Introduction: IGL-1 is a newer preservation solution largely resembling University Wisconsin (UW) solution in terms of ingredients but where the viscous starch has been replaced by polyethylene glycol resulting in lower viscosity. In addition, IGL-1 has low potassium and high sodium concentrations (extracellular-type solution). The solution has been used in several European countries for the preservation of kidneys, pancreases and livers with efficacy and safety comparable to those of UW or Custodiol. However, a systematic appraisal of the intestinal preservation injury using ILG-1 is missing. Methods: Following aortic retrograde perfusion with 4 liters IGL-1, the ileum of fifteen deceased, brain dead multiorgan donors was retrieved and stored at 4C. Samples were obtained after 8h, 14h and 24 hours of cold storage. Histology (Chiu/Park scale), Goblet cells (GC) count, apoptosis (active caspase 3) and tight junction proteins claudin 3 and Zonula occludens (ZO)-1 were studied. Results: Eight hours of cold storage resulted in a moderate epithelial detachment form lamina propria (median Chiu grade 2 (range 1–3) and minimal GC depletion. Preservation injury progressed to a median grade of 3 (range 2–5) after 14 hours and remained at similar levels at 24 hours. Active Caspase-3 was very low or absent at all time-points. After 8h ZO-1 expression was well preserved along the entire villus but became discontinuous after 14 hours of cold storage. Claudin 3 staining pattern remained well preserved throughout the entire cold storage. Conclusions: The development of the preservation injury in the human intestine following perfusion and storage in IGL-1 appears similar with the other solutions. Interestingly, the structural preservation injury did not seem to continue to worsen after 14 hours while the injury at subcellular level advanced further.
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