinal Damage in Controlled Donation After Circulatory Death for Visceral Transplantation
title_short Experimental Assessment of Intestinal Damage in Controlled Donation After Circulatory Death for Visceral Transplantation
title_full Experimental Assessment of Intestinal Damage in Controlled Donation After Circulatory Death for Visceral Transplantation
title_fullStr Experimental Assessment of Intestinal Damage in Controlled Donation After Circulatory Death for Visceral Transplantation
title_full_unstemmed Experimental Assessment of Intestinal Damage in Controlled Donation After Circulatory Death for Visceral Transplantation
title_sort experimental assessment of intestinal damage in controlled donation after circulatory death for visceral transplantation
publishDate 2023
url http://sedici.unlp.edu.ar/handle/10915/162848
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