{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T08:10:06Z","timestamp":1781079006861,"version":"3.54.1"},"reference-count":51,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2021,3,17]],"date-time":"2021-03-17T00:00:00Z","timestamp":1615939200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000241","name":"Physicians' Services Incorporated Foundation","doi-asserted-by":"publisher","award":["18-17"],"award-info":[{"award-number":["18-17"]}],"id":[{"id":"10.13039\/501100000241","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Lawson Research Institute","award":["Spring 2017 Internal Research Fund Pilot Study Competition"],"award-info":[{"award-number":["Spring 2017 Internal Research Fund Pilot Study Competition"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Biomolecules"],"abstract":"<jats:p>Cold preservation is the standard of care for renal grafts. However, research on alternatives like perfusion at higher temperatures and supplementing preservation solutions with hydrogen sulfide (H2S) has gained momentum. In this study, we investigated whether adding H2S donor AP39 to porcine blood during subnormothermic perfusion at 21 \u00b0C improves renal graft outcomes. Porcine kidneys were nephrectomized after 30 min of clamping the renal pedicles and treated to 4 h of static cold storage (SCS) on ice or ex vivo subnormothermic perfusion at 21 \u00b0C with autologous blood alone (SNT) or with AP39 (SNTAP). All kidneys were reperfused ex vivo with autologous blood at 37 \u00b0C for 4 h. Urine output, histopathology and RNAseq were used to evaluate the renal graft function, injury and gene expression profiles, respectively. The SNTAP group exhibited significantly higher urine output than other groups during preservation and reperfusion, along with significantly lower apoptotic injury compared to the SCS group. The SNTAP group also exhibited differential pro-survival gene expression patterns compared to the SCS (downregulation of pro-apoptotic genes) and SNT (downregulation of hypoxia response genes) groups. Subnormothermic perfusion at 21 \u00b0C with H2S-supplemented blood improves renal graft outcomes. Further research is needed to facilitate the clinical translation of this approach.<\/jats:p>","DOI":"10.3390\/biom11030446","type":"journal-article","created":{"date-parts":[[2021,3,17]],"date-time":"2021-03-17T11:48:22Z","timestamp":1615981702000},"page":"446","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Subnormothermic Perfusion with H2S Donor AP39 Improves DCD Porcine Renal Graft Outcomes in an Ex Vivo Model of Kidney Preservation and Reperfusion"],"prefix":"10.3390","volume":"11","author":[{"given":"Smriti","family":"Juriasingani","sequence":"first","affiliation":[{"name":"Department of Microbiology and Immunology, University of Western Ontario, London, ON N6A 3K7, Canada"},{"name":"Matthew Mailing Center for Translational Transplant Studies, London Health Sciences Center, London, ON N6A 5A5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aushanth","family":"Ruthirakanthan","sequence":"additional","affiliation":[{"name":"Matthew Mailing Center for Translational Transplant Studies, London Health Sciences Center, London, ON N6A 5A5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5920-6511","authenticated-orcid":false,"given":"Mahms","family":"Richard-Mohamed","sequence":"additional","affiliation":[{"name":"Matthew Mailing Center for Translational Transplant Studies, London Health Sciences Center, London, ON N6A 5A5, Canada"},{"name":"Multi-Organ Transplant Program, London Health Sciences Center, London, ON N6A 5A5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masoud","family":"Akbari","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Immunology, University of Western Ontario, London, ON N6A 3K7, Canada"},{"name":"Matthew Mailing Center for Translational Transplant Studies, London Health Sciences Center, London, ON N6A 5A5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahid","family":"Aquil","sequence":"additional","affiliation":[{"name":"Matthew Mailing Center for Translational Transplant Studies, London Health Sciences Center, London, ON N6A 5A5, Canada"},{"name":"Multi-Organ Transplant Program, London Health Sciences Center, London, ON N6A 5A5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Patel","sequence":"additional","affiliation":[{"name":"Matthew Mailing Center for Translational Transplant Studies, London Health Sciences Center, London, ON N6A 5A5, Canada"},{"name":"Multi-Organ Transplant Program, London Health Sciences Center, London, ON N6A 5A5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafid","family":"Al-Ogaili","sequence":"additional","affiliation":[{"name":"Matthew Mailing Center for Translational Transplant Studies, London Health Sciences Center, London, ON N6A 5A5, Canada"},{"name":"Multi-Organ Transplant Program, London Health Sciences Center, London, ON N6A 5A5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Whiteman","sequence":"additional","affiliation":[{"name":"University of Exeter Medical School, St. Luke\u2019s Campus, Exeter EX1 2LU, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Luke","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Immunology, University of Western Ontario, London, ON N6A 3K7, Canada"},{"name":"Matthew Mailing Center for Translational Transplant Studies, London Health Sciences Center, London, ON N6A 5A5, Canada"},{"name":"Multi-Organ Transplant Program, London Health Sciences Center, London, ON N6A 5A5, Canada"},{"name":"Department of Surgery, London Health Sciences Center, London, ON N6A 5A5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alp","family":"Sener","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Immunology, University of Western Ontario, London, ON N6A 3K7, Canada"},{"name":"Matthew Mailing Center for Translational Transplant Studies, London Health Sciences Center, London, ON N6A 5A5, Canada"},{"name":"Multi-Organ Transplant Program, London Health Sciences Center, London, ON N6A 5A5, Canada"},{"name":"Department of Surgery, London Health Sciences Center, London, ON N6A 5A5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,3,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1523\/JNEUROSCI.16-03-01066.1996","article-title":"The possible role of hydrogen sulfide as an endogenous neuromodulator","volume":"16","author":"Abe","year":"1996","journal-title":"J. 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