A Laboratory Manual of Kidney Perfusion Techniques

An organ such as the kidney naturally functions best in a healthy organism. Once a kidney has been removed from its normal context, it is crucial to find the optimal compromise between the demands of the problem at issue and the experimental model to be adopted. An isolated kidney is, in effect, a "dying kidney", although it may continue to function for between 1 and 4 hours, depending on one's definition of normal. The basic reason for the progressive deterioration in function can be found in the stresses set up by the transition from perfusion by whole blood to the use of a more or less artificial perfusing medium. Indeed, blood is a "liquid organ", a highly complex cocktail that is steadily being reconditioned by the actions of other organs, and this complexity explains why all efforts to maintain kidney function in isolation are ultimately doomed to failure. If we want to approach its fantastic properties, then we should leave an organ as the kidney within the body. As Mephisto remarks in Goethe's drama "Faust", Studierzimmer II: "Blut ist ein ganz besondrer Saft": "blood is a quite special juice".