In liver transplantation, the organ during the recipient's
operation is traditionally flushed with 4.5% of human
albumin solution to wash away the potassium-rich
University of Wisconsin (UW) solution. It has been
argued whether albumin could be useful at this stage.
We used a new simple non-toxic assay to determine
cell viability
Alamar Blue incorporates a redox indicator which changes colour from blue (oxidised form) to magenta (reduced form) in response to metabolic activity. Cultured human hepatocyte and HUVEC cell lines were exposed for 3, 6, 12 or 24 hours to plain medium, UW solution, human albumin 4.5% solution, UW-containing effluents before and after preservation as well albumin flushes from different transplantation cases. After addition of Alamar Blue the optical density was measured at 570 nm and the background measured 600 nm was subtracted.
The studies showed a significantly lower metabolic rate of the cells exposed to albumin and albumin-containing flushes at all time periods, even after a short exposure such as 3 hours (p < 0.001). On the other hand, there was no significant difference of growth and metabolic activity rate between cells exposed UW solution, different UW-containing flushes and medium for up to 12 hours.
In conclusion, human albumin is a very poor solution for cell maintenance. In contrast, UW solution has comparable results with the full growth medium up to 12 hours of exposure.
Print ISSN: 1434-6621
Volume: 38, 11/2000
Pages: 1191 - 1193