不同冷冻技术对同种异体血管移植排斥反应的影响.

BACKGROUND: Cryopreservation can better ensure the integrity of the vascular structure. How to reduce its immunogenicity to improve rejection after transplantation has attracted more and more attention. OBJECTIVE: To review the research progress of freezing treatment to reduce vascular immunogenicity after allogeneic vascular transplantation in order to provide a reference for clinical research. METHODS: A systematic search of Chinese and English databases CNKI, WanFang and PubMed, as well as online websites Baidu and Google Scholar since the establishment of the database has published literature on reducing vascular immunogenicity after allogeneic vascular transplantation. Keywords were “cardiovascular disease, endothelial cells, cryopreservation, blood vessel transplantation or vascular graft, immunogenicity, immune rejection, allograft or allogeneic transplantation or allograft transplantation and cryoprotectant”. A total of 68 articles were included according to the inclusion and exclusion criteria. RESULTS AND CONCLUSION: (1) The review found that the rejection of allogeneic vascular transplantation can be reduced by improving the existing freezing technology, which mainly involves the selection of freezing and thawing methods and cryoprotectants. (2) The existing research suggests that the freeze-drying method is superior to the low-temperature cryopreservation, but due to the limited conditions, it is still dominated by low-temperature cryopreservation. Among them, vitrification cryopreservation, slow rewarming and the use of stainless steel and even silver-containing materials are better than programmed cryopreservation and rapid rewarming. (3) The combined selection of permeable and non-permeable cryoprotectants can further reduce the occurrence of rejection while reducing their toxicity. [ABSTRACT FROM AUTHOR]