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2007 | 63 | 07 |

Tytuł artykułu

Chirurgiczne aspekty pobierania nerek u swin dla celow ksenotransplantacji

Warianty tytułu

EN
Surgical aspects of pig kidneys collection for xenotransplantation

Języki publikacji

PL

Abstrakty

EN
The number of patients waiting for transplants has increased despite the constant growth of the number of transplants performed. This is the reason why the possibility of using animal organ donors is taken into consideration. Since 2002, the problems concerning xenotrasplantation have been investigated in Poland in the frame of the project: Application of trangenesis in genetic modification of pigs in order to gain organs for transplantation in humans. In the presented paper the possibility of use of transgenic pig kidneys for allogenic and heterogenic transplantation in clinical aspect was evaluated, with the special compliance of surgical methods. The proposed surgical technique of kidney transplantation in pigs derived from the methods used in human medicine and consisted of three stages: the operation of collecting the kidneys en-block, preservation of collected organs and their transplantation. The aim of the first stage was the isolation of the both donor kidneys as fast as possible in a manner not causing the injury of kidney parenchyma, with the maintenance of all anatomical and functional structures and blood vessels. In the study, 3 non-transgenic and 6 transgenic sows with the block of the gene á1,3GT were evaluated. In the presented studies the modification of the routine technique of kidney collection used in human transplantology was performed with the possibility of application of the method for allo- and xenotranplantation in pigs. The maintenance of the defined conditions of perfusion and storage of the collected organs is the requirement of the preservation of viability of the transplant for the time necessary for preparing the organ and the recipient for the transplantation.

Wydawca

-

Rocznik

Tom

63

Numer

07

Opis fizyczny

s.815-818,rys.,bibliogr.

Twórcy

autor
  • Uniwersytet Jagiellonski, ul.Kopernika 40, 31-501 Krakow
autor
autor
autor

Bibliografia

  • 1.Brodsky S. V., Yamamoto T., Tada T., Kim B., Chen J., Kajiya F., Goligorsky M. S.: Endothelial dysfunction in ischemic acute renal failure: rescue by transplanted endothelial cells. Am. J. Physiol. Renal. Physiol. 2002, 282, 1140-1149.
  • 2.Bühler L., Friedman T., Iacomini J., Cooper D. K. C.: Xenotransplantation state of the hear update 1999. Frontiers Biosci. 1999, 4, 416-432.
  • 3.Deschamps J. Y., Roux J. Y, Sai P., Gouin E.: History of xenotransplantation. Xenotransplantation 2005, 12, 91-109.
  • 4.Dyess D. L., Tacchi E., Powell R. Q., Ardell J. L., Roberts W. S., Ferrara J. J.: Development of a protocol to provide prolonged general anesthesia to pregnant sows. J. Invest. Surg. 1994, 7, 235-242.
  • 5.Garbuliñski T.: Farmakologia weterynaryjna. PWRiL, Warszawa 1984.
  • 6.Jura J., Słomski R., Smorąg Z., Gajda B., Wieczorek J., Lipiñski D., Kalak R., Juzwa W., Zeyland J.: Production of transgenic pigs suitable for xenotransplantation with the use of standard DNA microinjection. Ann. Anim. Sci. 2004, 4, 321-327.
  • 7.Kili N., Erhardt W.: Infusion of pentobarbital and fentanyl combination for long-term anaesthesia in pigs. Turk. J. Vet. Anim. Sci. 2004, 28, 603-607.
  • 8.Komar E.: Anestezjologia weterynaryjna. Wyd. AR, Lublin 1984.
  • 9.Kuźniewski M., Ignacak E., Bucki J., Czupryna A., Prokop A., Hajto B., Zawiliñska B., Skuciñski J., Giza D., Popiela T., Zembala M., Sułowicz W.: Results of kidney transplantation in Kraków in 1992-2000. Przegl. Lek. 2000, 57, 619-623.
  • 10.Lou E. S., Tellis V. A., Veith F. J., Gliedman M. L., Freed S. Z.: Emergency cadaveric donor en bloc nephrectomy by in-corpora perfusion technique. Urology 1976, 7, 363-365.
  • 11.Mercier D., Charreau B.,Wierinckx A., Keijser R., Adriaensens L., van den Berg Dawid, Joziasse D.: Regulation of a1,3galactosyltransferase expression in pig endothelial Wells. Eur. J. Biochem. 2002, 269, 1464-1473.
  • 12.Orlecka E., Rowiñski W.: Ocena leczenia schyłkowej niewydolności nerek przegląd literatury. Farmakoekonomika 2002, 3.
  • 13.Phelps C. J., Koike C., Vaught T. D., Boone J., Wells K. D., Chen S. H., Ball S., Specht S. M., Polejaeva I. A., Monahan J. A., Jobst P. M., Sharma S. B., Lamborn A. E., Garst A. S., Moore M., Demetris A. J., Rudert W. A., Bottino R., Bertera S., Trucco M., Starzl T. E., Dai Y., Ayaree D. L.: Production of alpha 1,3-galactosyltransferase-deficient pigs. Science 2003, 299, 411-414.
  • 14.Poltransplant Biuletyn Informacyjny 2006, 14, 3-29.
  • 15.Samstein B., Platt J. L.: Physiologic and Immunologic Hurdles to Xenotransplantation. J. Am. Soc. Nephrol. 2001, 12, 182-193.
  • 16.Sharma A., Okabe J., Birch P., Mcclellan S. B., Jeffery M. J. M., Plat L., Logan J. S.: Reduction in the level of Gal(al,3)Gal in transgenic mice and pigs by the expression of an a(1,2)fucosyltransferase Proc. Natl. Acad. Sci. 1996, 3, 7190-7195.
  • 17.Słomski R.: Przygotowanie konstrukcji genowych do modyfikacji świñ dla pozyskania organów do transplantacji u człowieka, II Symp. Wykorzystanie transgenezy w genetycznej modyfikacji świñ dla pozyskania organów do transplantacji u człowieka, Balice 2005, 8-10.
  • 18.Sola A., Palacios L., Lopez-Marti J., Ivorra A., Noguera N., Gomez R., Villa R., Aguilo J., Hotter G.: Multiparametric monitoring of ischemia-reperfusion in rat kidney: effect of ischemic preconditioning. Transplantation 2003, 75, 744-749.
  • 19.Tucker A., Belcher C., Moloo B., Bell J., Mazzulli T., Humar A., Huges A., McArdle P., Talbot A.: The production of transgenic pigs for potential use in clinical xenotransplantation: baseline clinical pathology and organ size studies. Xenotransplantation 2002, 9, 203-208.
  • 20.Vathsala A.: Preventing renal transplant failure. Ann. Acad. Med. Singapore 2005, 34, 36-43.
  • 21.Vroemen J. P., van dre Vliet J. A., Cohen B., Persijn B., Lansbergen Q., Kootstra G.: The influence of warm and cold ischemic time on the outcome of cadaveric renal transplantation. Eur. Surg. Res. 1984, 16, 175-181.
  • 22.Wang K., Li Y., Jiang H., Shen J., Zhang L.: Pig orthotopic renal allotransplantation model. Transplant. Proc. 2003, 35, 191.
  • 23.Wolfe R. A., Ashby V. B., Milford E. L., Ojo A. O., Ettenger R. E., Agodoa L. Y. C., Held P. J., Port F. K.: Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. N. Engl. J. Med. 1999, 341, 1725-1730.
  • 24.Zaidi A., Bhatti F., Schmoeckel M., Cozzi E., Chavez G., Wallwork J., White D., Friend P.: Kidneys from HDAF transgenic pigs are physiologically compatible with primates. Transplant Proc. 1998, 30, 2465-2466.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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