Improving the compatibility of pig organs for transplantation into humans

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Improving the compatibility of pig organs for transplantation into humans


The design and profitable transplantation of kidney grafts from genetically modified pigs into non-human primates has been described in a latest research printed in Nature. Modifying the pig genomes to take away antigen coding genes, add human genes and eradicate pig viruses, resulted in long-term survival of the monkey recipients, as much as round two years. This preclinical work could transfer the area a step nearer to scientific testing of genetically modified pig kidneys for human transplantation. 

The transplantation of animal organs into humans (xenotransplantation) could provide an answer to the worldwide organ scarcity. Pigs are promising donor animals however a number of obstacles first require overcoming earlier than they are often thought-about clinically viable, notably organ rejection and danger of zoonosis (transmission of animal viruses to humans). Previous work has recognized three glycan antigens expressed in pigs which might be recognised by human antibodies and attacked, resulting in rejection of the organ. The porcine endogenous retrovirus has additionally been recognized as a danger for transmission into humans. 

Wenning Qin from Cambridge, Massachusetts, U.S. and different construct on this earlier analysis by introducing alterations into the genome of a donor pig and obtain profitable transplantation of kidney grafts from a genetically engineered pig into a cynomolgus monkey mannequin (a non-human primate with a number of human-like traits). The researchers launched 69 genomic edits into the porcine donor (a Yucatan miniature pig), knocking out three glycan antigens thought to induce rejection, overexpressing seven human transgenes (to cut back hostility of primate immune system) and inactivating all copies of the porcine retrovirus gene. These kidney grafts survived considerably longer than grafts with solely the glycan antigen knockouts (176 days versus 24 days), suggesting that the expression of these human transgenes affords some safety in opposition to rejection. Combined with immunosuppressive therapy, the transplant supplied long-term primate survival of as much as 758 days. These outcomes show the promise of pig organs in future human transplantations and produce the method a step nearer to scientific testing, the authors conclude.

“When transplanted into cynomolgus monkeys, the kidneys with three glycan antigen knockouts alone experienced poor graft survival, whereas those with glycan antigen knockouts and human transgene expression demonstrated significantly longer survival time, suggesting the benefit of human transgene expression in vivo. These results show that preclinical studies of renal xenotransplantation could be successfully conducted in nonhuman primates and bring us closer to clinical trials of genetically engineered porcine renal grafts” they write.



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