Solutions for the perfusion, preservation and reperfusion of org

Drug – bio-affecting and body treating compositions – Inorganic active ingredient containing – Alkali or alkaline earth chloride

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424679, 424681, 424682, 514 2, 514 23, 514 25, 514385, 514561, A61K 3314, A61K 3306, A61K 3800, A61K 3170, A61K 31415, A61K 3195

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active

054984270

ABSTRACT:
Perfusion and preservation and/or reperfusion solutions for surgery and organ transplantation, including that of the heart, a feature of which solutions is the inclusion of at least one antioxidant compound, such as a trapping agent for free oxygen radicals, in particular glutathione in the reduced state or N-acetylcysteine, said solutions possessing a zero or greatly reduced partial pressure of oxygen which is maintained substantially at this value up to the time of use. The solution is preferably presented in flexible bags impermeable to oxygen.

REFERENCES:
patent: 4877810 (1989-10-01), Mickle
patent: 5095027 (1992-03-01), Goldberg
Astier et al; "Instability of Reduced Glutathione in Commercial Belzer Cold Storage Solution"; The Lancet, pp. 556-557; Sep. 2, 1989.
Wicomb et al; "The Role of Reduced Glutathione in Heart Preservation . . . "; Transplantation J4 (1) Jul. 1992, pp. 181-182.
Standeven et al, "Cold-blood potassium cardioplegia", J. Thorac Cardiovasc. Surg., 78:893-907, 1979.
Bernier et al, "Reperfusion-induced Arrhythmias and Oxygen-derived Free Radicals", American Hear Association, vol. 58, No. 3, pp. 331-340, Mar. 1986.
Chatham, et al, "Depletion of myocardial glutathione: its effects on heart function and metabolism during ischaemia and reperfusion", Cardiovascular Research, 22, pp. 833-839, 1986.
Blaustein, et al, "Myocardial Glutathione Depletion Impairs Recovery After Short Periods of Ischemia", Circulation, vol. 80, No. 5, pp. 1449-1457, Nov. 1989.
Singh et al, "Relation Between Myocardial Glutathione Content and Extend of Ischemia-Reperfusion Injury", Circulation, vol. 80, No. 6, pp. 1795-1803, Dec. 1989.
Wicomb et al, "Role of Glutathione in 24-Hour Heart Storage by Microperfusion (MP) Using a New Polyethylene Glycol Solution", Journ. of Molecular and Cellular Cardiology, vol. 22, Supplement V, 1990.
Kantamneni, et al, "Extended Preservation of Canine Myocardium Using UW Solution", Dept. of Surgery, University of Wisconsin, Madison, Wisconsin, 1987.
Forman et al, "Glutathione Redox Pathway and Reperfusion Injury", Circulation, vol. 78, No. 1, pp. 202-213, Jul. 1988.
Menasche et al, "Les Piegeurs de Radicaux Libres dans la Protection Myocardique en Chirurgie Cardiaque", Ann de Cardiologie et d'Angeiologie, pp. 447-452, 1986.
Ametani et al "Importance of Glutathione and Adenoseine in Cold Storage of the Kidney", Transplantation Proceedings 22(2); 469-471 Apr. 1990.
Fuller et al Chem Abst 105(1); 4240 1986.

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