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University of Groningen

Brain death and organ donation

Hoeksma, Dane

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from

it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date:

2017

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Hoeksma, D. (2017). Brain death and organ donation: Observations and interventions. Rijksuniversiteit

Groningen.

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Brain Death and Organ Donation

Observations and Interventions

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Brain Death and Organ Donation

Observations and Interventions

Proefschrift

ter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen

op gezag van de

rector magnificus prof. dr. E. Sterken en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op woensdag 6 september 2017 om 12.45 uur

door Dane Hoeksma geboren op 14 februari 1988 te Ispingo, Zuid-Afrika Dane Hoeksma PhD-thesis

This PhD-project was financially supported by University Medical Center Groningen

Junior Scientific Masterclass, Faculty of medicine University Of Groningen Research

Institute GUIDE

The printing of this thesis was kindly supported by: University Medical Center Groningen

Research Institute GUIDE Noord-Negentig B.V. Chipsoft B.V.

Cover and invitation: Anne van Erp and Dane Hoeksma

Layout: Rens Dommerholt, Persoonlijk Proefschrift, www.persoonlijkproefschrift.nl Printing: Ipskamp printing, www.ipskampprinting.nl

Copyright: Dane Hoeksma, 2017-06-11 ISBN number: 978-94-028-0690-8

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form without explicit prior permission of the author.

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Paranimfen M. Kirschbaum R. Mencke Promotores

Prof. dr. H.G.D. Leuvenink  Prof. dr. H. van Goor Beoordelingscommissie Prof. dr. J.L. Hillebrands Prof. dr. D.J. Reijngoud Prof. dr. B. Yard

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CONTENTS

Chapter 1 Introduction

Chapter 2 Slow induction of brain death leads to decreased renal function and increased hepatic apoptosis in brain-dead rats

Chapter 3 Quality of donor lung grafts: A comparative study between explosive and gradual brain death induction models in rats Chapter 4 Inadequate anti-oxidative responses in kidneys of brain-dead rats Chapter 5 Differences between kidney and liver perfusion, oxygen

consumption, and metabolism during brain death

Chapter 6 MnTMPyP, a selective superoxide dismutase mimetic, reduces oxidative stress in kidneys of brain-dead rats

Chapter 7 MnTMPyP treatment of brain-dead rats leads to improved renal function during ex vivo reperfusion

Chapter 8 Discussion and future perspectives Chapter 9 English and Dutch summary

List of abbreviations Author affiliations Acknowledgments Biography 9 21 41 55 73 95 115 129 137 146 151 152 157

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