Donor kidney viability test for improved preservation

Chemistry: molecular biology and microbiology – Differentiated tissue or organ other than blood – per se – or... – Including perfusion; composition therefor

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435 4, A01N 102

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057120846

ABSTRACT:
The present invention contemplates a methodology which employs cold perfusion of donor organs with a colloid preservation solution at a selected perfusion pressure which avoids tubular reabsorption and consequent energy loss. The present invention is also directed towards the direct continuous measurement of Glomerular Filtration Rate (GFR) through measurement of urine formation during the perfusion period. The present invention further provides a method to assess afferent arteriole and efferent arteriole vascular patency. The present invention further contemplates the maintenance of tubular patency during perfusion. The present invention is also directed to a method for monitoring cold ischemia damage as an indication for timing and dosage of nephrotoxic immunosuppressant agents, e.g., Cyclosporin A. The present invention still further contemplates a device for performing the test of the present invention.

REFERENCES:
patent: 4798824 (1989-01-01), Belzer et al.
patent: 4873230 (1989-10-01), Belzer et al.
Meguro J, Nippon Geka Gakkai Zasshi. J. Japan Sur. Soc. 95(6) 400-10 (1994).
Derwent WPI Online Abstract Accession No. 80-12360C (Jun. 5, 1979), SU 665916.
Derwent WPI Online Abstract Accession No. 90-146486 (Jul. 30, 1989), SU 1496740.
Abstract No. 72409 (1975) "Tubular Water Reabsorption as a Viability Indicator in the Preserved Canine Kidney", Biological Abstracts 63, Michels et al., Transplantation 22(5):522-26 (1976).
Abstract No. 25754 (1978) "An Intermittent Urinary Flow Method of Assessing Viability in Warm Ischemic Kidneys During 48 to 96 Hours of Perfusion", Biological Abstracts 67, Proctor et al., Transplantation 25(5):280-81 (1978).
Abstract No. 109223 (1988) "Successful 72-Hour Cold Storage of Dog Kidneys with UW Solution", Biological Abstracts 86, Ploeg et al., Transplantation 46(2):191-6 (1988).
D'Alessandro et al. (Oct., 1994) "Organ Preservation" in Horizons in Organ Transplantation Surgical Clinics Of North America 74: 1083-1095.
Gianello et al. (1994) "Measuremet of the vasoconstrictive substances endothelin, angiotensin II, and thromboxane B, in cold storage solution can reveal previous renal ischemic insults" Springer-verlag Transpl Int 7:11-16.
Lloveras et al "Optimization of In Situ Renal Perfusion of Non-Heart Beating Donors: Four-Lumen Catheter Developed for Continuous Perfusion Pressure Determination" Transplantation Proceedings 25 (6): 3169-3170 (1993).
Gnant et al. (Dec. 1993) "Impact of Donor Cause of Death on Renal Graft Function--A Multivariate Analysis of 1545 Kidney Transplants" Transplantation Proceedings 25 (6): 3102-3103.
Rowinski et al. (Feb. 1993) "Use of Kidneys From Marginal and Non-Heart Beating Donors: Warm Ischemia Per Se Is Not The Most Detrimental Factor" Transplantation Proceedings 25 (1): 1511-1512.
Booster et al. (Feb. 1993) "In Situ Perfusion of Kidneys From Non-Heart Beating Donors: The Maastricht Protocol" Transplantation Proceedings 25 (1): 1503-1504.
Marshall et al. (Feb. 1991) "University of Wisconsin Solution For Kidney Preservation: The Impermeant Components" Transplantation Proceedings 23 (1): 651-652.
Merkus, et al. (1991) "Detrimental Effect of Aacute Renal Failure on the Survival of Renal Allografts: Influence of Total Ischaemia Time and Anastomosis Time" Neprhol Dial Transplant 6: 881-886.
Southard et al. (1990) "Important Components Of The UW Solution" Transplantation 49 (2): 251-257.
Johnson et al. (Apr. 1990) "Local Procurement with Pulsatile Perfusion Give Excellent Results and Minimizes Initial Cost Associated with Renal Transplantation" Transplantation Proceedings 22 (2): 385-387.
Belzer et al. (Feb. 1989) "Combined Cold Storage-Perfusion Preservation of the Kidney with a New Synthetic Perfusate" Transplantation Proceedings 21 (1): 1240-1241.
Hoffmann et al. (Jan. 1989) "Combined Cold Storage-Perfusion Preservation With A New Synthetic Perfusate" Transplantation 47 (1): 32-37.
Southard, J.H. (1989) "Viability Assays in Organ Preservation" Cryobiology 26:232-238.
Belzer et al. (Apr. 1988) "Principles of Solid-Organ Preservation By Cold Storage" Transplantation 45 (4): 673-676.
Zager, R.A. (Oct. 1987) "Partial aortic ligation: A hypoperfusion model of ischemic acute renal failure and a comparison with renal artery occlusion" J. Lab. Clin. Med. 110 (4): 396-405.
Southard et al. (1985) "Long Term Kidney Preservation on Glomerular Ultrastructure" Cryobiology 22: 615.
Southard et al. (1985) "Effects of Short-Term Hypothermic Perfusion and Cold Storage on Function of the Isolated-Perfused Dog Kidney" Cryobiology 22: 147-155.
Hoffmann et al. (Oct. 1988) "Efficacy of Clinical Cadaver Kidney Preservaton by Continuous Perfusion" Transplantation Proceedings XX (5): 882-884.
Hoffmann et al. (Aug. 1983) "Synthetic Perfusate for Kidney Preservation Its Use in 72-Hour Preservation of Dog Kidneys" Arch Surg 118: 919-921.
Belzer et al. (Mar. 1982) "A New Perfusate For Kidney Preservation" Transplantation 33 (3): 322-323.
Hoffmann et al. (1982) "The use of oncotic support agents in perfusion preservation" in Organ Preservation Basic and Applied Aspects MTP Press, Lancaster England 261-265.

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