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This book covers recent pre-clinical and clinical developments in gasotransmitters (nitric oxide, carbon monoxide and hydrogen sulfide) in all transplantable solid organs – kidney, heart, lung, liver, pancreas and intestine. Gasotransmitters are a class of small endogenously produced gaseous signaling molecules that play important roles in cellular homeostasis and impact physiological and pathophysiological situations. Recently, these gasotransmitters have emerged as potent cytoprotective mediators, possessing therapeutic properties that enable them exhibit their intracellular signaling functions. Hence, alterations in their physiological levels have been associated with various pathologies including cold ischemia-reperfusion injury (IRI) in organ transplantation.
In the context of organ transplantation, a novel therapeutic strategy that is being investigated involves administration of these gasotransmitters to the organ donor or recipient before or after transplantation, or supplementation of standard preservation solution with gasotransmitters during organ graft preservation to mitigate transplant-induced IRI. The book is divided into three parts for easier access: Hydrogen Sulfide in Organ Transplantation, Carbon Monoxide in Organ Transplantation, and Nitric Oxide in Organ Transplantation.
The proposed book presents recent advances in organ graft protection mediated by gasotransmitters against warm and cold IRI in preclinical models of organ transplantation and some selected clinical cases, and seeks to lay the foundation for future clinical applications of these gases. The book is topical and timely, and will serve as a good resource for both educational and didactic purposes in transplant patient care and other aspects of clinical medicine.
Front Matter
Pages 1-1
Pages 3-8
Physiological Role of Hydrogen Sulfide in the Renal System
Pages 9-28
Hydrogen Sulfide Therapy Versus the Transplant Surgeon’s Inexorable Enemy
Pages 29-48
Hydrogen Sulfide Therapy for Improved Kidney Transplantation Outcomes
Pages 49-75
Organ Graft Protection Following Pre-treatment of Transplant Donors with Hydrogen Sulfide
Pages 77-93
Front Matter
Pages 95-95
Carbon Monoxide Against Ischemia-Reperfusion Injury: A Tour into the Immune System
Pages 97-122
A Novel Pharmacological Strategy with Carbon Monoxide in Kidney and Heart Transplantation
Pages 123-145
Carbon Monoxide as a New Pharmacological Tool to Refine Protocols for Lung and Liver Transplantation
Pages 147-164
Pages 165-180
Carbon Monoxide Protection Seen Through the Lens of Pancreatic Islet Transplantation
Pages 181-190
Front Matter
Pages 191-191
Pages 193-224
Protective Role of Nitric Oxide in Kidney and Heart Transplantation
Pages 225-239
Beneficial Effects of Nitric Oxide in Lung and Liver Transplantation
Pages 241-275
Therapeutic Impact of Nitric Oxide in Intestinal Transplantation
Pages 277-286
Emerging Role of Nitric Oxide in Pancreas and Pancreatic Islet Transplantation
Pages 287-298
Pages 299-303
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