Mechanical removal of dendritic cell-generating non-classical monocytes via ex vivo lung perfusion

James Fildes, John P. Stone, Hannah Sevenoaks, Trygve Sjöberg, Stig Steen, Nizar Yonan, James E. Fildes

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Background Ex vivo lung perfusion (EVLP) is a novel procedure designed to rapidly assess and recondition unusable donor lungs for transplantation (LTx). EVLP may reduce graft immunogenicity and allorecognition via removal of passenger leukocytes. We aimed to explore this hypothesis using human EVLP and in vitro analysis. Methods Explanted human lungs (n = 7) underwent standard EVLP. Perfusate samples and the leukocyte filter were collected, and cells characterized via flow cytometry. Isolated alveolar monocytes (from post-LTx bronchoalveolar lavage) were differentiated to dendritic cells and characterized (n = 10). An in vitro (air epithelial-liquid endothelial) lung model was utilized to evaluate monocyte migration and differentiation within the lung. Results Non-classical monocytes (NCM, normally
    Original languageEnglish
    Pages (from-to)864-869
    Number of pages5
    JournalJournal of Heart and Lung Transplantation
    Volume33
    Issue number8
    DOIs
    Publication statusPublished - 2014

    Keywords

    • dendritic cell
    • diapedesis
    • ex vivo lung perfusion
    • lung transplantation
    • monocyte
    • non-classical monocyte
    • passenger leukocytes

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