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Proteomic Trajectories of Metabolic and Proteostatic Adaptation During Normothermic Liver Perfusion - PubMed

5 hours ago
  • #liver transplantation
  • #proteomics
  • #biliary complications
  • The study used proteomics to analyze liver grafts during normothermic machine perfusion (NMP) and reperfusion to understand molecular differences related to biliary complications after transplantation.
  • Uncomplicated grafts showed glycolytic activation and reduced oxidative phosphorylation during NMP, while complicated grafts had blunted glycolysis and increased oxidative phosphorylation.
  • At reperfusion, complicated grafts exhibited signs of endoplasmic reticulum stress and translational activation, whereas resilient grafts maintained proteasome-related protein turnover and hypoxia response.
  • The findings suggest that proteomic signatures, including metabolic and proteostatic adaptations, could improve graft viability assessment beyond current biochemical criteria.