Method for regulating NO production in an isolated organ or...

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

Reexamination Certificate

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Reexamination Certificate

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07985536

ABSTRACT:
An exsanguinous metabolic support system for maintaining an organ or tissue at a near normal metabolic rate is disclosed that employs a warm perfusion solution capable of altering the production of nitric oxide (NO) in an organ or tissue and supporting the metabolism of the organ or tissue at normothermic temperatures. Perfusion with the solution of the invention, therefore, can be used to regulate nitric oxide production in situations where it is desirable to do so, for example, to prevent reperfusion injury. The system also monitors parameters of the circulating perfusion solution, such as pH, temperature, osmolarity, flow rate, vascular pressure and partial pressure of respiratory gases, and nitric oxide (NO) concentration and regulates them to insure that the organ is maintained under near-physiologic conditions. Use of the system for long-term maintenance of organs for transplantation, for resuscitation and repair of organs having sustained warm ischemic damage, to treat cardiovascular disorders, to prevent reperfusion injury, as a pharmaceutical delivery system and prognosticator of posttransplantation organ function is also disclosed.

REFERENCES:
patent: 5552267 (1996-09-01), Stern et al.
patent: 5699793 (1997-12-01), Brasile
Ma et al., “Endotoxin-stimulated nitric oxide production increases injury and reduces rat liver chemiluminescence during reperfusion”, Gastroenterology 108 (2) : 463-9 (1995).
Ward et al., “Measurement of nitric oxide synthase activity using the citrulline assay”, Methods in Molecular Medicine 22 : 157-162 (1999).
Herman et al., “The effects of NMDA receptor antagonists and nitric oxide synthase inhibitors on opiod tolerance and withdrawal: medication development issues for opiate addiction”, Neuropsychopharamacology 13 (4) : 269-93 (1995).

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