Current challenges in xenotransplantation

Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc..

PURPOSE OF REVIEW: In recent years, the xenotransplantation science has advanced tremendously, with significant strides in both preclinical and clinical research. This review intends to describe the latest cutting-edge progress in knowledge and methodologies developed to overcome potential obstacles that may preclude the translation and successful application of clinical xenotransplantation.

RECENT FINDINGS: Preclinical studies have demonstrated that it is now possible to extend beyond two years survival of primate recipients of life saving xenografts. This has been accomplished thanks to the utilization of genetic engineering methodologies that have allowed the generation of specifically designed gene-edited pigs, a careful donor and recipient selection, and appropriate immunosuppressive strategies.In this light, the compassionate use of genetically modified pig hearts has been authorized in two human recipients and xenotransplants have also been achieved in human decedents. Although encouraging the preliminary results suggest that several challenges have yet to be fully addressed for a successful clinical translation of xenotransplantation. These challenges include immunologic, physiologic and biosafety aspects.

SUMMARY: Recent progress has paved the way for the initial compassionate use of pig organs in humans and sets the scene for a wider application of clinical xenotransplantation.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:29

Enthalten in:

Current opinion in organ transplantation - 29(2024), 3 vom: 01. Apr., Seite 205-211

Sprache:

Englisch

Beteiligte Personen:

Vadori, Marta [VerfasserIn]
Cozzi, Emanuele [VerfasserIn]

Links:

Volltext

Themen:

Immunosuppressive Agents
Journal Article
Research Support, Non-U.S. Gov't
Review

Anmerkungen:

Date Completed 29.04.2024

Date Revised 29.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1097/MOT.0000000000001146

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370192605