Reduced ischemia-reoxygenation injury in rat intestine after luminal preservation with a tailored solution.

Anne Margot Roskott, Vincent B. Nieuwenhuis, Henri G.D. Leuverink, Gerard Dijkstra, Petra Ottens, Marina H. de Jager, Patricia Gonalves Dias Pereira, Vaclav Fidler, Geny M. M. Groothuis, Rutger J. Ploeg, Inge A.M. de Graaf

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND:
The intestine is extremely sensitive to ischemic preservation and reoxygenation injury. Current vascular perfusion and cold storage with University of Wisconsin (UW) solution neglect the intestinal lumen and the ongoing mucosal metabolism during hypothermia. This study was designed to test the effects of luminal preservation with an alternative preservation solution in addition to the common vascular flush with UW solution on graft viability after preservation and ex vivo reoxygenation.
METHODS:
Rat intestine was preserved on ice for 6 hr in UW solution or Williams Medium E with additional buffering, impermeants, and a colloid (WMEplus) after being stapled or after flushing and filling the lumen with the respective preservation solution. Tissue slices were prepared from fresh and preserved intestines and were incubated with oxygen for 6 hr at 37°C to assess the viability after reoxygenation.
RESULTS:
Directly after preservation, histologic damage was mild and unaffected by preservation strategy. Contrary to luminal preservation, closed preservation resulted in significantly decreased ATP levels compared with control. Reoxygenation aggravated damage and revealed differences between the strategies. Luminal preservation better maintained the ATP levels and histologic integrity (vs. closed preservation) for both solutions. Histomorphologic integrity was superior after preservation with WMEplus (vs. UW solution). Expression of stress responsive genes was least up-regulated in the slices from tissue preserved luminally with WMEplus.
CONCLUSIONS:
In conclusion, preservation and reoxygenation injury can be attenuated by luminal preservation with WMEplus.
Original languageEnglish
Pages (from-to)622-629
JournalTransplantation
DOIs
Publication statusPublished - Sep 2010
Externally publishedYes

Cite this

Roskott, A. M., Nieuwenhuis, V. B., Leuverink, H. G. D., Dijkstra, G., Ottens, P., de Jager, M. H., ... de Graaf, I. A. M. (2010). Reduced ischemia-reoxygenation injury in rat intestine after luminal preservation with a tailored solution. Transplantation, 622-629. https://doi.org/10.1097/TP.0b013e3181ebf796
Roskott, Anne Margot ; Nieuwenhuis, Vincent B. ; Leuverink, Henri G.D. ; Dijkstra, Gerard ; Ottens, Petra ; de Jager, Marina H. ; Gonalves Dias Pereira, Patricia ; Fidler, Vaclav ; Groothuis, Geny M. M. ; Ploeg, Rutger J. ; de Graaf, Inge A.M. / Reduced ischemia-reoxygenation injury in rat intestine after luminal preservation with a tailored solution. In: Transplantation. 2010 ; pp. 622-629.
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title = "Reduced ischemia-reoxygenation injury in rat intestine after luminal preservation with a tailored solution.",
abstract = "BACKGROUND:The intestine is extremely sensitive to ischemic preservation and reoxygenation injury. Current vascular perfusion and cold storage with University of Wisconsin (UW) solution neglect the intestinal lumen and the ongoing mucosal metabolism during hypothermia. This study was designed to test the effects of luminal preservation with an alternative preservation solution in addition to the common vascular flush with UW solution on graft viability after preservation and ex vivo reoxygenation.METHODS:Rat intestine was preserved on ice for 6 hr in UW solution or Williams Medium E with additional buffering, impermeants, and a colloid (WMEplus) after being stapled or after flushing and filling the lumen with the respective preservation solution. Tissue slices were prepared from fresh and preserved intestines and were incubated with oxygen for 6 hr at 37°C to assess the viability after reoxygenation.RESULTS:Directly after preservation, histologic damage was mild and unaffected by preservation strategy. Contrary to luminal preservation, closed preservation resulted in significantly decreased ATP levels compared with control. Reoxygenation aggravated damage and revealed differences between the strategies. Luminal preservation better maintained the ATP levels and histologic integrity (vs. closed preservation) for both solutions. Histomorphologic integrity was superior after preservation with WMEplus (vs. UW solution). Expression of stress responsive genes was least up-regulated in the slices from tissue preserved luminally with WMEplus.CONCLUSIONS:In conclusion, preservation and reoxygenation injury can be attenuated by luminal preservation with WMEplus.",
author = "Roskott, {Anne Margot} and Nieuwenhuis, {Vincent B.} and Leuverink, {Henri G.D.} and Gerard Dijkstra and Petra Ottens and {de Jager}, {Marina H.} and {Gonalves Dias Pereira}, Patricia and Vaclav Fidler and Groothuis, {Geny M. M.} and Ploeg, {Rutger J.} and {de Graaf}, {Inge A.M.}",
year = "2010",
month = "9",
doi = "10.1097/TP.0b013e3181ebf796",
language = "English",
pages = "622--629",
journal = "Transplantation",
issn = "0041-1337",
publisher = "Lippincott, Williams & Wilkins",

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Roskott, AM, Nieuwenhuis, VB, Leuverink, HGD, Dijkstra, G, Ottens, P, de Jager, MH, Gonalves Dias Pereira, P, Fidler, V, Groothuis, GMM, Ploeg, RJ & de Graaf, IAM 2010, 'Reduced ischemia-reoxygenation injury in rat intestine after luminal preservation with a tailored solution.' Transplantation, pp. 622-629. https://doi.org/10.1097/TP.0b013e3181ebf796

Reduced ischemia-reoxygenation injury in rat intestine after luminal preservation with a tailored solution. / Roskott, Anne Margot; Nieuwenhuis, Vincent B.; Leuverink, Henri G.D.; Dijkstra, Gerard; Ottens, Petra; de Jager, Marina H.; Gonalves Dias Pereira, Patricia; Fidler, Vaclav; Groothuis, Geny M. M. ; Ploeg, Rutger J.; de Graaf, Inge A.M.

In: Transplantation, 09.2010, p. 622-629.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Reduced ischemia-reoxygenation injury in rat intestine after luminal preservation with a tailored solution.

AU - Roskott, Anne Margot

AU - Nieuwenhuis, Vincent B.

AU - Leuverink, Henri G.D.

AU - Dijkstra, Gerard

AU - Ottens, Petra

AU - de Jager, Marina H.

AU - Gonalves Dias Pereira, Patricia

AU - Fidler, Vaclav

AU - Groothuis, Geny M. M.

AU - Ploeg, Rutger J.

AU - de Graaf, Inge A.M.

PY - 2010/9

Y1 - 2010/9

N2 - BACKGROUND:The intestine is extremely sensitive to ischemic preservation and reoxygenation injury. Current vascular perfusion and cold storage with University of Wisconsin (UW) solution neglect the intestinal lumen and the ongoing mucosal metabolism during hypothermia. This study was designed to test the effects of luminal preservation with an alternative preservation solution in addition to the common vascular flush with UW solution on graft viability after preservation and ex vivo reoxygenation.METHODS:Rat intestine was preserved on ice for 6 hr in UW solution or Williams Medium E with additional buffering, impermeants, and a colloid (WMEplus) after being stapled or after flushing and filling the lumen with the respective preservation solution. Tissue slices were prepared from fresh and preserved intestines and were incubated with oxygen for 6 hr at 37°C to assess the viability after reoxygenation.RESULTS:Directly after preservation, histologic damage was mild and unaffected by preservation strategy. Contrary to luminal preservation, closed preservation resulted in significantly decreased ATP levels compared with control. Reoxygenation aggravated damage and revealed differences between the strategies. Luminal preservation better maintained the ATP levels and histologic integrity (vs. closed preservation) for both solutions. Histomorphologic integrity was superior after preservation with WMEplus (vs. UW solution). Expression of stress responsive genes was least up-regulated in the slices from tissue preserved luminally with WMEplus.CONCLUSIONS:In conclusion, preservation and reoxygenation injury can be attenuated by luminal preservation with WMEplus.

AB - BACKGROUND:The intestine is extremely sensitive to ischemic preservation and reoxygenation injury. Current vascular perfusion and cold storage with University of Wisconsin (UW) solution neglect the intestinal lumen and the ongoing mucosal metabolism during hypothermia. This study was designed to test the effects of luminal preservation with an alternative preservation solution in addition to the common vascular flush with UW solution on graft viability after preservation and ex vivo reoxygenation.METHODS:Rat intestine was preserved on ice for 6 hr in UW solution or Williams Medium E with additional buffering, impermeants, and a colloid (WMEplus) after being stapled or after flushing and filling the lumen with the respective preservation solution. Tissue slices were prepared from fresh and preserved intestines and were incubated with oxygen for 6 hr at 37°C to assess the viability after reoxygenation.RESULTS:Directly after preservation, histologic damage was mild and unaffected by preservation strategy. Contrary to luminal preservation, closed preservation resulted in significantly decreased ATP levels compared with control. Reoxygenation aggravated damage and revealed differences between the strategies. Luminal preservation better maintained the ATP levels and histologic integrity (vs. closed preservation) for both solutions. Histomorphologic integrity was superior after preservation with WMEplus (vs. UW solution). Expression of stress responsive genes was least up-regulated in the slices from tissue preserved luminally with WMEplus.CONCLUSIONS:In conclusion, preservation and reoxygenation injury can be attenuated by luminal preservation with WMEplus.

U2 - 10.1097/TP.0b013e3181ebf796

DO - 10.1097/TP.0b013e3181ebf796

M3 - Article

SP - 622

EP - 629

JO - Transplantation

JF - Transplantation

SN - 0041-1337

ER -