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  • Exploring Iodide and Hydrog...
    Tratnig-Frankl, Philipp; Andrews, Alec R; Berkane, Yanis; Guinier, Claire; Goutard, Marion; Lupon, Elise; Lancia, Hyshem H; Morrison, Michael L; Roth, Mark B; Randolph, Mark A; Cetrulo, Jr, Curtis L; Lellouch, Alexandre G

    Antioxidants, 05/2024, Letnik: 13, Številka: 5
    Journal Article

    Vascularized composite allografts (VCA) face ischemic challenges due to their limited availability. Reperfusion following ischemia triggers oxidative stress and immune reactions, and scavenger molecules could mitigate ischemia-reperfusion injuries and, therefore, immune rejection. We compared two scavengers in a myocutaneous flap VCA model. In total, 18 myocutaneous flap transplants were performed in Major histocompatibility complex (MHC)-defined miniature swine. In the MATCH group (n = 9), donors and recipients had minor antigen mismatch, while the animals were fully mismatched in the MISMATCH group (n = 9). Grafts were pretreated with saline, sodium iodide (NaI), or hydrogen sulfide (H S), stored at 4 °C for 3 h, and then transplanted. Flaps were monitored until clinical rejection without immunosuppression. In the MATCH group, flap survival did not significantly differ between the saline and hydrogen sulfide treatments ( = 0.483) but was reduced with the sodium iodide treatment ( = 0.007). In the MISMATCH group, survival was similar between the saline and hydrogen sulfide treatments ( = 0.483) but decreased with the sodium iodide treatment ( = 0.007). Rhabdomyolysis markers showed lower but non-significant levels in the experimental subgroups for both the MATCH and MISMATCH animals. This study provides insightful data for the field of antioxidant-based approaches in VCA and transplantation.