The Effects of 6-Chromanol SUL-138 during Hypothermic Machine Perfusion on Porcine Deceased Donor Kidneys

Abstract

Diminishing ischemia-reperfusion injury (IRI) by improving kidney preservation techniques offers great beneficial value for kidney transplant recipients. Mitochondria play an important role in the pathogenesis of IRI and are therefore interesting targets for pharmacological interventions. Hypothermic machine perfusion (HMP), as a preservation strategy, offers the possibility to provide mitochondrial–targeted therapies. This study focuses on the addition of a mitochondrial protective agent SUL—138 during HMP and assesses its effect on kidney function and injury during normothermic reperfusion. In this case, 30 min of warm ischemia was applied to porcine slaughterhouse kidneys before 24 h of non–oxygenated HMP with or without the addition of SUL—138. Functional assessment was performed by 4 h normothermic autologous blood reperfusion. No differences in renal function or perfusion parameters were found between both groups. ATP levels were lower after 30 min of warm ischemia in the SUL–138 group (n.s, p = 0.067) but restored significantly during 24 h of HMP in combination with SUL—138. Aspartate aminotransferase (ASAT) levels were significantly lower for the SUL—138 group. SUL—138 does not influence renal function in this model. Restoration of ATP levels during 24 h of HMP with the addition of SUL in combination with lower ASAT levels could be an indication of improved mitochondrial function.

The association between hemoglobin levels and renal function parameters during normothermic machine perfusion: A retrospective cohort study using porcine kidneys

“…We included kidneys that were enrolled in 13 different experiments having 37 experimental groups in total, of which data on nine studies have already been published. 18,22,[31][32][33][34][35][36][37][38][39][40][41] Of the excluded kidneys, the perfusate of 25 kidneys contained desmopressin or furosemide, while for another 57 kidneys, no data on hemoglobin level was available.…”

Exploring Porcine Precision-Cut Kidney Slices as a Model for Transplant-Related Ischemia-Reperfusion Injury

“…Because of the size of the porcine kidney and the relative simplicity of the method, hundreds of slices can be produced and used to test different treatments under a variety of conditions. Slaughterhouse kidneys are commonly used to research renal transplant-related questions in NMP setups [48][49][50][51][52][53][54]. They provide an excellent alternative for laboratory animals and are more similar to human kidneys than any other species [55].…”