首页|期刊导航|器官移植|过冷保存技术在移植物保存中的应用研究进展

过冷保存技术在移植物保存中的应用研究进展OA北大核心

Research progress in the application of supercooling preservation technology in graft preservation

中文摘要英文摘要

过冷保存技术作为器官保存领域的一项突破性创新,通过将器官置于接近冰点或低于冰点的低温环境中,显著降低细胞的代谢率并抑制冰晶形成,延长了器官保存时间并保持其生物活性.相较于传统 4℃低温保存,过冷保存技术能够有效避免细胞损伤和代谢物累积问题,在细胞、组织和器官保存中表现出显著优势.近年来,在冷冻保护剂优化、抗冻蛋白应用、玻璃化技术改进及纳米复温技术等领域取得了重要进展,为解决过冷保存过程中面临的毒性、冰晶形成及复温速率不均等挑战提供了新路径.本综述总结了过冷保存的基本原理以及关键技术的应用及其在器官移植中的实际成效,同时分析了其面临的毒性、复温效率等挑战,以期为未来优化器官低温保存技术和推动临床应用提供理论支持和研究方向.

Supercooling preservation technology,as a groundbreaking innovation in the field of organ preservation,significantly reduces the metabolic rate of cells and inhibits ice crystal formation by placing organs in a low-temperature environment near or below the freezing point.This technology extends the preservation time of organs and maintains their biological activity.Compared with the traditional low-temperature preservation at 4 °C,supercooling preservation effectively avoids cell damage and the accumulation of metabolic products,demonstrating significant advantages in the preservation of cells,tissues and organs.In recent years,important progress has been made in the optimization of cryoprotectants,the application of antifreeze proteins,the improvement of vitrification technology,and the development of nanotechnology-based rewarming techniques.These advancements provide new pathways to address the challenges of toxicity,ice crystal formation and uneven rewarming rates during supercooling preservation.This review summarizes the basic principles of supercooling preservation,the application of key technologies,and their practical effects in organ transplantation.It also analyzes the challenges of toxicity and rewarming efficiency,aiming to provide theoretical support and research directions for the future optimization of organ low-temperature preservation technology and its clinical application.

赵恒;冯锦腾;于邦瑞;李益行;白浩田;黄海水;张广健

710061 西安,西安交通大学第一附属医院胸外科中西医结合加速康复外科实验室710061 西安,西安交通大学第一附属医院胸外科中西医结合加速康复外科实验室西安交通大学生命科学与技术学院生物医学信息工程教育部重点实验室西安交通大学仿生工程与生物力学研究所710061 西安,西安交通大学第一附属医院胸外科中西医结合加速康复外科实验室710061 西安,西安交通大学第一附属医院胸外科中西医结合加速康复外科实验室西安交通大学生命科学与技术学院生物医学信息工程教育部重点实验室西安交通大学仿生工程与生物力学研究所710061 西安,西安交通大学第一附属医院胸外科中西医结合加速康复外科实验室

临床医学

过冷保存器官移植冰晶冷冻保护剂降温复温抗冻蛋白纳米技术

Supercooling preservationOrgan transplantationIce crystalCryoprotectantCoolingRewarmingAntifreeze proteinNanotechnology

《器官移植》 2025 (3)

394-403,10

国家自然科学基金面上项目(82470107)陕西省卫生健康肺移植基础及临床转化科研创新平台(2024PT-09)

10.12464/j.issn.1674-7445.2025030

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