[HTML][HTML] Heparanase inhibition preserves the endothelial glycocalyx in lung grafts and improves lung preservation and transplant outcomes

K Noda, BJ Philips, ME Snyder, JA Phillippi… - Scientific reports, 2021 - nature.com
K Noda, BJ Philips, ME Snyder, JA Phillippi, M Sullivan, DB Stolz, X Ren, JD Luketich…
Scientific reports, 2021nature.com
The endothelial glycocalyx (eGC) is considered a key regulator of several mechanisms that
prevent vascular injury and disease. Degradation of this macromolecular layer may be
associated with post-transplant graft dysfunction. In this study, we aimed to demonstrate the
benefits of eGC protection via heparanase inhibition on graft quality. We established rat
models of lung grafts with damaged or preserved eGC using ischemic insult and
transplanted the grafts into recipients. Lung grafts were also subjected to normothermic ex …
Abstract
The endothelial glycocalyx (eGC) is considered a key regulator of several mechanisms that prevent vascular injury and disease. Degradation of this macromolecular layer may be associated with post-transplant graft dysfunction. In this study, we aimed to demonstrate the benefits of eGC protection via heparanase inhibition on graft quality. We established rat models of lung grafts with damaged or preserved eGC using ischemic insult and transplanted the grafts into recipients. Lung grafts were also subjected to normothermic ex vivo lung perfusion for detailed assessment under isolated conditions. Physiologic parameters and eGC-associated cellular events were assessed in grafts before and after reperfusion. Structurally degraded eGC and highly activated heparanase were confirmed in lungs with ischemic insult. After transplant, lungs with damaged eGC exhibited impaired graft function, inflammation, edema, and inflammatory cell migration. Increased eGC shedding was evident in the lungs after reperfusion both in vivo and ex vivo. These reperfusion-related deficiencies were significantly attenuated in lungs with preserved eGC following heparanase inhibition. Our studies demonstrated that eGC plays a key role in maintaining lung graft quality and function. Heparanase inhibition may serve as a potential therapeutic to preserve eGC integrity, leading to improved post-transplant outcomes.
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