Hemoglobin-Based Oxygen Carriers: Potential Applications in Solid Organ Preservation

Ameliorating graft injury induced by ischemia and hypoxia, expanding the donor pool, and improving graft quality and recipient prognosis are still goals pursued by the transplant community. The preservation of organs during this process from donor to recipient is critical to the prognosis of both th...

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Autores principales: Min Cao, Guoqing Wang, Hongli He, Ruiming Yue, Yong Zhao, Lingai Pan, Weiwei Huang, Yang Guo, Tao Yin, Lina Ma, Dingding Zhang, Xiaobo Huang
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/a71697e25cb8458aba9956b64b01a03e
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spelling oai:doaj.org-article:a71697e25cb8458aba9956b64b01a03e2021-12-01T19:24:47ZHemoglobin-Based Oxygen Carriers: Potential Applications in Solid Organ Preservation1663-981210.3389/fphar.2021.760215https://doaj.org/article/a71697e25cb8458aba9956b64b01a03e2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fphar.2021.760215/fullhttps://doaj.org/toc/1663-9812Ameliorating graft injury induced by ischemia and hypoxia, expanding the donor pool, and improving graft quality and recipient prognosis are still goals pursued by the transplant community. The preservation of organs during this process from donor to recipient is critical to the prognosis of both the graft and the recipient. At present, static cold storage, which is most widely used in clinical practice, not only reduces cell metabolism and oxygen demand through low temperature but also prevents cell edema and resists apoptosis through the application of traditional preservation solutions, but these do not improve hypoxia and increase oxygenation of the donor organ. In recent years, improving the ischemia and hypoxia of grafts during preservation and repairing the quality of marginal donor organs have been of great concern. Hemoglobin-based oxygen carriers (HBOCs) are “made of” natural hemoglobins that were originally developed as blood substitutes but have been extended to a variety of hypoxic clinical situations due to their ability to release oxygen. Compared with traditional preservation protocols, the addition of HBOCs to traditional preservation protocols provides more oxygen to organs to meet their energy metabolic needs, prolong preservation time, reduce ischemia–reperfusion injury to grafts, improve graft quality, and even increase the number of transplantable donors. The focus of the present study was to review the potential applications of HBOCs in solid organ preservation and provide new approaches to understanding the mechanism of the promising strategies for organ preservation.Min CaoGuoqing WangHongli HeRuiming YueYong ZhaoLingai PanWeiwei HuangYang GuoTao YinLina MaDingding ZhangXiaobo HuangFrontiers Media S.A.articlehemoglobin-based oxygen carrierssolid organ preservationmachine perfusionorgan oxygenationischemia–reperfusion injuryTherapeutics. PharmacologyRM1-950ENFrontiers in Pharmacology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic hemoglobin-based oxygen carriers
solid organ preservation
machine perfusion
organ oxygenation
ischemia–reperfusion injury
Therapeutics. Pharmacology
RM1-950
spellingShingle hemoglobin-based oxygen carriers
solid organ preservation
machine perfusion
organ oxygenation
ischemia–reperfusion injury
Therapeutics. Pharmacology
RM1-950
Min Cao
Guoqing Wang
Hongli He
Ruiming Yue
Yong Zhao
Lingai Pan
Weiwei Huang
Yang Guo
Tao Yin
Lina Ma
Dingding Zhang
Xiaobo Huang
Hemoglobin-Based Oxygen Carriers: Potential Applications in Solid Organ Preservation
description Ameliorating graft injury induced by ischemia and hypoxia, expanding the donor pool, and improving graft quality and recipient prognosis are still goals pursued by the transplant community. The preservation of organs during this process from donor to recipient is critical to the prognosis of both the graft and the recipient. At present, static cold storage, which is most widely used in clinical practice, not only reduces cell metabolism and oxygen demand through low temperature but also prevents cell edema and resists apoptosis through the application of traditional preservation solutions, but these do not improve hypoxia and increase oxygenation of the donor organ. In recent years, improving the ischemia and hypoxia of grafts during preservation and repairing the quality of marginal donor organs have been of great concern. Hemoglobin-based oxygen carriers (HBOCs) are “made of” natural hemoglobins that were originally developed as blood substitutes but have been extended to a variety of hypoxic clinical situations due to their ability to release oxygen. Compared with traditional preservation protocols, the addition of HBOCs to traditional preservation protocols provides more oxygen to organs to meet their energy metabolic needs, prolong preservation time, reduce ischemia–reperfusion injury to grafts, improve graft quality, and even increase the number of transplantable donors. The focus of the present study was to review the potential applications of HBOCs in solid organ preservation and provide new approaches to understanding the mechanism of the promising strategies for organ preservation.
format article
author Min Cao
Guoqing Wang
Hongli He
Ruiming Yue
Yong Zhao
Lingai Pan
Weiwei Huang
Yang Guo
Tao Yin
Lina Ma
Dingding Zhang
Xiaobo Huang
author_facet Min Cao
Guoqing Wang
Hongli He
Ruiming Yue
Yong Zhao
Lingai Pan
Weiwei Huang
Yang Guo
Tao Yin
Lina Ma
Dingding Zhang
Xiaobo Huang
author_sort Min Cao
title Hemoglobin-Based Oxygen Carriers: Potential Applications in Solid Organ Preservation
title_short Hemoglobin-Based Oxygen Carriers: Potential Applications in Solid Organ Preservation
title_full Hemoglobin-Based Oxygen Carriers: Potential Applications in Solid Organ Preservation
title_fullStr Hemoglobin-Based Oxygen Carriers: Potential Applications in Solid Organ Preservation
title_full_unstemmed Hemoglobin-Based Oxygen Carriers: Potential Applications in Solid Organ Preservation
title_sort hemoglobin-based oxygen carriers: potential applications in solid organ preservation
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/a71697e25cb8458aba9956b64b01a03e
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