Thermochimica Acta 497 (2010) 41–45
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Thermochimica Acta
journal homepage: www.elsevier.com/locate/tca
DSC examination of intestinal tissue following cold preservation
Andrea Ferencz
a
, Klára Nedvig
a
, Dénes L ˝ orinczy
b,∗
a
Department of Surgical Research and Techniques, Medical School, University of Pécs, Kodály Z. str. 20, H-7624 Pécs, Hungary
b
Institute of Biophysics, Medical School, University of Pécs, Szigeti str. 12, H-7624 Pécs, Hungary
article info
Article history:
Received 13 May 2009
Received in revised form 22 July 2009
Accepted 15 August 2009
Available online 25 August 2009
Keywords:
DSC
Intestine
Cold preservation
abstract
The fact that small bowel is extremely sensitive to cold preservation had encouraged us to compare
the conventional histology and differential scanning calorimetry (DSC) methods in intestinal structural
changes following experimental cold storage models. Our histological findings showed that longer cold
preservation period caused more severe damage in structure of mucosa and crypts, but there were no
changes in the muscular layer. According to our DSC data (transition temperature, calorimetric enthalpy)
suggest that the thermal destruction of mucosa, muscular layer and total intestinal wall following preser-
vation injury revealed significant differences compared to normal bowel structure.
© 2009 Elsevier B.V. All rights reserved.
1. Introduction
Small bowel transplantation has progressively improved with
modern immunosuppressive strategies. The deleterious effects of
cold ischemia and reperfusion are major problems that affect
clinical outcomes after small bowel transplantation. Intestinal
ischemia/reperfusion (I/R) can lead to oxidative injury and loss
of intestinal barrier function [1,2]. Although cold preservation is
employed to reduce tissue degeneration, there is a progressive
deterioration of cellular function over time [3,4]. The current clini-
cal standard for small bowel preservation is intravascular flushing
and cold static preservation using the University of Wisconsin
(UW) solution. The qualitative as well as quantitative analyses are
essential for the determination of potential mechanisms underly-
ing injury and for the development of treatment strategies in the
clinical practice [5].
Several studies demonstrated that cold preservation can be
evaluated by the detection of various products resulting from
injury, using laboratorial and histomorphological methods [6,7].
The injury of the gut is most often assessed by histological eval-
uation on hematoxylin and eosin (H&E) stained tissue sections.
From different systems have been described the Park’s scoring
system is the most suitable to be recommended as a standard
scoring scale for histological evaluation of intestinal damage [8].
Advantages this scoring system is, that it grades the progression of
morphologic injury from mild to severe, showing the best corre-
lation with clinical outcome [9]. However, lack of this evaluation
∗
Corresponding author. Tel.: +36 72 536 261; fax: +36 72 536 261.
E-mail address: denes.lorinczy@aok.pte.hu (D. L ˝ orinczy).
that it does not describe the delicious details in the tissue struc-
tures.
Differential scanning calorimetry (DSC) is a thermoanalytical
technique which monitors small heat changes between a sample
and reference as a function of temperature. As numerous articles
illustrated DSC is a validly efficient method for the demonstra-
tion of structural changes not only in the molecules, but in the
structure of different tissue elements in biological systems [10–15].
To the knowledge of the authors, there is no previous study per-
formed with the application of DSC in the field of monitoring the
effect of cold preservation on the intestinal tissue. Besides the well-
established morphological methods during intestinal preservation
injury, the main goal of this study was to measure the structural
changes by DSC technique following experimental small bowel cold
storage.
2. Materials and methods
2.1. Animal preparation and anaesthesia
Adult male Wistar rats (250–300 g) were purchased from the
Laboratory Animal Centre of University of Pécs, housed under
pathogen-free conditions and were fasted for 24 h preoperatively,
but had free access to water. Rats were anesthetized with intra-
muscular ketamine hydrochloride (0.01 mg g
-1
of body weight) and
diazepam (0.01 mg g
-1
of body weight) (Richter Gedeon, Budapest,
Hungary). All procedures were performed in accordance with the
ethical guidelines of NIH and guidelines approved by the University
of Pécs (BA02/2000-20/2006) to minimize pain and suffering of the
animals.
0040-6031/$ – see front matter © 2009 Elsevier B.V. All rights reserved.
doi:10.1016/j.tca.2009.08.006