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Systematic Reviews
©Author(s) (or their employer(s)) 2026.
World J Gastroenterol. Mar 7, 2026; 32(9): 111199
Published online Mar 7, 2026. doi: 10.3748/wjg.v32.i9.111199
Table 1 Liver graft preparation for small animal liver ex vivo machine perfusion
Ref.
Via
Liver flush before MP
Kim et al[14]PV10 mL of cold UW-G solution
Dutkowski et al[15]PV2 mL + 3 mL + 1 mL of 4 °C UW solution (hydroxyethyl starch and glutathione free)
Compagnon et al[67]A, PV25 mL of ice-cold Celsior-HES solution with 500 IU of heparin
Lauschke et al[16]PV60 mL of HTK or Belzer MPS solutions
Lee et al[90]NANA
Tan et al[91]NANA
Xu et al[92]NANA
Bessems et al[17]PV50 mL of ringer lactate
Dutkowski et al[18]PV2 mL + 3 mL + 1 mL of 4 °C UW solution (hydroxyethyl starch and glutathione free)
Tolboom et al[19]PV5 mL + 5 mL of 4 °C UW solution
Vairetti et al[20]PVOxygenated KH medium
Manekeller et al[21]PVHTK or Belzer MPS solutions
Stegemann et al[22]PV20 mL of HTK or Custodiol-N solution at 4 °C
Ferrigno et al[23]PVOxygenated KH medium
Lüer et al[24]PV20 mL of HTK solution
Olschewski et al[25]PV20 mL of Lifor organ preservation solution (at 4 °C, 12 °C and 21 °C)
Minor et al[26]PV20 mL of HTK solution
Tolboom et al[27]PV10 mL of saline
Giannone et al[28]PV20 mL of cold Celsior solution (in situ) + 30 mL of cold Celsior solution
Perk et al[29]PV10 mL of saline
Schlegel et al[30]PV6 mL of 20 °C heparinized (1 IU/mL) saline
Bruinsma et al[88]NACold UW solution
Liu et al[31]PV10 mL of 4 °C perfusate (control or defatting)
Carnevale et al[93]NANA
Schlegel et al[32]PV6 mL of 20 °C heparinized (1 IU/mL) saline
Schlegel et al[33]PV6 mL of heparinized (1 IU/mL) saline at room temperature and UW solution at 4 °C
Bae et al[34]PV200 mL of 0.9% saline
Niu et al[68]A, PV50 mL of ice-cold ross perfusion fluid with 10 IU/mL heparin. 12 mL of cold supplemented UW solution. 20 mL of Hartmann’s solution with heparin (5 U/mL)
Tarantola et al[35]PVKH medium
Bruinsma et al[36]PV10 mL of 21 °C 3-OMG loading solution + 10 mL of 21 °C 3-OMG loading solution
Ferrigno et al[37]PV50 mL of modified KHB
Jia et al[38]PVCooled saline containing 25 IU/mL heparin
Westerkamp et al[94]NANA
Carbonell et al[95]NANA
Op den Dries et al[75]PV, HA5 mL of 37 °C 0.9% NaCl via PV + 5 mL of 4 °C 0.9% NaCl via SIVC + 20 mL of 4 °C 0.9% NaCl via PV + 5 mL of 4 °C 0.9% NaCl via HA
Okamura et al[39]PV50 mL of preservation solution
Berardo et al[40]PVRinger lactate
Chai et al[89]NACold UW solution until liver color changed to khaki
Zeng et al[41]PV20 mL of 4 °C HTK solution
Beal et al[42]PV60 mL of cold 0.9% saline with 1 mL heparin (100 U)
Tabka et al[69]A, PV15 mL of 20 °C Ringer’s lactate or Celsior or with Celsior supplemented with 10-9 M of Ang IV
Xue et al[43]PV20 mL of 4 °C HTK solution
He et al[78]AApproximately 10 mL of 0-4 °C saline
Gassner et al[70]A, PV20 mL of 4 °C HTK solution (with/without 12 mmol/L glycine)
Zeng et al[79]A2 mL of cold HTK solution with 10 IU/mL heparin
Jia et al[80]ACold saline with 25 IU/mL of heparin
Oldani et al[44]PV20 mL of cold IGL-1 solution with 100 IU heparin
Chin et al[45]PV50 mL of 4 °C 0.9% NaCl
Gillooly et al[46]PV10 CC of cold saline with 100 IU heparin
Martins et al[47]PV4 °C Celsior solution
Scheuermann et al[48]PV40 mL of cold UW solution
Claussen et al[71]A, PV20 mL of 4 °C HTK solution supplemented with 12 mmol/L glycine
Haque et al[49]PV50 mL of ice cold Ringer’s lactate with heparin
Schlegel et al[50]PV10 mL of cold heparinized IGL-1 solution
Nösser et al[51]PV20 mL of Ringer solution
Yamada et al[96]NANA
Hu et al[52]PV20 mL of 0-4 °C HTK solution
Von Horn and Minor[53]PV60 mL of HTK solution
Raigani et al[54]PV50 mL of ice-cold 0.9% saline
Yang et al[55]PV2 mL of saline
Westerkamp et al[76]PV, HA10 mL of 37 °C 0.9% NaCl via PV. 5 mL of 4 °C HTK solution via PV. 20 mL of 4 °C HTK solution via PV. 5 mL of 4 °C HTK solution via HA
De Vries et al[86]NA60 mL of ice-cold saline
Liu et al[85]HAHeparin saline 40 mL (50 IU/L)
Lin et al[56]PVNA
Rigo et al[57]PV10 mL of cold Celsior solution. 30 mL of cold Celsior solution. 10 mL of WEM
Xu et al[97]NANA
Carlson et al[58]PV20 mL of NaCl saline
Zhou et al[81]A50 mL of 4 °C HTK solution
Cao et al[59]PV10 mL of UW solution
De Stefano et al[60]PV10 mL of saline or Celsior solution
Sun et al[61]PVNA
Jennings et al[62]PV20 mL of cold 0.9% saline
Wang et al[72]A, PV3 mL of cold HTK solution
Asong-Fontem et al[73]A, PV50 mL of preservation solution. 20 mL of preservation solution at 5 °C ± 3 °C
Shi et al[77]PV, HA0-4 °C heparinized saline
Von Horn et al[63]PV60 mL of 4 °C HTK solution
Zhou et al[82]A50 mL of 4 °C HTK solution
Luo et al[83]A40 mL of heparinized saline (50 IU/mL)
Ohara et al[64]PVRinger’s solution
Chen et al[65]PV5 mL of 37 °C heparinized saline (2500 IU/mL)
Fukai et al[74]A, PV60 mL of ice-chilled saline 25 mL of ice-chilled Belzer UW or Belzer MPS solutions
Hughes et al[84]A80 mL of 4 °C HTK solution
Bai et al[98]NANA
Von Horn et al[66]PV60 mL of 4 °C HTK solution
Li et al[87]NANaCl solution
Table 2 Cannulation techniques for small animal liver ex vivo machine perfusion
Ref.
Portal vein
Hepatic artery
Vena cava
Common bile duct
Kim et al[14]; Manekeller et al[21]; Stegemann et al[22]; Giannone et al[28]; Perk et al[29]; Bae et al[34]; Zeng et al[79]; Jia et al[80]; Gillooly et al[46]; Martins et al[47]; Haque et al[49]; Schlegel et al[50]; Cao et al[59]; Wang et al[72]; Asong-Fontem et al[73]; Li et al[87]YesNo or NANo or NANo or NA
Dutkowski et al[15]; Lee et al[90]; Bessems et al[17]; Olschewski et al[25]; Tolboom et al[27]; Bruinsma et al[88]; Carnevale et al[93]; Niu et al[68]; Bruinsma et al[36]; Zeng et al[41]; Beal et al[42]; Tabka et al[69]; Xue et al[43]; Gassner et al[70]; Oldani et al[44]; Nösser et al[51]; Hu et al[52]; Lin et al[56]; Xu et al[97]; Sun et al[61]YesNo or NAYesYes
Compagnon et al[67]; Westerkamp et al[94]; Op den Dries et al[75]; Okamura et al[39]; Claussen et al[71]YesYesYesYes
Lauschke et al[16]; Xu et al[92]; Dutkowski et al[18]; Tolboom et al[19]; Vairetti et al[20]; Ferrigno et al[23]; Lüer et al[24]; Minor et al[26]; Liu et al[31]; Tarantola et al[35]; Ferrigno et al[37]; Berardo et al[40]; He et al[78]; Chin et al[45]; Scheuermann et al[48]; Yamada et al[96]; Von Horn and Minor[53]; Raigani et al[54]; Yang et al[55]; De Vries et al[86]; Rigo et al[57]; Carlson et al[58]; De Stefano et al[60]; Jennings et al[62]; Von Horn et al[63]; Luo et al[83]; Chen et al[65]; Fukai et al[74]; Von Horn et al[66]YesNo or NANo or NAYes
Tan et al[91]; Carbonell et al[95]; Chai et al[89]No or NANo or NANo or NANo or NA
Schlegel et al[30]; Schlegel et al[32]; Zhou et al[81]; Zhou et al[82]YesNo or NAYesNo or NA
Schlegel et al[33]YesYesYesNo or NA
Jia et al[38]; Shi et al[77]YesYesNo or NANo or NA
Westerkamp et al[76]; Liu et al[85]; Ohara et al[64]; Hughes et al[84]; Bai et al[98]YesYesNo or NAYes
Table 3 Experimental conditions and main findings in small animal liver ex vivo machine perfusion studies
Ref.
Animal
WI time before MP
Length of SCS before MP
MP type and length of MP
Kim et al[14]RatsNA0 hourHMP: 48 hours
Dutkowski et al[15]Rats11.4 minutes 0.8 minutes or 4.2 minutes 0.4 minutesNAHMP: 10 hours
Compagnon et al[67]Rats< 20 secondsNAHMP: 24 hours or 48 hours; NMP: 2 hours
Lauschke et al[16]Rats60 minutesNAHMP: 24 hours; NMP (reperfusion): 45 minutes
Lee et al[90]Rats30 minutesNAHMP: 5 hours
Tan et al[91]RatsNA30 minutesHMP: 36 hours
Xu et al[92]RatsNA0 hour (before HMP) or 24 hours (before NMP)HMP: 24 hours; NMP: 1 hour
Bessems et al[17]RatsNANAHMP: 24 hours; NMP (reperfusion): 1 hour
Dutkowski et al[18]RatsNA10 hoursHOPE: 3 hours; NMP (reperfusion): 40 minutes
Tolboom et al[19]RatsNA0 hourNMP: 6 hours
Vairetti et al[20]RatsNANA4 °C, 10 °C, 20 °C, 25 °C, 30 °C, or 37 °C MP: 6 hours, NMP (reperfusion): 2 hours
Manekeller et al[21]Rats30 minutesNAHMP: 18 hours; NMP (reperfusion): 2 hours
Stegemann et al[22]Rats30 minutesNAHMP: 18 hours; NMP (reperfusion): 2 hours
Ferrigno et al[23]RatsNANAHMP or SNMP: 6 hours; NMP (reperfusion): 2 hours
Lüer et al[24]RatsNANAHMP: 18 hours; NMP (reperfusion): 2 hours
Olschewski et al[25]Rats60 minutesNAHMP or SNMP: 6 hours; NMP (reperfusion): 6 hours
Minor et al[26]Rats30 minutesNAHMP: 18 hours; NMP (reperfusion): 2 hours
Tolboom et al[27]Rats1 hourNASNMP: 5 hours; NMP: 5 hours
Giannone et al[28]RatsNANANormobaric or hyperbaric HMP: 24 hours
Perk et al[29]Rats60 minutes or 90 minutesNANMP: 6 hours
Schlegel et al[30]Rats30 minutes4 hoursHMP: 1 hour
Bruinsma et al[88]RatsNA0 hour, 24 hours, 48 hours, 72 hours and 120 hoursSNMP: 3 hours
Liu et al[31]RatsNANASNMP: 6 hours
Carnevale et al[93]Rats45 minutesNAHMP: 24 hours; NMP (reperfusion): 1.5 hours
Schlegel et al[32]RatsNA30 minutesHMP or HNP: 1 hour
Schlegel et al[33]Rats30 minutes or 60 minutesNMP: 0 minute or 15 minutes; HOPE: 4 hoursNMP: 4 hours; HOPE: 1 hour
Bae et al[34]Rats30-40 minutesNAHMP: 8 hours; NMP (reperfusion): 90 minutes
Niu et al[68]Rats60 minutes5 hoursNMP: 2 hours
Tarantola et al[35]RatsNA6 hoursSNMP, NMP (reperfusion): 6 hours
Bruinsma et al[36]RatsNANALoading SNMP: 80 minutes; supercooling: 3-4 days; recovery SNMP: 5 hours
Ferrigno et al[37]RatsNANA10 °C, 20 °C, 30 °C or 37 °C MP: 6 hours
Jia et al[38]RatsNA0 hour or 6 hoursHMP: 6 hours or 0 hour
Westerkamp et al[94]Rats30 minutes6 hoursHMP or SNMP or rewarming MP: 1 hour; NMP: 2 hours
Carbonell et al[95]RatsNANANMP: 15 minutes to stabilize (all groups); SNMP or NMP: 30 minutes
Op den Dries et al[75]Rats0 minute or 30 minutes0 hour or 3 hoursNMP: 3 hours; NMP (reperfusion): 2 hours
Okamura et al[39]RatsNANASNMP: 4 hours; NMP: 2 hours
Berardo et al[40]RatsNA6 hoursSNMP: 6 hours; NMP: 2 hours
Chai et al[89]RatsNANAHMP: 2 hours or 12 hours
Zeng et al[41]Rats30 minutesNAHMP: 3 hours; NMP (reperfusion): 2 hours
Beal et al[42]RatsNANANMP: 4 hours
Tabka et al[69]RatsNANASNMP: 6 hours; NMP (reperfusion): 2 hours
Xue et al[43]Rats30 minutesNAHMP: 3 hours; NMP: 1 hour
He et al[78]RatsNANAHMP: 3 hours or 6 hours
Gassner et al[70]Rats30 minutesNANMP: 6 hours
Zeng et al[79]Mice30 minutes4 hoursHOPE or HNPE: 1 hour; NMP (reperfusion): 2 hours
Jia et al[80]RatsNANAHMP: 6 hours
Oldani et al[44]Rats1 hour30 minutesHOPE or NMP: 2 hours
Chin et al[45]RatNANANMP: 6 hours
Gillooly et al[46]Rats25 minutesNAHMP, NMP: 4 hours
Martins et al[47]RatsNA12 hoursNMP: 1 hour
Scheuermann et al[48]RatsNA0 hourSNMP or NMP: 4 hours; NMP (reperfusion): 2 hours
Claussen et al[71]Rats< 15 minutes< 60 minutesNMP: 6 hours
Haque et al[49]RatsNANANMP: 24 hours
Schlegel et al[50]Rats30 minutes4 hoursNMP or HOPE: 1 hour
Nösser et al[51]RatsNA81.71 minutes ± 28.44 minutesSNMP or NMP: 6 hours or 12 hours
Yamada et al[96]Rats30 minutes6 hoursSNMP or NMP: 30 minutes, 60 minutes or 90 minutes
Hu et al[52]Rats30 minutesNAHMP: 1 hour, 3 hours, 4 hours, 12 hours, 24 hours; NMP: 2 hours
Von Horn and Minor[53]Rats20 minutes18 hoursNMP: 2 hours
Raigani et al[54]RatsNA< 10 minutesNMP: 6 hours
Yang et al[55]Rats30 minutesNANMP: 8 hours
Westerkamp et al[76]RatsNA4 hoursNMP: 3 hours
De Vries et al[86]Rats0 h0 hour or 24 hours or 72 hoursSNMP: 3 hours
Liu et al[85]Rats0 minute, 10 minutes or 30 minutesNAHMP or NMP: 4 hours
Lin et al[56]RatsNA1 hourHMP: 3 hours
Rigo et al[57]Rats3.10 minutes (0.35) mean (SEM)NANMP: 4 hours
Xu et al[97]RatsNANANMP: 4 hours
Carlson et al[58]RatsNA< 5 minutesNMP: 4 hours
Zhou et al[81]Rats30 minutes23 hoursHOPE: 1 hour; NMP: 1 hour
Cao et al[59]Rats30 minutesNANMP: 4 hours
De Stefano et al[60]Rats60 minutesNo or 34 minutes ± 7 minutesNMP: 6 hours
Sun et al[61]Rats30 minutesNANMP: 6 hours
Jennings et al[62]RatsNA< 5 minutesNMP: 4 hours
Wang et al[72]Mice10 minutes11 hoursHOPE: 1 hour; NMP (reperfusion): 2 hours
Asong-Fontem et al[73]RatsNA24 hoursHOPE: 2 hours; NMP (reperfusion): 2 hours
Shi et al[77]Rats30 minutes8 hoursNMP: 2 hours
Von Horn et al[63]Rats20 minutes17 hours or 18 hoursHMP: 1 hour; NMP (reperfusion): 2 hours
Zhou et al[82]Rats30 minutes0 hour or 23 hoursHOPE: 1 hour; NMP: 1 hour
Luo et al[83]Rats30 minutes3 hours or 4 hoursHMP or HOPE: 1 hour; NMP: 2 hours
Ohara et al[64]Rats60 minutesNANMP: 4 hours
Chen et al[65]MiceNANANMP: 12 hours
Fukai et al[74]Rats30 minutesNAHMP: 3 hours; NMP (reperfusion): 90 minutes
Hughes et al[84]Rats30 minutesDuring MP primingNMP: 4 hours
Bai et al[98]Rats30 minutes8 hoursNMP: 2 hours
Von Horn et al[66]Rats20 minutes18 hoursRewarming MP: 2 hours; NMP: 1 hour
Li et al[87]RatsNANANMP: 3 hours
Table 4 Perfusate compositions in small animal liver ex vivo machine perfusion studies
Ref.
Animal weight
Liver weight
Perfusate volume
Perfusate composition
Kim et al[14]200-400 gNA200 mLCold UW-G solution
Dutkowski et al[15]250-300 g10.4 ± 0.3 g500 mLModified UW solution: Starch and glutathione was omitted, supplemented with 80 mg/L gentamycin, and 5000 IU/L heparin
Compagnon et al[67]300 ± 50 gNA150 mLHMP: Celsior-HES solution. NMP: KHB buffer with 5% bovine serum albumin
Lauschke et al[16]250-300 gNA125 mLHMP: HTK or Belzer MPS solution supplemented with 6000 IU superoxide dismutase. NMP: KH buffer
Lee et al[90]200-250 gNA100 mLKH solution, then switched to UW solution (starch omitted)
Tan et al[91]180-220 gNA120 mLModified Hoffmann perfusate: Hydroxyethyl starch 50 g/L, calcium gluconate 80 mmol/L, raffinose 10 mmol/L, KH2PO4 25 mmol/L, hydroxyethyl piperazine 10 mmol/L, dexamethasone 12 mg/L, penicillin 2 × 105 units/L, insulin 100 units/L, and with/without 25 mmol/L MgCl and/or 5 mmol/L ATP
Xu et al[92]200-250 gNANAHMP: UW solution with/without starch. NMP: KH buffer solution containing 112 μmol/L taurocholic acid, and 150 μg/L hyaluronic acid
Bessems et al[17]350 ± 50 g16.5 ± 0.5 g250 mLHMP: The UW-G solution or polysol. NMP: KHB without bovine serum albumin
Dutkowski et al[18]250-300 g10.8 ± 1.4 g450 mLHOPE: Modified starch-free UW solution. NMP: KHB buffer
Tolboom et al[19]250-300 g9.74-0.81 g55-60 mLNMP: Phenol red-free WEM supplemented with 2 IU/L insulin, 40000 IU/L penicillin, 40000 mg/L streptomycin, 0.292 g/L L-glutamine, 10 mg/L hydrocortisone, 1000 IU/L heparin with 25% (v/v) freshly isolated rat plasma and freshly isolated rat erythrocytes to a hematocrit of 16% to 18%
Vairetti et al[20]250-300 gNA200 mLKH solution with 1.25 mmol/L CaCl2 or with 0.25 mmol/L CaCl2
Manekeller et al[21]250-300 gNA125 mLHMP: HTK or Blezer MPS solutions. NMP: KH buffer
Stegemann et al[22]250-300 gNAHMP: 125 mL; NMP: 250 mLHMP: HTK or modified HTK solution (custodiol-N). NMP: KH buffer with 3 g/100 mL of bovine serum albumin
Ferrigno et al[23]375 ± 15 g and 300 ± 10 gNA200 mLKH medium
Lüer et al[24]250-300 gNA125 mLHMP: HTK solution. NMP: WEM solution, supplemented with 3 mg/100 mL of bovine serum albumin
Olschewski et al[25]250-280 gNANAHMP, SNMP: Lifor solution. NMP: KH solution
Minor et al[26]250-300 gNAHMP: 125 mL; NMP: 250 mLHMP: HTK solution supplemented with 0 μmol/L, 10 μmol/L, 50 μmol/L or 100 μmol/L of dopamine. NMP: WEM solution with 3 mg/100 mL of bovine serum albumin
Tolboom et al[27]250-300 gNA55-60 mLWEM with autologous erythrocytes and plasma. To this were added: Insulin (2 IU/L), penicillin (40000 IU/L)/streptomycin (40000 μg/L), L-glutamine (0.292 g/L), hydrocortisone (10 mg/L), and heparin (1000 IU/L)
Schlegel et al[30]250-300 g9.83 ± 0.95 g50 mLModified starch free UW-solution
Giannone et al[28]250-300 gNANACelsior solution
Perk et al[29]200-300 gNA55-60 mLPhenol red-free WEM supplemented with 2 IU/L insulin (28.85 units/mg), 100000 IU/L penicillin, 100 mg/L streptomycin sulfate, 0.292 g/L L-glutamine, 10 mg/L hydrocortisone, and 1000 IU/L heparin. Fresh rat plasma (25% v/v) and erythrocytes (18%-20% v/v) were collected and added to the perfusate
Bruinsma et al[88]180-250 gNA500 mLWE supplemented with insulin (2 IU/L), penicillin (40000 IU/L)/streptomycin (40000 μg/L), L-glutamine (0.292 g/L), hydrocortisone (10 mg/L)
Liu et al[31]NA21.4 ± 3.6 g (control) 22.9 ± 5.8 g (defatting group)200 mLThe control perfusate: Minimum essential medium supplemented with 3% wt/vol bovine serum albumin, 1.07 mmol/L lactic acid, and 0.11 mmol/L pyruvic acid. The defatting perfusate: The control perfusate supplemented with the 6 defatting agents (forskolin, GW7647, scoparone, hypericin, visfatin, and GW501516)
Carnevale et al[93]250-300 gNA250 mLHMP: HTK solution: 100 mmol/L sodium gluconate, 7 mmol/L potassium gluconate, 20 mmol/L sucrose, 30 mmol/L BES, 2.5 mmol/L KH2PO4, and 0.03 mmol/L polyethylene glycol (35 kDa), 5 mmol/L MgSO4, 3 mmol/L glutathione, 5 mmol/L adenosine, and 15 mmol/L glycine, together with 0.25 mg/mL streptomycin and 10 IU/mL penicillin G. NMP: KH buffer with 4% dextran added
Schlegel et al[32]250-320 g9.7 ± 1.5 g50 mLModified starch free UW-solution
Schlegel et al[33]250-320 g10.14 ± 2.73 g50 mLNMP: Diluted full blood or leukocyte and platelet depleted blood perfusate. HOPE: Modified starch-free UW solution
Bae et al[34]300 ± 25 gNA100 mLHMP: KPS-1 solution (Identical to Belzer’s UW MPS) or KPS-1, enhanced with α-ketoglutarate, L-arginine, N-acetylcysteine, nitroglycerin, and prostaglandin E1 or KPS-1, with 5.4 × 10-2 mmol/L of α-tocopherol diluted in acetone. NMP: KHB buffer
Niu et al[68]261 ± 4 gNA353 ± 11 mLKH buffer
Tarantola et al[35]375 ± 15 g and 300 ± 10 gNA200 mLKH medium
Bruinsma et al[36]250-300 gApproximately 10 g100 mL3-OMG loading solution: 500 mL phenol-red free WEM, 5 mL of 200 mmol/L L-glutamine (0.292 mg/L), 4 mL of penicillin-streptomycin (5000 IU/mL), 5 mg of hydrocortisone, 5000 U of sodium heparin, 375 U of insulin, 19.42 g of 3-O-methyl glucose (0.2 M)
Ferrigno et al[37]250-300 gNANAA modified KH buffer
Jia et al[38]250-300 gNA60 mLUW or HTK solutions
Westerkamp et al[94]290-320 gNA100 mLHMP, SNMP, rewarming MP: Belzer MPS. NMP: 25 mL of human red blood cell concentrate (final hematocrit 25%), 53.9 mL of WEM solution, 20 mL of human albumin (200 g/L), 1 mL of insulin (100 IU/mL), and 0.1 mL of unfractionated heparin (5000 IU/mL)
Carbonell et al[95]225-250 gNANAKH buffer: 118 mmol/L NaCl, 4.7 mmol/L KCl, 1.2 mmol/L MgSO4, 1.2 mmol/L KH2PO4, 2.5 mmol/L CaCl2, 25 mmol/L NaHCO3, 20 mmol/L HEPES
Op den Dries et al[75]303 ± 4 g (mean ± SEM)100 mL20 mL of human red blood cell concentrate (final hematocrit 15%-20%), 59 mL of WEM solution, 20 mL of human albumin (200 g/L), 1 mL of insulin (100 IU/mL), and 0.1 mL of unfractionated heparin (5000 IU/mL)
Okamura et al[39]250-300 gNA300 mLSNMP: Polysol solution. NMP: KH buffer
Berardo et al[40]250-300 gNANAKH buffer
Chai et al[89]250-300 g and 600-630 gNA80 mLUW solution with/without 0.165 mg/L of metformin
Zeng et al[41]250-300 gNA150 mLHTK solution
Beal et al[42]250-350 gNA300 mL86 mL of 25% albumin, 184 mL of WEM, 30 mL of penicillin/streptomycin (10 IU/mL penicillin and 0.01 mg/mL streptomycin), insulin (50 IU/L), heparin (0.01 IU/mL), L-glutamine (0.292 g/L), and hydrocortisone (0.010 g/L). Addition of 625 IU/mL pegylated-catalase
Tabka et al[69]250-300 gNASNMP: 150 mL; NMP: 140 mLSNMP: Celsior with/without Ang IV. NMP: KBB enriched with 5% albumin
Xue et al[43]250 ± 10 gNAHMP: 100 mL; NMP: 250 mLHMP: HTK solution. NMP: KH buffer with 4% dextran
He et al[78]250-300 gNANAHTK solution
Gassner et al[70]280-350 g13.6 g ± 2.15 g50 mLNMP: Low-glucose DMEM supplemented with the rat erythrocyte concentrate and 12.5 mL strain specific rat plasma
Zeng et al[79]20-24 gNA50 mLHTK solution
Jia et al[80]250-300 gNA60 mLHTK solution
Oldani et al[44]176 (155-193) gNA50 mLHOPE: IGL-1 solution with 150 IU heparin. NMP: 25 mL Fischer rat blood with 25 mL normal saline, and with 150 IU heparin
Chin et al[45]200-250 gNA150 mLDMEM supplemented with 200 mmol/L L-glutamine, 10% v/v FBS, 5% with bovine serum albumin, 8 mg/L dexamethasone, 2000 IU/L heparin, 2 IU/L insulin, and 5 × 106 engineered rat fibroblasts
Gillooly et al[46]Approximately 300 gNA100 mL99 mL WEM with 10 IU insulin, and lipid nanoparticles (50 nM siRNA)
Martins et al[47]320-350 gNANA50% plasma-Lyte and 50% KH solution
Scheuermann et al[48]296 g ± 8 g (mean ± SEM)NA100 mLSNMP, NMP: 80 mL of WEM supplemented with 5% bovine serum albumin, 20 mL of type O + human RBCs, 0.2 IU insulin, 29.2 mg L-glutamine, 1 mg hydrocortisone, and 500 IU heparin. NMP: KH buffer supplemented with 5% bovine serum albumin
Claussen et al[71]280-350 gNA50 mL10 mL of the erythrocyte concentrate, 35 mL of DMEM, 5 mL of strain specific rat plasma supplemented with 1000 IU heparin and 12 mmol/L glycine
Haque et al[49]250-300 gNA500 mLNMP: 950 mL of William’s E media, 20 g of bovine serum albumin, 20 g of polyethylene glycol 35000, 20 mg of dexamethasone, 2 mL of heparin, 1 mL of regular insulin, 10 mL penicillin-streptomycin, 10 mL of antibiotic-antimycotic, and 2.2 g of sodium bicarbonate
Schlegel et al[50]250-320 g9.8 0.6 g100 mLHOPE: Belzer MPS. NMP: Belzer MPS or diluted heparinized blood
Nösser et al[51]398.87 ± 133.12 g14.15 ± 2.66 g250 mL, 100 mL, 80 mL, 50 mLSNMP: 500 Ml DMEM supplemented with 100 μg/mL penicillin and streptomycin, 4 mmol/L L-glutamine/L-alanine, 1 μM human insulin, 14 ng/mL glucagon, 1 μM dexamethasone. NMP: The isolated RBCs suspended in DMEM, isolated rat plasma (10% of the total volume), and 500 IU of heparin
Yamada et al[96]260-350 gDCD 10.12 ± 0.93 gNAKH buffer
Hu et al[52]250-300 gNA150 mLHTK solution
Von Horn and Minor[53]250-300 gNA200 mLAqix RS-I solution
Raigani et al[54]NANA500 mLHigh-glucose DMEM supplemented with 10% v/v FBS, 2% v/v penicillin-streptomycin, and 3% w/v bovine serum albumin. Defatting cocktail agents include 10 μM forskolin, 1 μM GW7647, 1 μM GW501516, 10 μM scoparone, 10 μM hypericin, 0.4 ng/mL visfatin, 0.8 mmol/L L-carnitine, and additional amino acids
Yang et al[55]200-220 gNANA60 mL DMEM/F12 (1:1) containing 20% FBS and 1% penicillin-streptomycin solution (penicillin 10000 IU/mL, streptomycin 10000 μg/mL), 20 mL of fresh blood, 5 IU/mL of heparin, 2 IU/L of insulin, and 2.5 μg/mL of dexamethasone
Westerkamp et al[76]270-300 gNA100 mL25 mL human red blood cell concentrate, 53.9 mL WEM solution, 20 mL human albumin (200 g/L), 1 mL insulin (100 IU/mL), and 0.1 mL unfractionated heparin (5000 IU/mL)
De Vries et al[86]200-250 gNA500 mLWEM supplemented with sodium bicarbonate (2.2 g/L), dexamethasone (24 mg/L), insulin (5 IU/L), heparin (2000 IU/L), and bovine serum albumin (10 mg/mL)
Liu et al[85]NANA70 mLHMP: UW solution with 250 IU heparin, 20000 IU penicillin and 2 mg hydrocortisone. Addition of CIRP competitive inhibitor (C23, 300 ng/mL). NMP: 20 mL rat blood, 50 mL WEM, 250 IU heparin, 20000 IU penicillin, 2 mg hydrocortisone, 0.4 IU insulin, and 0.0292 g glutamine
Lin et al[56]180 ± 20 gNA50 mLHTK solution with or without various defatting agents (10 mmol/L forskolin; 1 mmol/L GW7647; 10 mmol/L hypericin; 10 mmol/L scoparone; 0.4 ng/mL visfatin; 1 mmol/L GW501516)
Rigo et al[57]200-250 g10.35 g (0.41) mean (SEM)70 mLNMP: 20 mL of fresh rat blood, 50 mL of complete phenol red-free WEM, supplemented with 11.6 mmol/L glucose, 50 IU/mL penicillin, 50 μg/mL streptomycin, 5 mmol/L L-glutamine, 1 IU/mL insulin, 1 IU/mL heparin, and 2 mEq of sodium bicarbonate
Xu et al[97]Approximately 500 gApproximately 15 g60-110 mLWhole blood-based perfusate with different defatting components
Carlson et al[58]331 ± 16 g (mean ± SEM)NA95 mLWEM, 3250 IU each penicillin/streptomycin, 0.65 mmol/L sodium pyruvate, 1.30 mmol/L L-glutamine, 1% human albumin, 500 IU heparin, 15 mg papaverine, 1 mg insulin, 1.25 mg hydrocortisone, and 30 mL of leukoreduced, packed RBCs
Zhou et al[81]250-300 gNANANA
Cao et al[59]200-220 gNA80 mLDMEM/F12, 20 mL rat blood, 100 IU/mL penicillin, 100 μg/mL streptomycin, and 5 IU/mL heparin
De Stefano et al[60]200-250 gControl group: 17.10 (1.93). WI group: 15.17 (0.83)150 mL100 mL of phenol red-free WEM, supplemented with 100 IU/mL penicillin, 100 μg/mL streptomycin, 0.292 g/L L-glutamine, 1 IU/mL insulin, 1 IU/mL heparin, and 50 mL of recently expired (max 5 days) human red blood cell
Sun et al[61]200-220 gNA2 mLNormal saline or single cell suspension containing 1× 107-3 × 107 BMMSCs
Jennings et al[62]320 ± 11 g (mean ± SEM)NA130 mL or 146 mLWEM (65 mL for pRBC oxygen carriers and 50 mL for oxyglobin) with 3250 U each penicillin/streptomycin, 500 U heparin, 1 mg insulin, 1.25 mg hydrocortisone, and 15 mg papaverine. In addition, sodium pyruvate 0.65 mmol/L, L-glutamine 130 mmol/L, and human albumin 1%. The oxygen carriers added to the perfusate were human pRBC (30 mL), rat pRBC (30 mL), or oxyglobin (46 mL)
Wang et al[72]NANAHOPE: 50 mL; NMP: 30 mLHOPE: HTK solution. NMP: 7.5 mL blood, 22.5 mL KHB solution containing 2% FBS, 60 mg glucose, 1 IU insulin, and 150 IU heparin
Asong-Fontem et al[73]NANANAHOPE: IGL-2 or PERF-GEN (Belzer MPS) solutions. NMP: Williams medium E supplemented with insulin 2 U/L, penicillin (40000 U/L)/streptomycin (40000 μg/L), L-glutamine, hydrocortisone 10 mg/L and heparin (1000 U/L)
Shi et al[77]320-350 gNA36 mL24 mL whole heparinized blood supplemented with 10% sodium citrate, 1% penicillin and streptomycin, and 12 mL circuit priming solution with 45% lactated ringer, 5% sodium bicarbonate and 50% hydroxyethyl starch
Von Horn et al[63]250-300 gNA150 mLHMP: Aqix RS-I solution. NMP: WEM supplemented with 3 mg/100 mL of bovine serum albumin
Zhou et al[82]250-300 gNANANA
Luo et al[83]250-300 gNAHMP: 150 mL; NMP: 180 mLHMP: HTK solution. NMP: DMEM/F12, 20% FBS, 1% penicillin streptomycin solution (penicillin 10000 IU/mL, streptomycin 10000 mg/mL), 5 IU/mL of heparin, 2 IU/L of insulin, and 2.5 mg/mL of dexamethasone. Full rat blood (30-45 mL) was reconstituted up to a total volume of 180 mL perfusate
Ohara et al[64]250-350 gNA100 mLRat whole blood
Chen et al[65]34 ± 4 g (mean ± SEM)Approximately 1 g300 mLWEM was supplemented with 20% FBS, 1% penicillin/streptomycin, 5000 IU/L heparin, 50 IU/L insulin, and 0.010 g/L hydrocortisone
Fukai et al[74]NANA300 mLHMP: UW-MPS solution. NMP: KHB solution
Hughes et al[84]250-300 g14 ± 0.2 g150 mLPhenol red-free WEM with addition of 25% bovine albumin, rat RBCs, 2 IU/L insulin, 40000 IU/L penicillin, 40000 μg/L streptomycin, 0.292 g/L L-glutamine, 10 mg/L hydrocortisone, 1000 IU/L heparin, and bicarbonate 75%
Bai et al[98]360-380 gNA36 mL24 mL whole heparinized blood supplemented with 10% sodium citrate, 1% penicillin, and streptomycin and 12 mL circuit priming solution with 45% lactated ringer, 5% sodium bicarbonate, and 50% hydroxyethyl starch
Von Horn et al[66]250-300 gNANARewarming MP: Diluted Steen solution or Belzer MPS. NMP: WEM supplemented with 3 mg/100 mL of bovine serum albumin
Li et al[87]250-350 gNA100 mL90 mL WEM with 10 mL rat blood cells supplemented with 10 mg/L hydrocortisone, 5 IU/mL heparin, 1 IU/mL insulin, 5 mmol/L L-glutamine, 40 IU/mL penicillin, 40 μg/mL streptomycin, and with/without 10 mmol/L epigallocatechin gallate
Table 5 Parameters used in small animal liver ex vivo machine perfusion studies
Ref.HMP
SNMP
NMP
Temperature
Flow
Pressure
Temperature
Flow
Pressure
Temperature
Flow
Pressure
Kim et al[14]4 °C0.5 mL/minute/g liver11.2 ± 0.4 mmHg
Dutkowski et al[15]3-6 °C0.43-0.44 mL/minute/g liver4.48-0.47 mmHg
Compagnon et al[67]4 °C0.1-0.4 mL/minute/g liverPV, VC: ≤ 1 mmHg; HA: ≤ 11 mmHg37 °C3 mL/minute/g wet liverNA
Lauschke et al[16]4 °C0.5 mL/minute/gNA37 °C3 mL/g/minuteNA
Lee et al[90]4-5 °C0.4 mL/minute/g liver< 3 mmHg
Tan et al[91]6-8 °C0.1 mL/minute/gNA
Xu et al[92]4 °C0.4 mL/minute/g liverNA37 °CNANA
Bessems et al[17]4 °C< 1 mL/minute/g liver< 20 cmH2O37.1 °C ± 0.4 °C< 3 mL/minute/g liver< 20 cmH2O
Dutkowski et al[18]3-5 °C2.75-3.25 mL/minute4.4 ± 0.5 mmHg37 °C15 mL/minuteNA
Tolboom et al[19]37.5 °C1.8 mL/ minute/g ± 0.12 mL/ minute/g wet liver12-15 cmH2O
Vairetti et al[20]4 °C, 10 °CNANA20 °C, 25 °C, 30 °CNANA37 °CInitial: 1 mL/minute/g, increased to 4 mL/minute/gNA
Manekeller et al[21]4 °CNANA37 °C3 mL/g/minuteNA
Stegemann et al[22]4 °C0.5 mL/minute/gNA37 °C3 mL/g/minuteNA
Ferrigno et al[23]4 °C or 8 °C4 mL/minute/g7.4 ± 0.6 mmHg (lean, 4 °C), 8.7 ± 2.1 mmHg (fat, 4 °C), 6.9 ± 0.8 mmHg (lean, 8 °C), 7.1 ± 0.9 mmHg (fat, 8 °C)20 °C4 mL/minute/g7.3 ± 0.8 mmHg (lean) 7.5 ± 1.6 mmHg (fat)37 °C4 mL/minute/gNA
Lüer et al[24]4 °C0.5 mL/minute/gNA37 °C3 mL/g/minuteNA
Olschewski et al[25]4 °C or 12 °C1 mL/minute/g liverNA21 °C1 mL/minute/g liverNA37 °C3 mL/minute/g liverNA
Minor et al[26]4 °C0.5 mL/minute/gNA37 °C3 mL/g/minuteNA
Tolboom et al[27]20 °C or 30 °C or 37 °C2 mL/minute/g10-14 cmH2O37 °C2 mL/minute/g10-14 cmH2O
Giannone et al[28]4 °C1 mL/minute/g liverNA
Perk et al[29]37 °CPressure dependent10-12 cmH2O
Schlegel et al[30]4 °CPressure dependent≤ 3 mmHg
Bruinsma et al[88]Room temperatureNANA
Liu et al[31]20 °C1 mL/minute/gNA
Carnevale et al[93]5.0 °C ± 0.5 °C0.23 mL/minute/g liver40 mmH2O (25% of the NMP PV pressure)37 °CNANA
Schlegel et al[32]4 °CPressure dependent≤ 3 mmHg
Schlegel et al[33]4 °CPV: 1-2 mL/mintePV: 3 mmHg37 °CHA: 6 mL/minute; PV: 15 mL/minutePV: 8 mmHg
Bae et al[34]4 °C3.5 mL/minute/g of liverNA37 °CNANA
Niu et al[68]37 °C20 mL/minuteNA
Tarantola et al[35]20 °C4 mL/minute/gNA37 °C4 mL/minute/gNA
Bruinsma et al[36]21°C8-12 mL/minute10-15 cmH2O
Ferrigno et al[37]10 °C2.6 mL/minute/g5.8 ± 0.2 mmHg20 °C or 30 °C2.6 mL/minute/g4.9 ± 0.1 mmHg, 4.9 mmHg ± 0.2 mmHg37 °C2.6 mL/minute/g4.2 ± 0.1 mmHg
Jia et al[38]4 °C1.4 mL/minuteNA
Westerkamp et al[94]8 °CPressure dependentPV: 3 mmHg; HA: 25 mmHg20 °CPressure dependentPV: 4 mmHg; HA: 40 mmHg37 °CPressure dependentPV: 11 mmHg. HA: 110 mmHg
Carbonell et al[95]22 °C or 26 °C 3 mL/minute/gNA37 °C3 mL/minute/gNA
Op den Dries et al[75]37 °CPV: 22.6 ± 0.8 mL/minute; HA: 5.3 ± 0.4 mL/minutePV: < 11 mmHg. HA: < 110 mmHg
Okamura et al[39]20-24 °CPV: 1 mL/g-liver/minute; HA: 0.1 mL/g-liver/minuteNA37 °CPV: 3 mL/g-liver/minuteNA
Berardo et al[40]20 °CNAStarting: 6-7 mmHg37 °CNAStarting: 6-7 mmHg
Chai et al[89]4 °C4 mL/minuteNA
Zeng et al[41]0-4 °C0.5 mL/g/minuteNA36-37 °CPressure dependent10.3 mmHg
Beal et al[42]37 °C1-2 mL/minute10-16 cmH2O
Tabka et al[69]20 °C0.5 mL/g/minuteNA37 °CNANA
Xue et al[43]0-4 °C0.23 mL/minute/gNA36-37 °C3 mL/minute/gNA
He et al[78]4 °C1.4 mL/minuteNA
Gassner et al[70]37 °C1 mL/minute/g liver weight4-9 mmHg
Zeng et al[79]Approximately 4 °C0.2 mL/minute/g< 2 mmHg36.5 °C ± 0.5 °C2.5 mL/minute/gNA
Jia et al[80]4 °C1.4 mL/minute4.61 mmHg (mean)
Oldani et al[44]4 °CPressure dependent4 mmHg37 °CPressure dependent8 mmHg
Chin et al[45]37 °CInitial: 5 mL/minute, then pressure dependent5 mmHg
Gillooly et al[46]4-7 °CPressure dependent10 mmHg37 °CPressure dependent10 mmHg
Martins et al[47]32 °C or 37 °CNANA
Scheuermann et al[48]25 ± 0.1 °C or 30 °C1.80 mL/minute/g liverNA37 °C1.80 mL/minute/g liver. Reperfusion: 2.84 ± 0.04 mL/minute/g liverNA
Claussen et al[71]37 °CPV: 1 mL/minute/g liver. HA: 0.1 mL/minute/g liver PV: 5.65-9 mmHg. HA: 48.8-110 mmHg
Haque et al[49]37 °C25-30 mL/minute< 12 mmHg
Schlegel et al[50]10 °C1-2 mL/minute≤ 3 mmHg37 °C15-18 mL/minute12 mmHg
Nösser et al[51]21 °C1 mL/g wet liver/minute5.0 mmHg37 °C1 mL/g wet liver/minute5.0 mmHg
Yamada et al[96]20-25 °CNANA37 °CNANA
Hu et al[52]0-4 °C0.5 mL/g/minuteNA36.5 °C ± 0.5 °CNA10.3 mmHg
Von Horn and Minor[53]35-42 °CNAInitial: 3 mmHg. Later: 5 mmHg
Raigani et al[54]37 °CNA10-12 mmHg
Yang et al[55]35-38 °C2 mL/g wet liver/minute10-12 mmH2O
Westerkamp et al[76]37 °CNAPV: 11 mmHg. HA: 110 mmHg
De Vries et al[86]21 ± 1 °C≤ 25 mL/minute5 mmHg
Liu et al[85]4 °CPV: 8 mL/minuteNA37 °CPV: 8 mL/minute; HA: 4 mL/minuteNA
Lin et al[56]4 °C< 0.15 mL/minute/g< 3 mmHg
Rigo et al[57]37 °C1.1-1.3 mL/minute/g8-10 mmHg
Xu et al[97]37 °CNANA
Carlson et al[58]37 °C1.8 mL/minute/gNA
Zhou et al[81]NANANANANANA
Cao et al[59]36-38 °C1.5 mL/minute/g wet liver10-14 cmH2O
De Stefano et al[60]37 °CNA12-16 mmHg
Sun et al[61]NANANA
Jennings et al[62]37 °C1.8 mL/minute/gNA
Wang et al[72]4 °CNANA36.5 ± 0.5 °CNANA
Asong-Fontem et al[73]5 °C ± 3 °CNANA37 °CNANA
Shi et al[77]38 °CPV: 5-15 mL/minute. PV and HA flow ratio 3:1PV: 8-10 mmHg. HA: 90-100 mmHg
Von Horn et al[63]8 °CNA5 mmHg37 °C3 mL/g minuteNA
Zhou et al[82]NANANANANANA
Luo et al[83]4 °C1.2 mL/minuteNA35-37 °C2 mL/g/minuteNA
Ohara et al[64]37 °CPV: 1 mL/minute/g liver. HA: 0.25 mL/minute/g liverNA
Chen et al[65]37 °C1 mL/minute7-10 mmHg
Fukai et al[74]7-10 °C0.5 mL/minute/g liver4-6 cmH2O37 °CNA8-12 cmH2O
Hughes et al[84]36-37.5 °CPV: 1.2 mL/g-liver/minute; HA: 0.2 mL/g-liver/minuteNA
Bai et al[98]NANANA
Von Horn et al[66]Risen from 8 to 35 °C5.5 ± 1.4 mL/g/minute or 5.2 ± 1.1 mL/g/minuteRisen from 3 mmHg to 6 mmHg37 °C3 mL/g/minuteNA
Li et al[87]37 °CPressure dependent< 4 mmHg