Current practice and novel approaches in organ preservation

Organ transplantation remains the only treatment option for patients with end-stage organ failure. The last decade has seen a flurry of activity in improving organ preservation technologies, which promise to increase utilization in a dramatic fashion. They also bring the promise of extending the pre...

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Main Authors: Ozge Sila Ozgur, Bat-Erdene Namsrai, Timothy L. Pruett, John C. Bischof, Mehmet Toner, Erik B. Finger, Korkut Uygun
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Transplantation
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/frtra.2023.1156845/full
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author Ozge Sila Ozgur
Ozge Sila Ozgur
Bat-Erdene Namsrai
Timothy L. Pruett
John C. Bischof
Mehmet Toner
Mehmet Toner
Erik B. Finger
Korkut Uygun
Korkut Uygun
author_facet Ozge Sila Ozgur
Ozge Sila Ozgur
Bat-Erdene Namsrai
Timothy L. Pruett
John C. Bischof
Mehmet Toner
Mehmet Toner
Erik B. Finger
Korkut Uygun
Korkut Uygun
author_sort Ozge Sila Ozgur
collection DOAJ
description Organ transplantation remains the only treatment option for patients with end-stage organ failure. The last decade has seen a flurry of activity in improving organ preservation technologies, which promise to increase utilization in a dramatic fashion. They also bring the promise of extending the preservation duration significantly, which opens the doors to sharing organs across local and international boundaries and transforms the field. In this work, we review the recent literature on machine perfusion of livers across various protocols in development and clinical use, in the context of extending the preservation duration. We then review the next generation of technologies that have the potential to further extend the limits and open the door to banking organs, including supercooling, partial freezing, and nanowarming, and outline the opportunities arising in the field for researchers in the short and long term.
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spelling doaj.art-2f0d038007404cf3bf01e1d1ca8710ac2023-06-08T05:26:29ZengFrontiers Media S.A.Frontiers in Transplantation2813-24402023-06-01210.3389/frtra.2023.11568451156845Current practice and novel approaches in organ preservationOzge Sila Ozgur0Ozge Sila Ozgur1Bat-Erdene Namsrai2Timothy L. Pruett3John C. Bischof4Mehmet Toner5Mehmet Toner6Erik B. Finger7Korkut Uygun8Korkut Uygun9Department of Surgery, Center for Engineering in Medicine and Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United StatesResearch Department, Shriners Children’s Boston, Boston, MA, United StatesDepartment of Surgery, University of Minnesota, Minneapolis, MN, United StatesDepartment of Surgery, University of Minnesota, Minneapolis, MN, United StatesDepartments of Mechanical and Biomedical Engineering, University of Minnesota, Minneapolis, MN, United StatesDepartment of Surgery, Center for Engineering in Medicine and Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United StatesResearch Department, Shriners Children’s Boston, Boston, MA, United StatesDepartment of Surgery, University of Minnesota, Minneapolis, MN, United StatesDepartment of Surgery, Center for Engineering in Medicine and Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United StatesResearch Department, Shriners Children’s Boston, Boston, MA, United StatesOrgan transplantation remains the only treatment option for patients with end-stage organ failure. The last decade has seen a flurry of activity in improving organ preservation technologies, which promise to increase utilization in a dramatic fashion. They also bring the promise of extending the preservation duration significantly, which opens the doors to sharing organs across local and international boundaries and transforms the field. In this work, we review the recent literature on machine perfusion of livers across various protocols in development and clinical use, in the context of extending the preservation duration. We then review the next generation of technologies that have the potential to further extend the limits and open the door to banking organs, including supercooling, partial freezing, and nanowarming, and outline the opportunities arising in the field for researchers in the short and long term.https://www.frontiersin.org/articles/10.3389/frtra.2023.1156845/fullorgan transplantationliver preservationmachine perfusionsubzero preservationnanowarmingsupercooling
spellingShingle Ozge Sila Ozgur
Ozge Sila Ozgur
Bat-Erdene Namsrai
Timothy L. Pruett
John C. Bischof
Mehmet Toner
Mehmet Toner
Erik B. Finger
Korkut Uygun
Korkut Uygun
Current practice and novel approaches in organ preservation
Frontiers in Transplantation
organ transplantation
liver preservation
machine perfusion
subzero preservation
nanowarming
supercooling
title Current practice and novel approaches in organ preservation
title_full Current practice and novel approaches in organ preservation
title_fullStr Current practice and novel approaches in organ preservation
title_full_unstemmed Current practice and novel approaches in organ preservation
title_short Current practice and novel approaches in organ preservation
title_sort current practice and novel approaches in organ preservation
topic organ transplantation
liver preservation
machine perfusion
subzero preservation
nanowarming
supercooling
url https://www.frontiersin.org/articles/10.3389/frtra.2023.1156845/full
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