Evidence map›Paper›PMID 42604137›Full record

ArticleJTCVS open2026

Hypothermic perfusion protocol development for donor heart preservation.

Shuyang Lu, Chananya Karunasumetta, Wenbin Gao, Ran Huo, Ying Wang, Wuqiang Zhu, Francis D Pagani, Thomas Petersen, Sarah S Hogan, Ienglam Lei and 1 more

Abstract read
In one paragraph

Article in JTCVS open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Shuyang LuDepartment of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn.
Chananya KarunasumettaDepartment of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn.
Wenbin GaoDepartment of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn.
Ran HuoDepartment of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn.
Ying WangDepartment of Biochemistry and Molecular Biology, Mayo Clinic, Rochester, Minn.
Wuqiang ZhuDepartment of Physiology and Biomedical Engineering, Mayo Clinic, Phoenix, Ariz.
Francis D PaganiDepartment of Cardiac Surgery, University of Michigan Frankel Cardiovascular Center, Ann Arbor, Mich.
Thomas PetersenUnited Therapeutics Corporation, Research Triangle Park, Durham, NC.
Sarah S HoganUnited Therapeutics Corporation, Research Triangle Park, Durham, NC.
Ienglam LeiDepartment of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn.
Paul C TangDepartment of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn.

Funding

Targeting Immune-Responsive Gene 1 (Irg1) and Itaconate for Cardioprotection of the Donor Heart for TransplantationR01HL164416 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Paul Tang · 2022 to 2026
$3.3M
Targeting Mineralocorticoid Receptor Condensates to Optimize Donor Heart PreservationR01HL166140 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Paul Tang · 2023 to 2026
$2.7M
Epigenetic regulation of donor heart preservation mediated by Brd4R01HL180379 · NHLBI · MAYO CLINIC ROCHESTER · PI Ieng lam Lei · 2025 to 2026
$1.5M
Role of Brd4 in enhancing old donor heart preservation quality via 3D chromosomal restructuringR01AG097480 · NIA · MAYO CLINIC ROCHESTER · PI Ieng lam Lei · 2026 to 2026
$660k
NHLBI NIH HHS R01 HL164416NHLBI NIH HHS R01 HL166140NHLBI NIH HHS R01 HL180379NIA NIH HHS R01 AG097480
6 · The paper itself

Abstract

Objective: Hypothermic perfusion has been introduced for donor heart storage for ∼9 hours. However, opportunities exist to further define the optimal physiological conditions for a more prolonged period with 18 hours of preservation. In particular, the utility of exogenous cellular therapies such as administration of mitochondria are unknown in this setting. Methods: We examined several key aspects of the protocol for hypothermic perfusion of the donor heart. Yorkshire pigs hearts were used for perfusion with histidine-tryptophan-ketoglutarate (HTK) solution at ∼8 °C for 18 hours under different conditions followed by reanimation with normothermic perfusion for 3 hours. Results: HTK perfusate oxygenation was associated with worse contractility (Max dP/dt 630.38 ± 376.63 mm Hg/s vs 1101.80 ± 338.93 mm Hg/s, Conclusions: Avoidance of excess oxygenation, use of fresh HTK, antegrade cardioplegia delivery, as well as delivery of stored frozen mitochondria are key for the success of greatly prolonged hypothermic cardiac perfusion preservation.

Indexed as

donor hearthypothermic perfusionmitochondriaoxygenationprimary graft dysfunction

Identifiers

PMID42604137
PMCPMC13476995

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.