Cardiac Xenotransplantation : Challenges, Evolution, and Advances

© 2022 The Authors..

The increased need for heart transplantation in patients with advanced heart failure has introduced demand for a greater supply of donor hearts. Progress in cross-species experimental models has led to promise for ushering in the clinical use of xenotransplantation (XTx) as a potential solution to the organ shortage worldwide. In this review, the authors first highlight the historical advances that led to the first pig-to-human heart transplantation, a landmark moment in the field of advanced heart failure. The authors discuss immunologic, infectious, and physiological challenges for implementation of XTx, as well as innovations in the science of genetic manipulation that allowed clinical translation of this therapy. The authors consider ongoing barriers that affect ongoing translation of this technology into clinical care in the current era. Finally, the authors propose a framework for advancing clinical application of XTx.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:7

Enthalten in:

JACC. Basic to translational science - 7(2022), 7 vom: 01. Juli, Seite 716-729

Sprache:

Englisch

Beteiligte Personen:

Boulet, Jacinthe [VerfasserIn]
Cunningham, Jonathan W [VerfasserIn]
Mehra, Mandeep R [VerfasserIn]

Links:

Volltext

Themen:

CRISPR/Cas9, clustered regularly interspaced short palindromic repeats–associated RNA-guided DNA endonuclease Cas9
Cardiac transplantation
GH, growth hormone
Gal, α-galactose 1,3-galactose
Gene editing
HF, heart failure
HTx, heart transplantation
Journal Article
NHP, nonhuman primate
PERV, porcine endogenous retrovirus
Review
XTx, xenotransplantation
Xenotransplantation

Anmerkungen:

Date Revised 13.08.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.jacbts.2022.05.003

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM344774848