Development of perfusion preservation method of liver graft, aiming to clinical application for liver transplantation using non-heart-beating-donor

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We confirmed that the superiority of the novel solution over UW solution for the use of simple cold preservation in rat liver and heart, due to the inhibition of cytosolic Ca2+ overload and cytoskeletal breakdown, and stimulation of aerobic respiration. However, these beneficial effects were abolished in liver and kidney preservation and transplantation of the large animal models, due to insufficient perfusion, which is possibly attributed with high concentration of PEG. To proceed for clinical application, customization of PEG concentration should be explored. Perfusion preservation might be a solution for this problem. Thus, the model of liver perfusion preservation and transplantation in pigs has been established with resolving various technical problems.