title: Steps for the autologous ex vivo perfused porcine liver-kidney experiment.
abstract: The use of ex vivo perfused models can mimic the physiological conditions of the liver for short periods, but to maintain normal homeostasis for an extended perfusion period is challenging. We have added the kidney to our previous ex vivo perfused liver experiment model to reproduce a more accurate physiological state for prolonged experiments without using live animals. Five intact livers and kidneys were retrieved post-mortem from sacrificed pigs on different days and perfused for a minimum of 6 hr. Hourly arterial blood gases were obtained to analyze pH, lactate, glucose and renal parameters. The primary endpoint was to investigate the effect of adding one kidney to the model on the acid base balance, glucose, and electrolyte levels. The result of this liver-kidney experiment was compared to the results of five previous liver only perfusion models. In summary, with the addition of one kidney to the ex vivo liver circuit, hyperglycemia and metabolic acidosis were improved. In addition this model reproduces the physiological and metabolic responses of the liver sufficiently accurately to obviate the need for the use of live animals. The ex vivo liver-kidney perfusion model can be used as an alternative method in organ specific studies. It provides a disconnection from numerous systemic influences and allows specific and accurate adjustments of arterial and venous pressures and flow.
authors.affiliation: Department of Hepatobiliary and Pancreatic Surgery, University Hospitals of Leicester.
authors.forename: Wen Yuan
authors.initials: WY
authors.lastname: Chung
authors.forename: Amar M
authors.initials: AM
authors.lastname: Eltweri
authors.forename: John
authors.initials: J
authors.lastname: Isherwood
authors.forename: Jonathan
authors.initials: J
authors.lastname: Haqq
authors.forename: Seok Ling
authors.initials: SL
authors.lastname: Ong
authors.forename: Gianpiero
authors.initials: G
authors.lastname: Gravante
authors.forename: David M
authors.initials: DM
authors.lastname: Lloyd
authors.forename: Matthew S
authors.initials: MS
authors.lastname: Metcalfe
authors.forename: Ashley R
authors.initials: AR
authors.lastname: Dennison
mesh_terms: D000818:Animals; D015199:Extracorporeal Membrane Oxygenation; D066298:In Vitro Techniques; D007668:Kidney / Q000098:blood supply / Q000378:metabolism / Q000502:physiology*; D008099:Liver / Q000098:blood supply / Q000378:metabolism / Q000502:physiology*; D009926:Organ Preservation; D010477:Perfusion / Q000379:methods*; D013552:Swine