Therapeutic reconditioning of damaged lungs by transient heat stress during ex vivo lung perfusion.

Details

Serval ID
serval:BIB_9A16386F2923
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Therapeutic reconditioning of damaged lungs by transient heat stress during ex vivo lung perfusion.
Journal
American journal of transplantation
Author(s)
Ojanguren A., Parapanov R., Debonneville A., Lugrin J., Szabo C., Hasenauer A., Rosner L., Gonzalez M., Perentes J.Y., Krueger T., Liaudet L.
ISSN
1600-6143 (Electronic)
ISSN-L
1600-6135
Publication state
Published
Issued date
08/2023
Peer-reviewed
Oui
Volume
23
Number
8
Pages
1130-1144
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Ex vivo lung perfusion (EVLP) may serve as a platform for the pharmacologic repair of lung grafts before transplantation (LTx). We hypothesized that EVLP could also permit nonpharmacologic repair through the induction of a heat shock response, which confers stress adaptation via the expression of heat shock proteins (HSPs). Therefore, we evaluated whether transient heat application during EVLP (thermal preconditioning [TP]) might recondition damaged lungs before LTx. TP was performed during EVLP (3 hours) of rat lungs damaged by warm ischemia by transiently heating (30 minutes, 41.5 °C) the EVLP perfusate, followed by LTx (2 hours) reperfusion. We also assessed the TP (30 minutes, 42 °C) during EVLP (4 hours) of swine lungs damaged by prolonged cold ischemia. In rat lungs, TP induced HSP expression, reduced nuclear factor κB and inflammasome activity, oxidative stress, epithelial injury, inflammatory cytokines, necroptotic death signaling, and the expression of genes involved in innate immune and cell death pathways. After LTx, heated lungs displayed reduced inflammation, edema, histologic damage, improved compliance, and unchanged oxygenation. In pig lungs, TP induced HSP expression, reduced oxidative stress, inflammation, epithelial damage, vascular resistance, and ameliorated compliance. Collectively, these data indicate that transient heat application during EVLP promotes significant reconditioning of damaged lungs and improves their outcomes after transplantation.
Keywords
Rats, Swine, Animals, Lung Transplantation, Lung, Reperfusion, Heat-Shock Response, Inflammation/pathology, Perfusion, animal model, ex vivo lung perfusion, gene expression, heat shock proteins, lung transplantation
Pubmed
Web of science
Create date
30/05/2023 10:14
Last modification date
14/10/2023 6:06
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