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The First Workshop on "Molecular mechanisms of ischemia-reperfusion
injury" took place in Pawlowice, nearby
the Wroclaw, Poland from 17 to
19.04.2008. It has been jointly organized by the German Transplantation Society
(Prof. Uwe Heemann) and Polish Transplantation Society (Prof. Wojciech Rowinski
from Warsaw and local organizing committee
Prof. Dariusz Patrzalek, Prof. Marian Klinger, dr Dorota Kaminska from
Wroclaw). The meeting was attended by
over 25 doctors involved in organ
transplantation aimed to discuss the complex issues surrounding
ischemia-reperfusion injury and share their knowledge with colleagues. Sessions were chaired by Prof.
Uwe Heemann (Muenchen) and
Prof. Marian Klinger (Wroclaw).
The first session began
with the lecture of Prof. Dietmar
Abendroth (Ulm) devoted
to the role of innate immunity, especially HMGB1
and IDO in delayed graft function in renal transplantation.
Dr Lukasz Grochola (Ulm) presented
analysis of data on the correlation
between perioperative oxidative stress and long term function in allograft
kidney transplantation and
identification of markers of perioperative oxidative stress indicating an
impaired long-term allograft function
Dr Jens Lutz (München) described
the role of zink finger protein A20 in ischemia and documented on rat model that A20 is induced in response to
ischemia/reperfusion and reduces NF-kB activation thus increasing cell survival by inhibition of apoptosis.
Dr Dorota Kaminska (Wrocław)
addressed on the role of cytokines and growth factors in ischemia-reperfusion
injury proving that the significant gene expression has already occurred
directly after brain death. The observed cytokine gene expression before
transplantation may be even higher than during the period of acute rejection.
Dr Leszek Domański (Szczecin) discussed the results of the study
describing the position of hypoxanthine
as the graft ischemia marker as well as use of thermovision camera to visualize
when the whole graft was perfused with recipient's blood.
Dr Karol Tejchman (Szczecin) presented data on influence of
perioperational acid-base balance and ion disorders on graft function in kidney
transplantation.
Dr Małgorzata Zynek-Litwin (Wrocław) described the leukocyte elastase-α1
protease inhibitor complex as neutrophil degranulation marker in plasma and
urine of patients after deceased renal allograft transplantation and assessed
of inducing factors and impact on allograft function.
Dr Maciej Kosieradzki (Warszawa): focused on assessment of gene expression of hemoxigenase 1 (HO-1), hypoxia-inducible
factor (HIF-1α) and VEGF in the cortex of renal allograft
from living and brain-dead donor, showing that expression of hypoxia-associated
genes is strongly dependant on donor quality.
Dr Marek Masztalerz (Bydgoszcz) discussed the role of free oxygen radicals role
in ischemia-repefusion injury of
the transplanted kidney and pointed out the
correlation between biochemical stress during ischemia-reperfusion and
early graft function.
On the second day the
topics included a discussion of connection between experimental and clinical
problems in ischemia-reperfusion injury.
Prof. Peter Schnülle and Prof.
Benito Yard (Mannheim)
focused on the use of dopamine in donor treatment. They
showed that dopamine prevents vascular damage during cold preservation
endothelial cells in vitro as well as
deceased donor pre-treatment with dopamine results in less delayed graft
function after kidney transplantation in clinical trial.
Dr Friedrich Dünschede (Mainz) presented data on prevention
of hepatic ischemia/reperfusion injury by 3-NPA induced upregulation of BCL-2
on rat model.
Prof. Faikah Güler (Hannover) gave a
speech on the therapeutic study in ischemia-reperfusion and novel therapeutic
concepts to improve acute renal failure.
Dr I. Ruth (Mainz) presented data on
impact of CC-chemokine receptor 5D32 polymorphism on the development of ITBL after liver transplantation
Dr Tomasz Śluzar (Szczecin) presented means to avoid of acute tubular necrosis in kidneys procured from cadaveric donors.
own experience during 25 years of activity of one transplant center.
Dr Agnieszka Perkowska (Warszawa) described the use of donor's kidney
biopsies histopathological examination
in help differentiation between perfusion-reperfusion injuries and other
types of early transplant disorders.
Dr Barbara Bolanowska (Wrocław) discussed a case report on the short
break in reperfusion during kidney transplantation from living donor and which
possibly caused the occurrence of delayed graft function.
The laborious academic
meeting was complemented by an unforgettable evening with walking through the
Old City of Wroclaw and visiting an extraordinary huge painting
in the shape of a revolving hyperboloid
commemorating the battle of Raclawice "Panorama Raclawicka".
The workshop was filled with dynamic
discussion on issues facing some crucial problems of ischemia-reperfusion
injury which formed the basis for the proposal of future cooperation. The
meeting provided also an opportunity for young investigators to meet with
colleagues of other participating transplant centers and to establish contacts
with other centers from neighbouring
countries.
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