Allograft Inflammation is Reduced with Normothermic Machine Perfusion in Intestinal Transplantation

Background: The only curative therapy for intestinal failure is transplantation. Intestinal transplantation (IT) following allograft static cold storage (CS) results in frequent rejection. Outcomes of other organ transplantation have improved with normothermic machine perfusion (NMP), partially through immune modulation. However, NMP in IT is nascent. Preliminarily, NMP stabilizes CD3+ lymphocytes while decreasing natural killer cells. We hypothesized that NMP reduces intestinal inflammatory signaling pathways and maintains the microbiome.

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Publication Details

Journal
Intestinal failure.
Published
2025-01-01
DOI
https://doi.org/10.1016/j.intf.2025.100103
Primary Topic
Organ Transplantation Techniques and Outcomes
Type
article
Field-Weighted Citation Impact
0.00
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article

Allograft Inflammation is Reduced with Normothermic Machine Perfusion in Intestinal Transplantation

Manuel Kleiner, Elsa Ludwig, Molly DuBois, Katherine S. Garman et al.
Intestinal failure.
Organ Transplantation Techniques and Outcomes
article

Allograft Inflammation is Reduced with Normothermic Machine Perfusion in Intestinal Transplantation

Manuel Kleiner, Elsa Ludwig, Molly DuBois, Katherine S. Garman, Brittany Veerasammy, Elizabeth Goya‐Jorge, Cecilia R. Schaaf, Nader Abraham, Debra L. Sudan, Ahmed O. Hassan, D. L. ROSE, Andrew S. Barbas, John E. Freund, Liara Gonzalez, Carlos Aguirre, Amy Stewart, J. Alfredo Blakeley‐Ruiz, Lydia Poisson, Tobias Käser
article en

Abstract

Background: The only curative therapy for intestinal failure is transplantation. Intestinal transplantation (IT) following allograft static cold storage (CS) results in frequent rejection. Outcomes of other organ transplantation have improved with normothermic machine perfusion (NMP), partially through immune modulation. However, NMP in IT is nascent. Preliminarily, NMP stabilizes CD3+ lymphocytes while decreasing natural killer cells. We hypothesized that NMP reduces intestinal inflammatory signaling pathways and maintains the microbiome.

Intestinal failure.Vol. 6
North Carolina State University (US), Duke University (US)
Openalex Percentile: Top 63%
Organ Transplantation Techniques and Outcomes
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Allograft Inflammation is Reduced with Normothermic Machine Perfusion in Intestinal Transplantation — Manuel Kleiner, Elsa Ludwig, et al. · Intestinal failure. (2025) | TGRS Research Map | TGRS