Alkaline Phosphatase Supplementation During Hypothermic and Normothermic Machine Perfusion Improves Metabolic Dysfunction in a Porcine Model of Donor Kidney Preservation

ALP supplementation during HMP was associated with lower urine production and energetic stress, with a shift toward less metabolic dysfunction and graft injury by the end of NMP. Our findings suggest an improvement in the early metabolic incompetency that characterizes delayed graft function in humans. Further research should elucidate whether these findings result in enhancement of graft functionality after transplantation.

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Publication Details

Journal
Transplantation Direct
Published
2026-03-04
DOI
https://doi.org/10.1097/txd.0000000000001929
Primary Topic
Organ Transplantation Techniques and Outcomes
Type
article
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article

Alkaline Phosphatase Supplementation During Hypothermic and Normothermic Machine Perfusion Improves Metabolic Dysfunction in a Porcine Model of Donor Kidney Preservation

Thei Steenvoorden, Alessandra Tammaro, Bemelman Fj, J. Garcia et al.
Transplantation Direct
Organ Transplantation Techniques and Outcomes
article

Alkaline Phosphatase Supplementation During Hypothermic and Normothermic Machine Perfusion Improves Metabolic Dysfunction in a Porcine Model of Donor Kidney Preservation

Thei Steenvoorden, Alessandra Tammaro, Bemelman Fj, J. Garcia, Sandrine Florquin, Liffert Vogt, Janneke A. J. Rood, Joost W. van der Heijden, Henri Leuvenink
article en

Abstract

ALP supplementation during HMP was associated with lower urine production and energetic stress, with a shift toward less metabolic dysfunction and graft injury by the end of NMP. Our findings suggest an improvement in the early metabolic incompetency that characterizes delayed graft function in humans. Further research should elucidate whether these findings result in enhancement of graft functionality after transplantation.

Transplantation DirectVol. 12(4)
University Medical Center Groningen (NL), University of Groningen (NL), Amsterdam UMC Location University of Amsterdam (NL), Spaarne Ziekenhuis (NL), Amsterdam Neuroscience (NL), Amsterdam University Medical Centers (NL), Spaarne Gasthuis (NL), University of Amsterdam (NL)
Openalex Percentile: Top 34%
Organ Transplantation Techniques and Outcomes
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