title: A study of the xenogeneic response in an isolated liver perfusion circuit--preliminary observations.
abstract: An isolated liver perfusion circuit was developed to study the xenogeneic reaction of human blood to porcine liver, and investigate the feasibility of using such a system for liver dialysis in fulminant hepatic failure. Three experimental groups were studied: a control group where pooled porcine blood was perfused through pig liver (n = 12), a xenogeneic group where banked human blood was perfused through porcine liver (n = 23), and a modified xenogeneic group where decomplemented human blood was perfused through porcine liver (n = 4). The following parameters of liver function were assessed: liver function tests, serum electrolytes, bile and ascites production. In addition, liver histology was assessed at the start and completion of each perfusion experiment. Control experiments established that the use of low perfusion pressures (mean inlet pressure of 29.5 +/- 7.4 mmHg), and low haematocrit of 20.5 +/- 8.9% (n = 14), enabled five hour perfusions to be consistently achieved with maintenance of normal acid base and electrolyte balance. Bile production over 5 hours was 18.8 +/- 8.0 ml in controls (n = 5) and 17.0 +/- 6.7 ml in the xenogeneic (human-pig) circuit (n = 11) (NS). Ascites production was 235.8 +/- 157.3 ml/hr in controls (n = 5) and 205 +/- 142.0 ml/hr in the xenogeneic circuit (n = 7) (NS).(ABSTRACT TRUNCATED AT 250 WORDS)
authors.affiliation: Department of Surgery, National University Hospital, Singapore.
authors.forename: S M
authors.initials: SM
authors.lastname: Lim
authors.forename: K K
authors.initials: KK
authors.lastname: Heng
authors.forename: L G
authors.initials: LG
authors.lastname: Chin
authors.forename: N K
authors.initials: NK
authors.lastname: Lim
authors.forename: S Q
authors.initials: SQ
authors.lastname: Li
authors.forename: M L
authors.initials: ML
authors.lastname: Seah
authors.forename: S M
authors.initials: SM
authors.lastname: Chong
authors.forename: A
authors.initials: A
authors.lastname: Wee
authors.forename: A
authors.initials: A
authors.lastname: Rauff
mesh_terms: D000818:Animals; D001706:Biopsy; D001769:Blood / Q000276:immunology; D005112:Extracorporeal Circulation / Q000379:methods; D006801:Humans; D066298:In Vitro Techniques; D008099:Liver / Q000276:immunology* / Q000473:pathology; D008107:Liver Diseases / Q000276:immunology / Q000628:therapy; D010477:Perfusion / Q000295:instrumentation / Q000379:methods; D013552:Swine; D013997:Time Factors