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科学家实现离体常温保存3天后的人类肝移植
作者:小柯机器人 发布时间:2022/6/2 13:20:51

近日,瑞士苏黎世联邦理工学院Pierre-Alain Clavien等研究人员实现离体常温保存3天后的人类肝移植。该研究于2022年5月31日在线发表于国际一流学术期刊《自然—生物技术》。

研究人员报告了被所有中心丢弃的人类肝脏的移植,该肝脏可通过原位常温机器灌注保存数天。移植的肝脏表现出正常的功能,再灌注损伤最小,只需要最小的免疫抑制方案。根据1年的随访,患者迅速恢复了正常的生活质量,没有任何肝脏损伤的迹象,如排斥反应或胆管损伤。这一首次临床成功为临床研究开辟了新的前景,并有望将评估捐赠器官可行性的时间窗口延长至10天,并将一个紧急和高要求的手术转变为非急需手术。
 
据介绍,目前的器官保存方法提供了一个狭窄的窗口(通常<12小时)用于评估、运输和植入人类移植的捐赠移植物。
 
附:英文原文
 
Title: Transplantation of a human liver following 3 days of ex situ normothermic preservation

Author: Clavien, Pierre-Alain, Dutkowski, Philipp, Mueller, Matteo, Eshmuminov, Dilmurodjon, Bautista Borrego, Lucia, Weber, Achim, Muellhaupt, Beat, Sousa Da Silva, Richard X., Burg, Brian R., Rudolf von Rohr, Philipp, Schuler, Martin J., Becker, Dustin, Hefti, Max, Tibbitt, Mark W.

Issue&Volume: 2022-05-31

Abstract: Current organ preservation methods provide a narrow window (usually <12hours) to assess, transport and implant donor grafts for human transplantation. Here we report the transplantation of a human liver discarded by all centers, which could be preserved for several days using ex situ normothermic machine perfusion. The transplanted liver exhibited normal function, with minimal reperfusion injury and the need for only a minimal immunosuppressive regimen. The patient rapidly recovered a normal quality of life without any signs of liver damage, such as rejection or injury to the bile ducts, according to a 1-year follow up. This inaugural clinical success opens new horizons in clinical research and promises an extended time window of up to 10days for assessment of viability of donor organs as well as converting an urgent and highly demanding surgery into an elective procedure.

DOI: 10.1038/s41587-022-01354-7

Source: https://www.nature.com/articles/s41587-022-01354-7

期刊信息

Nature Biotechnology:《自然—生物技术》,创刊于1996年。隶属于施普林格·自然出版集团,最新IF:31.864
官方网址:https://www.nature.com/nbt/
投稿链接:https://mts-nbt.nature.com/cgi-bin/main.plex