Biphasic behavior of the kinetics of 31P-containing metabolites in ischemic porcine kidneys.
The assessment of kidney viability before transplantation (with a view of discarding nonviable organs) remains an obstacle to confidently extending organ harvesting to marginal donors. In the present study phosphorus magnetic resonance spectroscopy was used to monitor metabolic changes in (31)P-containing metabolites in isolated porcine kidneys. After various warm ischemia times, the organs were stored at 0 degrees C. Time-dependent changes in the phosphomonoester/inorganic-phosphate ratio were recorded at 0 degrees C were shown to follow a biexponential decay. The first-order kinetic rate constant of the short-time decay was strongly dependent on the warm ischemia time, a result that was discreted in terms of the underlying biochemistry. The metabolic events responsible for the dramatic decrease in phosphomonoester/inorganic phosphate ratio that occur immediately after organ perfusion and storage, suggest that any procedure to minimize organ damage must occur immediately after harvesting.
Corazza
A
A
Dipartimentos di Chimica Biologica, Università di Padova, Padua, Italy.
Vianello
F
F
Rigo
A
A
Cadrobbi
R
R
Baldan
N
N
Rigotti
P
P
Scarpa
M
M
D000818:Animals; D004195:Disease Models, Animal; D007511:Ischemia / Q000378:metabolism*; D007668:Kidney / Q000098:blood supply / Q000378:metabolism*; D007700:Kinetics; D009682:Magnetic Resonance Spectroscopy; D010758:Phosphorus / Q000378:metabolism*; D010761:Phosphorus Radioisotopes; D011865:Radioisotope Dilution Technique; D012079:Renal Circulation / Q000502:physiology*; D013552:Swine
D010761:Phosphorus Radioisotopes; D010758:Phosphorus