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Article: Surgical experience with retroperitoneal heterotopic heart transplantation in the large white domestic swine

TitleSurgical experience with retroperitoneal heterotopic heart transplantation in the large white domestic swine
Authors
KeywordsCoronary artery
Endothelium
Swine
Transplantation
Issue Date2002
PublisherInforma Healthcare. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/08941939.asp
Citation
Journal Of Investigative Surgery, 2002, v. 15 n. 1, p. 45-55 How to Cite?
AbstractAccelerated coronary atherosclerosis following heart transplantation is the main limiting factor for long-term survival, aside from graft failure and complications due to immunosuppression. Graft coronary vasculopathy is due to chronic rejection of the vascular wall leading to intimal hyperplasia in coronary arteries. Numerous heterotopic heart transplantation models have been used in different species to study the immunology and pathophysiology following graft implantation. This study reports our experience with the retroperitoneal heterotopic heart transplantation in Large White domestic swine using immunological typing. This approach mimics the kinetics of slow low-grade rejection in clinical human heart transplantation. One hundred and fifty-four retroperitoneal (n = 154) heterotopic heart transplantations were performed using Large White swine sampled for the major histocompatibility class (MHC) class I antigen and blood type using the microlymphotoxicity technique. Acute rejection studies were performed by intentional mismatch of the swine lymphocyte alloantigen (SLA) and chronic rejection studies were done in allografts implanted in donor-recipients matched for blood type and class I antigen to assess the effects of rejection per se, hypercholesterolemia, intracoronary L-NAME infusion, and endothelial denudation on the development of graft coronary vasculopathy. Assessment of in vitro coronary arterial vascular reactivity in standard organ chamber experiments comprised the core of vascular biology studies in this large animal model. Eighty (52%) transplanted recipients survived until the elective date of sacrifice at 60 days, 14 (9.1%) died during the surgery, 21 (13.6%) died <24 h after the transplant, and 8 (5.2%) died of late deaths. The retroperitoneal heterotopic heart transplantation model with blood typing and determination of the SLA class I antigen is a useful model for the study of immunological and vascular events due to graft rejection after heart transplantation.
Persistent Identifierhttp://hdl.handle.net/10722/171277
ISSN
2023 Impact Factor: 2.1
2023 SCImago Journal Rankings: 0.472
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorPerrault, LPen_US
dc.contributor.authorMalo, Oen_US
dc.contributor.authorDesjardins, Nen_US
dc.contributor.authorBidouard, JPen_US
dc.contributor.authorVilleneuve, Nen_US
dc.contributor.authorVilaine, JPen_US
dc.contributor.authorVanhoutte, PMen_US
dc.date.accessioned2012-10-30T06:13:07Z-
dc.date.available2012-10-30T06:13:07Z-
dc.date.issued2002en_US
dc.identifier.citationJournal Of Investigative Surgery, 2002, v. 15 n. 1, p. 45-55en_US
dc.identifier.issn0894-1939en_US
dc.identifier.urihttp://hdl.handle.net/10722/171277-
dc.description.abstractAccelerated coronary atherosclerosis following heart transplantation is the main limiting factor for long-term survival, aside from graft failure and complications due to immunosuppression. Graft coronary vasculopathy is due to chronic rejection of the vascular wall leading to intimal hyperplasia in coronary arteries. Numerous heterotopic heart transplantation models have been used in different species to study the immunology and pathophysiology following graft implantation. This study reports our experience with the retroperitoneal heterotopic heart transplantation in Large White domestic swine using immunological typing. This approach mimics the kinetics of slow low-grade rejection in clinical human heart transplantation. One hundred and fifty-four retroperitoneal (n = 154) heterotopic heart transplantations were performed using Large White swine sampled for the major histocompatibility class (MHC) class I antigen and blood type using the microlymphotoxicity technique. Acute rejection studies were performed by intentional mismatch of the swine lymphocyte alloantigen (SLA) and chronic rejection studies were done in allografts implanted in donor-recipients matched for blood type and class I antigen to assess the effects of rejection per se, hypercholesterolemia, intracoronary L-NAME infusion, and endothelial denudation on the development of graft coronary vasculopathy. Assessment of in vitro coronary arterial vascular reactivity in standard organ chamber experiments comprised the core of vascular biology studies in this large animal model. Eighty (52%) transplanted recipients survived until the elective date of sacrifice at 60 days, 14 (9.1%) died during the surgery, 21 (13.6%) died <24 h after the transplant, and 8 (5.2%) died of late deaths. The retroperitoneal heterotopic heart transplantation model with blood typing and determination of the SLA class I antigen is a useful model for the study of immunological and vascular events due to graft rejection after heart transplantation.en_US
dc.languageengen_US
dc.publisherInforma Healthcare. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/08941939.aspen_US
dc.relation.ispartofJournal of Investigative Surgeryen_US
dc.subjectCoronary artery-
dc.subjectEndothelium-
dc.subjectSwine-
dc.subjectTransplantation-
dc.subject.meshAnimalsen_US
dc.subject.meshFemaleen_US
dc.subject.meshGraft Rejectionen_US
dc.subject.meshHeart Transplantation - Methodsen_US
dc.subject.meshLymphocytes - Immunologyen_US
dc.subject.meshMajor Histocompatibility Complex - Immunologyen_US
dc.subject.meshMaleen_US
dc.subject.meshNg-Nitroarginine Methyl Ester - Pharmacologyen_US
dc.subject.meshRetroperitoneal Spaceen_US
dc.subject.meshSwineen_US
dc.subject.meshTransplantation, Heterotopicen_US
dc.titleSurgical experience with retroperitoneal heterotopic heart transplantation in the large white domestic swineen_US
dc.typeArticleen_US
dc.identifier.emailVanhoutte, PM:vanhoutt@hku.hken_US
dc.identifier.authorityVanhoutte, PM=rp00238en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1080/08941930252807787en_US
dc.identifier.pmid11931494-
dc.identifier.scopuseid_2-s2.0-0036207264en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036207264&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume15en_US
dc.identifier.issue1en_US
dc.identifier.spage45en_US
dc.identifier.epage55en_US
dc.identifier.isiWOS:000174122000008-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridPerrault, LP=7004370552en_US
dc.identifier.scopusauthoridMalo, O=6602767845en_US
dc.identifier.scopusauthoridDesjardins, N=6603148465en_US
dc.identifier.scopusauthoridBidouard, JP=6601955808en_US
dc.identifier.scopusauthoridVilleneuve, N=7003458215en_US
dc.identifier.scopusauthoridVilaine, JP=7004617134en_US
dc.identifier.scopusauthoridVanhoutte, PM=7202304247en_US
dc.identifier.issnl0894-1939-

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