Ex situ heart perfusion: a novel model for drug validation and translation - Takeaways - MDSpire

Ex situ heart perfusion: a novel model for drug validation and translation

  • By

  • John Onsy Louca

  • Magnus Althage

  • Nicole Asemota

  • Johannes Bargehr

  • Sai Bhagra

  • Dawn E. Bowles

  • Sarah Hosgood

  • Kiran Khush

  • Simon Messer

  • Marco Öchsner

  • Joao Pedro Nunes

  • Amanda Rodgers

  • Lu Wang

  • Catherine H. Wilson

  • Stephen Large

  • Sanjay Sinha

  • June 18, 2026

  • 0 min

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  • 1

    Ex situ heart perfusion (ESHP) was developed by Oskar Langendorff and is critical for donation after circulatory determination of death (DCD) programs.

  • 2

    ESHP enables the use of marginal donor hearts, extending preservation times and improving outcomes similar to conventional brain death transplantation.

  • 3

    The model allows for earlier testing of novel therapeutics in human hearts, potentially streamlining drug discovery and reducing failure rates.

  • 4

    Current drug development faces high failure rates, particularly in cardiovascular drugs, highlighting the need for clinically relevant human models.

  • 5

    Despite its potential, ESHP has been underutilized in validating novel therapeutics, with only proof-of-concept studies conducted to date.

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