Effects of brain death on donor organ viability

Recently it has become clear that, in addition to ischemia/reperfusion injury and posttransplant recipient-related factors, the induction of brain death would be a significant risk factor for posttransplant graft dysfunction. Brain death-related systemic changes and their effect on the hormonal and...

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Main Authors: Van Der Hoeven, J, Ploeg, R
Format: Journal article
Language:English
Published: 2001
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author Van Der Hoeven, J
Ploeg, R
author_facet Van Der Hoeven, J
Ploeg, R
author_sort Van Der Hoeven, J
collection OXFORD
description Recently it has become clear that, in addition to ischemia/reperfusion injury and posttransplant recipient-related factors, the induction of brain death would be a significant risk factor for posttransplant graft dysfunction. Brain death-related systemic changes and their effect on the hormonal and hemodynamic condition of the donor have been previously described. Now, an antigen-independent immunologic tissue activation in potential donor organs has been observed. In animal models this tissue activation is responsible for an increase of the immunogenicity of donor organs, such as liver and kidney, resulting in inferior function and decreased survival. The authors assume that cytoprotection and specific attempts to downregulate this immunogenicity will enhance graft function and have a beneficial effect in outcome after transplantation.
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spelling oxford-uuid:43a822b4-3655-4eb1-ae2a-f6094ba15aeb2022-03-26T14:56:47ZEffects of brain death on donor organ viabilityJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:43a822b4-3655-4eb1-ae2a-f6094ba15aebEnglishSymplectic Elements at Oxford2001Van Der Hoeven, JPloeg, RRecently it has become clear that, in addition to ischemia/reperfusion injury and posttransplant recipient-related factors, the induction of brain death would be a significant risk factor for posttransplant graft dysfunction. Brain death-related systemic changes and their effect on the hormonal and hemodynamic condition of the donor have been previously described. Now, an antigen-independent immunologic tissue activation in potential donor organs has been observed. In animal models this tissue activation is responsible for an increase of the immunogenicity of donor organs, such as liver and kidney, resulting in inferior function and decreased survival. The authors assume that cytoprotection and specific attempts to downregulate this immunogenicity will enhance graft function and have a beneficial effect in outcome after transplantation.
spellingShingle Van Der Hoeven, J
Ploeg, R
Effects of brain death on donor organ viability
title Effects of brain death on donor organ viability
title_full Effects of brain death on donor organ viability
title_fullStr Effects of brain death on donor organ viability
title_full_unstemmed Effects of brain death on donor organ viability
title_short Effects of brain death on donor organ viability
title_sort effects of brain death on donor organ viability
work_keys_str_mv AT vanderhoevenj effectsofbraindeathondonororganviability
AT ploegr effectsofbraindeathondonororganviability