Purine efflux from transplanted human cardiac allografts: Correlation with graft function

Angelo Vlessis, G. Ott, A. Cobanoglu

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purine efflux from transplanted human cardiac allografts was investigated as a potential biochemical correlate to graft preservation and eventual function. Coronary sinus effluent from 14 allografts was sampled at 1, 5, 10, 15, 20, and 25 minutes after reperfusion. The plasma fraction from each sample was analyzed for hypoxanthine, xanthine, urate, inosine, and adenosine by high-performance liquid chromatography. Total organ preservation time, aortic crossclamp and bypass times, and initial cardiac index off bypass were recorded. An inotropic score was calculated from the dosages of inotropic agents each recipient required immediately after transplantation. Inosine and adenosine were not detectable in the coronary sinus effluent at any time during reperfusion. Hypoxanthine concentration rose sevenfold (p <0.001) 1 minute after reperfusion. Xanthine concentration peaked later at 5 minutes after reperfusion, a twofold increase (p <0.02). As reperfusion continued, hypoxanthine and xanthine concentrations returned toward baseline levels. The rise in coronary sinus xanthine concentration provides evidence for hypoxanthine degradation by xanthine oxidase during the immediate reperfusion period. The extent of hypoxanthine efflux correlated with total graft ischemic time (p <0.05), inotropic score (p <0.005), and the time from crossclamp release to cessation of bypass (p <0.01). Hypoxanthine efflux can be used as a sensitive and objective biochemical indicator of graft preservation and immediate function.

Original languageEnglish (US)
Pages (from-to)482-486
Number of pages5
JournalJournal of Thoracic and Cardiovascular Surgery
Volume107
Issue number2
StatePublished - 1994

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Hypoxanthine
Reperfusion
Allografts
Xanthine
Transplants
Coronary Sinus
Inosine
Adenosine
Organ Preservation
Xanthine Oxidase
Uric Acid
purine
Transplantation
High Pressure Liquid Chromatography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Purine efflux from transplanted human cardiac allografts : Correlation with graft function. / Vlessis, Angelo; Ott, G.; Cobanoglu, A.

In: Journal of Thoracic and Cardiovascular Surgery, Vol. 107, No. 2, 1994, p. 482-486.

Research output: Contribution to journalArticle

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