Abstract
Lung ischemia-reperfusion is characterized by diffuse alveolar damage arising from the first hours after transplantation. The first etiology of the primary graft dysfunction in lung is ischemia-reperfusion. It is burdened by an important morbi-mortality. Lung ischemia-reperfusion increases the oxidative stress, inactivates the sodium pump, increases the intracellular calcium, leads to cellular death and the liberation of pro-inflammatory mediators. Researches relative to the reduction of the lung ischemia-reperfusion injuries are numerous but few of them found a place in common clinical practice, because of an insufficient level of proofs. Ex vivolung evaluation is a suitable technique in order to evaluate therapeutics supposed to limit lung ischemia-reperfusion injuries.
Copyright © 2014 Elsevier Masson SAS. All rights reserved.
MeSH terms
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Adenosine Triphosphate / metabolism
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Apoptosis
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Bronchodilator Agents / therapeutic use
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Calcium / metabolism
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Carbon Monoxide / therapeutic use
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Cytokines / metabolism
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Humans
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Ischemic Postconditioning
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Ischemic Preconditioning
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Lung Transplantation / adverse effects*
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Mitochondrial Membrane Transport Proteins / metabolism
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NADPH Oxidases / metabolism
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Nitric Oxide / metabolism
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Nitric Oxide / therapeutic use
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Organ Preservation
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Oxidative Stress / physiology
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Oxygen / administration & dosage
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Pulmonary Alveoli / blood supply
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Pulmonary Surfactants / therapeutic use
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Reactive Oxygen Species / metabolism
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Reperfusion / methods
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Reperfusion Injury / etiology*
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Reperfusion Injury / physiopathology
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Reperfusion Injury / prevention & control
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Respiration, Artificial / methods
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Severity of Illness Index
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Sodium-Potassium-Exchanging ATPase / metabolism
Substances
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Bronchodilator Agents
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Cytokines
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Mitochondrial Membrane Transport Proteins
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Pulmonary Surfactants
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Reactive Oxygen Species
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Nitric Oxide
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Carbon Monoxide
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Adenosine Triphosphate
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NADPH Oxidases
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Sodium-Potassium-Exchanging ATPase
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Oxygen
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Calcium