Abstract
There are many interesting aspects regarding hemorheology and tissue oxygenation in organ transplantation (such as liver, kidney, heart, etc.). The ischemia-reperfusion injury syndrome is a very important problem. Much damage in organs appears to be induced by reperfusion injury syndrome. In fact, not only immunological etiopathogenesis but also biochemically-mediated microcirculation alterations can modulate the organ damage induced by ischemia-reperfusion injury during organ transplantation.
During ischemia-reperfusion injury, xanthine oxidase activity, the increase in oxygen free-radicals, and the activation of neuthrophils are all very important. Platelet activating factor (PAT) and LTB4 (promoting neuthrophils adhesiveness), activated by the xanthine oxidase-derived oxidants during reperfusion, activates the final postischemia injury. Much research is necessary in order to gain a fuller knowledge of the microcirculation conditions and oxygenation during organ transplantation.
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References
D. J. Hearse, Reperfusion of ischemic myocardium, J. Mal. Cell. Cardiol. 9(8), 605–616 (1977).
S. N. Jerome, C. W. Smith, and R. J. Korthuis, CD-18 dependent adherence reactions play an important role in the development of the no reflow phenomenon, Am. J. Physiol. 264(2 Pt 2), H479–483 (1993).
D. A. Parks, and D. N. Granger, Contributions of ischemia and reperfusion to mucosal lesion formation, Am. J. Physiol. 250(6), G749–753 (1986).
D. L. Carden, J. K. Smith, and R. J. Karthuis, Neutrophils mediated microvascular disfunction in postichemic canine skeletal muscle: role of granulocyte adherence, Circ. Res. 66(5), 1436–1444 (1990).
M. A. Perry, and S. S. Wodhwa, Gradual reintroduction of oxygen reduces perfusion injury in cat stomach, Am. J. Physiol. 254(3), G366–372 (1988).
R. J. Korthuis, J. K. Smith, and D. L. Carden, Hypoxic reperfusion attennates post ischemic microvascular injury, Am. J. Physiol. 256(2), H315–319 (1989).
L. O. Dahlback, and O. Rais, Morphological changes in striated muscle following ischemia: immediate postischemic phase, Acta Chir. Scand. 131(6), 430–440 (1966).
J. B. Morris, U. Haglund, and G. B. Bulkey, The protection from postischemic injury by xanthine oxidase inhibition: Blockage of free radical generation or purine salvage, Gastroenterology 92, 1542 (1987).
G. D. Dunn, N. D. Granger, and R. J. Korthuis, Leukocyte/endothelial cell adhesion and ischemia reperfusion injury, in: Clinically Applied Microcirculation Research, edited by J. Barker, G. L. Anderson, and M. D. Menger (CRC Press Inc., Boca Raton, FL, 1995) pp. 75–96.
W. K. Adkins, and A. E. Taylor, Role of xanthine oxidase and neutrophils in ischemia—reperfusion injury in rabbit lung, J. Appl. Physiol. 69(6), 2012–2018 (1990).
L. A. Hernandez, M. B. Grisham, B. Twohig, K. E. Arfors, J. M. Harlan, and D. N. Granger, Role of neutrophils in ischemia/reperfusion induced microvascular injury, Am. J. Physiol. 253(3), H699–703 (1987).
M. J. Bishop, S. M. Kowalski, S. M. Guidotti, and J. M. Harlan, Antibody against neutrophils adhesion improves reperfusion and limits alveolar infiltrate following unilateral pulmonary artery occlusion, J. Surg. Res. 52(3), 199–204 (1992).
M. J. Horgan, M. Ge, J. Gu, R. Rothlein, and A. B. Malik, Role of ICAM-1 in neutrophil mediated lung vascular injury after occlusion and reperfusion, Am. J. Physiol. 261(5), H1578–1584 (1991).
M. J. Horgan, S. D. Wright, and A. B. Malik, Antibody against leukocyte integrin (CD 18) prevents reperfusion induced lung vascular injury, Am. J. Physiol. 259(4), L315–319 (1990).
N. B. Vedder, R. K. Winn, C. L. Rice, E. Y. Chi, K. E. Arfors, and J. M. Harlan, Inhibition of leukocyte adherence by anti-CD 18 monoclonal antibody attenuates reperfusion injury in the rabbit ear, Proc. Natl. Acad. Sci. USA. 87(7), 2643–2646 (1990).
S. N. Jerome, M. Dore, J. C. Poulson, C. W. Smith, and R. J. Korthuis, P-selectin and ICAM-1 adherence reactions: role in the genesis of postischemic no reflow, Am. J. Physiol. 266(4), H1316–1321 (1994).
E. Mori, G. J. Del Zoppo, J. D. Chambers, B. R. Copeland, and K. E. Arfors, Inhibition of polymorphonuclear no-reflow after local cerebral ischemia in baboons, Stroke 23(5), 712–718 (1992).
X. L. Ma, P. S. Tsao, and A. M. Lefer, Antibody to CD 18 extents endothelial and cardiac protective effects in myocardial ischemia and reperfusion, J. Clin. Invest. 88(4), 1237–1243 (1991).
X. L. Ma, D. J. Lefer, A. M. Lefer, and R. Rothlein, Coronary endothelial and cardiac protective effects of a monoclonal antibody to intercellular adhesion molecule-1 in myocardial ischemia and reperfusion, Circulation 86(3), 937–946 (1992).
A. S. Weyrich, X. Y. Ma, D. J. Lafer, K. H. Albertine, and A. M. Lefer, In vivo neutralization of P-selectin protects feline heart and endothelium in myocardical ischemia and reperfusion injury, J. Clin. Invest. 91(6), 2620–2629 (1993).
D. H. Adams, S. G. Hubscher, J. Shaw, R. Rothlein, and J. M. Neuberger, Intercellular adhesion molecule-1 on liver allografts during rejection, Lancet 2(8672), 1122–1125 (1989).
D. H. Adams, L. F. Wang, D. Burnett, R. A. Stockley, and J. M. Neuberger, Neutrophil activation—an important cause of tissue damage during liver rejection? Transplantation 50(1), 86–91 (1990).
V. M. Elver, S. G. Elmer, M.A. Pavilack, R. F. Todd III, B. Y. Yue, and A. R. Huber, Intercellular adhesion molecule-1 in human corneal endothelium, Am. J. Pathol. 138(3), 525–536 (1991).
S. G. Hubscher, and D. H. Adams, ICAM-1 expression in normal liver, J. Clin. Pathol. 44(5), 438–439 (1991).
T. Omura, H. Ishikura, Y. Nakajima, J. Kiniura, K. Ito, H. Isai, T. Tomatoni, M. Miyasaka, T. Yoshiki, and J. Vehino, The expression of FA-1 ICAM-1 in liver transplantation in rats, Transpl. Proceed. 24, 1618 (1992).
D. D. Sedmak, and C.G. Orasz, The role of vascular endothelial cells in transplantation in rats, Transpl. Proceed. 24, 1237 (1992).
Y. Takei, I. Marzi, W. Gao, G. J. Gores, J. J. Lemasters, and R. G. Thruman, Leukocyte adhesion and cell death following orthotopic liver transplantation in the rat, Transplantation, 51(5), 959–965 (1991).
H. A. Lehr, A. Gulhmann, D. Nolte, D. Keppler, and K. Messmer, Leukotrienes as mediators in ischemia reperfusion injury in a microcirculation model in the Hamster, J. Clin. Invest. 87(6), 2036–2041 (1991).
A. Ames III, R. L. Wright, M. Kowada, J. M. Thurston, and G. Majno, Cerebral ischemia II. The no reflow phenomenon, Am. J. Pathol. 52(2), 437–453 (1968).
G. W. Schmid-Schonbein, Capillary plugging by granulocytes and the no reflow phenomenon in the microcirculation, Fed. Proceed. 46(7), 2397–2401 (1987).
G. Cicco, Hemorheology, reperfusion injury and organ transplantation, 12 th ECCH, Sofia (Bulgaria) A. B. RTl. l, 64 (2003).
W. J. Quinones-Baldrich, A. Chervu, J. J. Hernandez, M. D. Colburn, and W. S. Moore, Skeletal muscle function after ischemia “no reflow” versus reperfusion injury, J. Surg. Res. 51(1), 5–12 (1991).
P. E. Strock, and G. M. Majno, Vascular responses to experimental tourniquet ischemia, Surg. Gynecol. Obstet. 129(2), 309–318 (1969).
J. W. Harman, The significance of local vascular phenomena in the production of ischemia necrosis in skeletal muscle, Am. J. Pathol. 24(1), 625–642 (1948).
U. Bagge, B. Amundson, and C. Lauritzen, White blood cell deformability and plugging of skeletal muscle capillaries in hemorrhagic shock, Acta Physiol. Scand. 108(2), 159–163 (1980).
J. Barrosa-Aranda, G. W. Schmid-Schonbein, B. W. Zweifach, and R. L. Engler, Granulocytes and no reflow phenomenon in irreversible hemorrhagic shock, Circ. Res. 63(2), 437–447 (1988).
R. L. Engler, G. W. Schmid-Schonbein, and R. S. Pavalec, Leucocyte capillary plugging in myocardical ischemia and reperfusion in the dog, Am. J. Pathol. 111(1), 98–111 (1983).
S. N. Jerome, T. Akimitsu, and R. J. Korthuis, Leucocyte adhesion, edema and the development of post ischemia capillary no reflow, Am. J. Physiol. 267(4), H1329–1336 (1994).
S. N. Jerome, S. N. Akimitsu, D. C. Gute, and R. J. Korthuis, Ischemic preconditioning alternates capillary no reflow induced by prolonged ischemia and reperfusion, Am. J. Physiol. 268(5 Pt 2), H2063–2067 (1995).
M. C. Mazzoni, P. Borgstrom, M. Intaglietta, and K. E. Arfors, Lumenal narrowing and endothelial cell swelling in skeletal muscle capillaries during hemorrhagic shock, Circ. Shock 29(1), 27–39 (1989).
M. C. Mazzoni, M. Intaglietta, E. J. Crogue Jr., and K. E. Arfors, Amiloride-sensitive Na+ pathways in capillary endothelial cell swelling during hemorrhagic shock, J. Appl. Physiol. 73(4), 1467–1473 (1992).
T. Akimitsu, S. N. Jerome, D. C. Gute, and R. J. Korthuis, Reactive oxygen species, neutrophils infiltration and postischemic microvascular dysfunction, in: Reoxygenation Injury in Skeletal Muscle, edited by G. O. Fantini (Laudis Publication, Austin, TX, 1994), pp. 32–35.
D. N. Granger, Role of xanthine oxidase and granulocytes in ischemia reperfusion injury, Am. J. Physiol. 255(6), H1269–1275 (1988).
A. Koo, H. Komatsu, G. Tao, M. Inoue, P. H. Guth, and N. Kaplowitz, Contribution of no reflow phenomenon to hepatic injury after ischemia-reperfusion: evidence for a role for superoxide anion, Hepatol. 15(3), 507–514 (1992).
F. Serracino-Inglott, and H. Habib, Hepatic ischemia reperfusion injury, Am. J. Surg. 181, 160–166 (2001).
T. Kurokawa, and H. Takagi, Mechanism and prevention of ischemia reperfusion injury, Transpl. Proceed. 31(4), 1775–1776 (1999).
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Cicco, G., Panzera, P.C., Catalano, G., Memeo, V. (2005). Microcirculation and Reperfusion Injury in Organ Transplantation. In: Okunieff, P., Williams, J., Chen, Y. (eds) Oxygen Transport to Tissue XXVI. Advances in Experimental Medicine and Biology, vol 566. Springer, Boston, MA. https://doi.org/10.1007/0-387-26206-7_48
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DOI: https://doi.org/10.1007/0-387-26206-7_48
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