Metabolic assessment of human liver transplants from biopsy samples at the donor and recipient stages using high-resolution magic angle spinning H-1 NMR spectroscopy
authors Duarte, IF; Stanley, EG; Holmes, E; Lindon, JC; Gil, AM; Tang, HR; Ferdinand, R; McKee, CG; Nicholson, JK; Vilca-Melendez, H; Heaton, N; Murphy, GM
nationality International
abstract This work presents the first application of high-resolution magic angle spinning (HR-MAS) H-1 NMR spectroscopy to human liver biopsy samples, allowing a determination of their metabolic profiles before removal from donors, during cold perfusion, and after implantation into recipients. The assignment of peaks observed in the H-1 HRMAS NMR spectra was aided by the use of two-dimensional J-resolved, TOCSY and H-1-C-13 HMQC spectra. The spectra were dominated by resonances from triglycerides, phospholipids, and glycogen and from a variety of small molecules including glycerophosphocholine (GPC), glucose, lactate, creatine, acetate, amino acids, and nucleoside-related compounds such as uridine and adenosine. In agreement with histological data obtained on the same biopsies, two of the six livers were found to contain high amounts of triglycerides by NMR spectroscopy, which also indicated that these tissues contained a higher degree of unsaturated lipids and a lower proportion of phospholipids and low molecular weight compounds. Additionally, proton T-2 relaxation times indicated two populations of lipids, a higher mobility triglyceride fraction and a lower mobility phospholipid fraction, the proportions of which changed according to the degree of fat content. GPC was found to decrease from the pretransplant to the posttransplant biopsy of all livers except for one with a histologically confirmed high lipid content, and this might represent a biomarker of liver function posttransplantation. NMR signals produced by the liver preservation solution were clearly detected in the cold perfusion stage biopsies of all livers but remained in the posttransplant spectra of only the two livers with a high lipid content and were prominent mainly in the graft that later developed primary graft dysfunction. This study has shown biochemical differences between livers used for transplants that can be related to the degree and type of lipid composition. This technology might therefore provide a novel screening approach for donor organ quality and a means to assess function in the recipient after transplantation.
issn 0003-2700
year published 2005
volume 77
issue 17
beginning page 5570
ending page 5578
digital object identifier (doi) 10.1021/ac050455c
web of science category Chemistry, Analytical
subject category Chemistry
unique article identifier WOS:000231652300031
  ciceco authors
  impact metrics
journal analysis (jcr 2019):
journal impact factor 6.785
5 year journal impact factor 6.642
category normalized journal impact factor percentile 92.442
dimensions (citation analysis):
altmetrics (social interaction):