Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (24): 3849-3854.doi: 10.3969/j.issn.2095-4344.2015.24.015

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Effects of self-made KYL solution on preserving macaque liver 

Bai Jian-hua, Chen Gang, Zhu Xin-feng, Zhao Xiong-qi, Liu Qi-yu, Zhao Ying-peng, Li Li   

  1. the First People’s Hospital of Kunming, Kunming 650011, Yunnan Province, China
  • Online:2015-06-11 Published:2015-06-11
  • Contact: Li Li, M.D., Chief physician, the First People’s Hospital of Kunming, Kunming 650011, Yunnan Province, China
  • About author:Bai Jian-hua, M.D., Attending physician, the First People’s Hospital of Kunming, Kunming 650011, Yunnan Province, China

Abstract:

BACKGROUND: At present, liver transplantation is the best method to treat end-stage liver disease. UW solution is recognized as the best liver preservation solution, but it is expensive. Moreover, the extracellular fluid of high K+ condition is inconsistent with human physiology. Because transient hyperkalemia of UW solution often causes cardiac arrest, research and development of the new liver preservation solution already brook no delay.
OBJECTIVE: To study the protective effect of self-designed KYL solution on ischemia reperfusion injury in macaque donor liver.
METHODS: A total of eight recipient macaques and eight donor macaques were selected in this study. Each group contained KYL solution group (n=4) and UW solution group (n=4). Donor liver was perfused and cryopreserved for 4 hours and subjected to allogenic orthotopic liver transplantation. At 30 minutes and 6 hours after transplantation, bile production was recorded. Blood was obtained and used to detect concentrations of aspartate aminotransferase, alanine aminotransferase, nitric oxide, endothelin-1 and tumor necrosis factor-α. Liver tissue was collected and detected under the light microscope.
RESULTS AND CONCLUSION: Bile secretion was found in both groups. Bile secretion production increased as time went on (P < 0.05). At 30 minutes and 6 hours after donor liver reperfusion, serum aspartate aminotransferase and alanine aminotransferase concentrations were lower in the KYL solution group than in the UW solution group (P < 0.05). No significant difference was found in levels of serum nitric oxide, endothelin 1 and tumor necrosis factor alpha between the two groups (P > 0.05). Under light microscope, morphological observation of liver tissue revealed that cellular edema was evident in the UW solution group than in the KYL solution group. Results suggest that the effect of KYL solution on preventing ischemia/reperfusion injury was identical to the UW solution, and partial effect was better than UW solution. 

 

 

Key words: Tissue Engineering, Liver Transplantation, Hepatocytes

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