Skip to main content
Erschienen in: Current Cardiology Reports 11/2023

08.11.2023 | Heart Failure (HJ Eisen, Section Editor)

Genetic Engineering of Donor Pig for the First Human Cardiac Xenotransplantation: Combatting Rejection, Coagulopathy, Inflammation, and Excessive Growth

verfasst von: Shreya Singireddy, Andy Tully, Javier Galindo, David Ayares, Avneesh K. Singh, Muhammad M. Mohiuddin

Erschienen in: Current Cardiology Reports | Ausgabe 11/2023

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

The first successful pig to human cardiac xenotransplantation in January 2022 represented a major step forward in the fields of heart failure, immunology, and applied genetic engineering, using a 10-gene edited (GE) pig. This review summarizes the evolution of preclinical modelling data which informed the use of each of the 10 genes modified in the 10-GE pig: GGTA1, Β4GalNT2, CMAH, CD46, CD55, TBM, EPCR, CD47, HO-1, and growth hormone receptor.

Recent Findings

The translation of the 10-GE pig from preclinical modelling to clinical compassionate xenotransplant use was the culmination of decades of research combating rejection, coagulopathy, inflammation, and excessive xenograft growth.

Summary

Understanding these 10 genes with a view to their combinatorial effects will be useful in anticipated xenotransplant clinical trials.
Literatur
1.
Zurück zum Zitat Savarese G, Becher PM, Lund LH, Seferovic P, Rosano GMC, Coats AJS. Global burden of heart failure: a comprehensive and updated review of epidemiology. Cardiovasc Res. 2023;118(17):3272–87.CrossRefPubMed Savarese G, Becher PM, Lund LH, Seferovic P, Rosano GMC, Coats AJS. Global burden of heart failure: a comprehensive and updated review of epidemiology. Cardiovasc Res. 2023;118(17):3272–87.CrossRefPubMed
2.
Zurück zum Zitat Kilic A, Mathier MA, Hickey GW, Sultan I, Morell VO, Mulukutla SR, et al. Evolving trends in adult heart transplant with the 2018 heart allocation policy change. JAMA Cardiol. 2021;6(2):159–167. Kilic A, Mathier MA, Hickey GW, Sultan I, Morell VO, Mulukutla SR, et al. Evolving trends in adult heart transplant with the 2018 heart allocation policy change. JAMA Cardiol. 2021;6(2):159–167.
3.
Zurück zum Zitat Griffith BP, Goerlich CE, Singh AK, Rothblatt M, Lau CL, Shah A, et al. Genetically modified porcine-to-human cardiac xenotransplantation. N Engl J Med. 2022;387(1):35–44.CrossRefPubMedPubMedCentral Griffith BP, Goerlich CE, Singh AK, Rothblatt M, Lau CL, Shah A, et al. Genetically modified porcine-to-human cardiac xenotransplantation. N Engl J Med. 2022;387(1):35–44.CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat •• Mohiuddin MM, Singh AK, Scobie L, Goerlich CE, Grazioli A, Saharia K, et al. Graft dysfunction in compassionate use of genetically engineered pig-to-human cardiac xenotransplantation: a case report. Lancet. 2023. This is the definitive postmortem analysis from the first successful pig to human solid organ xenotransplant, reviewing both the evidence for success as well as areas for further investigation. •• Mohiuddin MM, Singh AK, Scobie L, Goerlich CE, Grazioli A, Saharia K, et al. Graft dysfunction in compassionate use of genetically engineered pig-to-human cardiac xenotransplantation: a case report. Lancet. 2023. This is the definitive postmortem analysis from the first successful pig to human solid organ xenotransplant, reviewing both the evidence for success as well as areas for further investigation.
5.
Zurück zum Zitat Cooper DKC, Hara H, Iwase H, Yamamoto T, Li Q, Ezzelarab M, et al. Justification of specific genetic modifications in pigs for clinical organ xenotransplantation. Xenotransplantation. 2019;26(4):e12516.CrossRefPubMedPubMedCentral Cooper DKC, Hara H, Iwase H, Yamamoto T, Li Q, Ezzelarab M, et al. Justification of specific genetic modifications in pigs for clinical organ xenotransplantation. Xenotransplantation. 2019;26(4):e12516.CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat • Singh AK, Goerlich CE, Shah AM, Zhang T, Tatarov I, Ayares D, et al. Cardiac xenotransplantation: progress in preclinical models and prospects for clinical translation. Transpl Int. 2022;35:10171. This paper reviews the crucial breakthroughs that have sprung from pre-clinical modelling and previews future directions of xenotransplantation study. • Singh AK, Goerlich CE, Shah AM, Zhang T, Tatarov I, Ayares D, et al. Cardiac xenotransplantation: progress in preclinical models and prospects for clinical translation. Transpl Int. 2022;35:10171. This paper reviews the crucial breakthroughs that have sprung from pre-clinical modelling and previews future directions of xenotransplantation study.
7.
Zurück zum Zitat Niu D, Wei HJ, Lin L, George H, Wang T, Lee IH, et al. Inactivation of porcine endogenous retrovirus in pigs using CRISPR-Cas9. Science. 2017;357(6357):1303–7.CrossRefPubMedPubMedCentral Niu D, Wei HJ, Lin L, George H, Wang T, Lee IH, et al. Inactivation of porcine endogenous retrovirus in pigs using CRISPR-Cas9. Science. 2017;357(6357):1303–7.CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Ladowski JM, Martens GR, Reyes LM, Hauptfeld-Dolejsek V, Tector M, Tector J. Examining epitope mutagenesis as a strategy to reduce and eliminate human antibody binding to class II swine leukocyte antigens. Immunogenetics. 2019;71(7):479–487. Ladowski JM, Martens GR, Reyes LM, Hauptfeld-Dolejsek V, Tector M, Tector J. Examining epitope mutagenesis as a strategy to reduce and eliminate human antibody binding to class II swine leukocyte antigens. Immunogenetics. 2019;71(7):479–487.
9.
Zurück zum Zitat Schuurman H, Cheng J, Lam T. Pathology of xenograft rejection: a commentary. Xenotransplantation (Københaven). 2003;10(4):293–9.CrossRef Schuurman H, Cheng J, Lam T. Pathology of xenograft rejection: a commentary. Xenotransplantation (Københaven). 2003;10(4):293–9.CrossRef
11.
Zurück zum Zitat Singh AK, Chan JL, DiChiacchio L, Hardy NL, Corcoran PC, Lewis BGT, et al. Cardiac xenografts show reduced survival in the absence of transgenic human thrombomodulin expression in donor pigs. Xenotransplantation. 2019;26(2):e12465.CrossRefPubMed Singh AK, Chan JL, DiChiacchio L, Hardy NL, Corcoran PC, Lewis BGT, et al. Cardiac xenografts show reduced survival in the absence of transgenic human thrombomodulin expression in donor pigs. Xenotransplantation. 2019;26(2):e12465.CrossRefPubMed
12.
Zurück zum Zitat Simon PM, Neethling FA, Taniguchi S, Goode PL, Zopf D, Hancock WW, et al. Intravenous infusion of Galα1–3Gal oligosaccharides in baboons delays hyperacute rejection of porcine heart xenografts. Transplantation. 1998;65(3):346–353. Simon PM, Neethling FA, Taniguchi S, Goode PL, Zopf D, Hancock WW, et al. Intravenous infusion of Galα1–3Gal oligosaccharides in baboons delays hyperacute rejection of porcine heart xenografts. Transplantation. 1998;65(3):346–353.
13.
Zurück zum Zitat Azimzadeh A, Meyer C, Watier H, Beller J, Chenard-Neu M, Kieny R, et al. Removal of primate xenoreactive natural antibodies by extracorporeal perfusion of pig kidneys and livers. Transpl Immunol. 1998;6(1):13–22. Azimzadeh A, Meyer C, Watier H, Beller J, Chenard-Neu M, Kieny R, et al. Removal of primate xenoreactive natural antibodies by extracorporeal perfusion of pig kidneys and livers. Transpl Immunol. 1998;6(1):13–22.
14.
Zurück zum Zitat Cooper DKC, Kuwaki K, Tseng Y, Dor, Frank J M F, Shimizu A, Houser SL, et al. Heart transplantation in baboons using α1,3-galactosyltransferase gene-knockout pigs as donors: initial experience. Nat Med. 2005;11(1):29–31. Cooper DKC, Kuwaki K, Tseng Y, Dor, Frank J M F, Shimizu A, Houser SL, et al. Heart transplantation in baboons using α1,3-galactosyltransferase gene-knockout pigs as donors: initial experience. Nat Med. 2005;11(1):29–31.
15.
Zurück zum Zitat Phelps CJ, Koike C, Vaught TD, Boone J, Wells KD, Chen S, et al. Production of α1,3-galactosyltransferase: deficient pigs. Science (American Association for the Advancement of Science). 2003;299(5605):411–414. Phelps CJ, Koike C, Vaught TD, Boone J, Wells KD, Chen S, et al. Production of α1,3-galactosyltransferase: deficient pigs. Science (American Association for the Advancement of Science). 2003;299(5605):411–414.
16.
Zurück zum Zitat Galili U. Induced anti-non gal antibodies in human xenograft recipients. Transplantation. 2012;93(1):11–16. Galili U. Induced anti-non gal antibodies in human xenograft recipients. Transplantation. 2012;93(1):11–16.
17.
Zurück zum Zitat McGregor CG, Ricci D, Miyagi N, Stalboerger PG, Du Z, Oehler EA, et al. Human CD55 expression blocks hyperacute rejection and restricts complement activation in Gal knockout cardiac xenografts. Transplantation. 2012;93(7):686–92.CrossRefPubMedPubMedCentral McGregor CG, Ricci D, Miyagi N, Stalboerger PG, Du Z, Oehler EA, et al. Human CD55 expression blocks hyperacute rejection and restricts complement activation in Gal knockout cardiac xenografts. Transplantation. 2012;93(7):686–92.CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Zhao C, Cooper DKC, Dai Y, Hara H, Cai Z, Mou L. The Sda and Cad glycan antigens and their glycosyltransferase, β1,4GalNAcT‐II, in xenotransplantation. Xenotransplantation (Københaven). 2018;25(2):e12386-n/a. Zhao C, Cooper DKC, Dai Y, Hara H, Cai Z, Mou L. The Sda and Cad glycan antigens and their glycosyltransferase, β1,4GalNAcT‐II, in xenotransplantation. Xenotransplantation (Københaven). 2018;25(2):e12386-n/a.
19.
Zurück zum Zitat Byrne GW, Stalboerger PG, Du Z, Davis TR, McGregor CG. Identification of new carbohydrate and membrane protein antigens in cardiac xenotransplantation. Transplantation. 2011;91(3):287–92.CrossRefPubMedPubMedCentral Byrne GW, Stalboerger PG, Du Z, Davis TR, McGregor CG. Identification of new carbohydrate and membrane protein antigens in cardiac xenotransplantation. Transplantation. 2011;91(3):287–92.CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Estrada JL, Martens G, Li P, Adams A, Newell KA, Ford ML, et al. Evaluation of human and non-human primate antibody binding to pig cells lacking GGTA 1/ CMAH /β4Gal NT 2 genes. Xenotransplantation (Københaven). 2015;22(3):194–202.CrossRef Estrada JL, Martens G, Li P, Adams A, Newell KA, Ford ML, et al. Evaluation of human and non-human primate antibody binding to pig cells lacking GGTA 1/ CMAH /β4Gal NT 2 genes. Xenotransplantation (Københaven). 2015;22(3):194–202.CrossRef
21.
Zurück zum Zitat Altman MO, Gagneux P. Absence of Neu5Gc and presence of anti-Neu5Gc antibodies in humans—an evolutionary perspective. Front Immunol. 2019;10:789. Altman MO, Gagneux P. Absence of Neu5Gc and presence of anti-Neu5Gc antibodies in humans—an evolutionary perspective. Front Immunol. 2019;10:789.
22.
Zurück zum Zitat Zhu A, Hurst R. Anti-N-glycolylneuraminic acid antibodies identified in healthy human serum. Xenotransplantation (Københaven). 2002;9(6):376–81.CrossRef Zhu A, Hurst R. Anti-N-glycolylneuraminic acid antibodies identified in healthy human serum. Xenotransplantation (Københaven). 2002;9(6):376–81.CrossRef
23.
Zurück zum Zitat Burlak C, Paris LL, Lutz AJ, Sidner RA, Estrada J, Li P, et al. Reduced binding of human antibodies to cells from GGTA1/CMAH KO pigs. Am J Transplant. 2014;14(8):1895–900.CrossRefPubMedPubMedCentral Burlak C, Paris LL, Lutz AJ, Sidner RA, Estrada J, Li P, et al. Reduced binding of human antibodies to cells from GGTA1/CMAH KO pigs. Am J Transplant. 2014;14(8):1895–900.CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Wang Z, Li P, Butler JR, Blankenship RL, Downey SM, Montgomery JB, et al. Immunogenicity of renal microvascular endothelial cells from genetically modified pigs. Transplantation. 2016;100(3):533–537. Wang Z, Li P, Butler JR, Blankenship RL, Downey SM, Montgomery JB, et al. Immunogenicity of renal microvascular endothelial cells from genetically modified pigs. Transplantation. 2016;100(3):533–537.
25.
Zurück zum Zitat Yamamoto T, Iwase H, Patel D, Jagdale A, Ayares D, Anderson D, et al. Old World Monkeys are less than ideal transplantation models for testing pig organs lacking three carbohydrate antigens (Triple-Knockout). Sci Rep. 2020;10(1):9771.CrossRefPubMedPubMedCentral Yamamoto T, Iwase H, Patel D, Jagdale A, Ayares D, Anderson D, et al. Old World Monkeys are less than ideal transplantation models for testing pig organs lacking three carbohydrate antigens (Triple-Knockout). Sci Rep. 2020;10(1):9771.CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Diamond LE, Quinn CM, Martin MJ, Lawson J, Platt JL, Logan JS. A human CD46 transgenic pig model system for the study of discordant xenotransplantation. Transplantation. 2001;71(1):132–42.CrossRefPubMed Diamond LE, Quinn CM, Martin MJ, Lawson J, Platt JL, Logan JS. A human CD46 transgenic pig model system for the study of discordant xenotransplantation. Transplantation. 2001;71(1):132–42.CrossRefPubMed
27.
28.
Zurück zum Zitat Shimizu I, Smith NR, Guiling Z, Medof E, Sykes M. Decay-accelerating factor prevents acute humoral rejection induced by low levels of anti-αGal natural antibodies. Transplantation. 2006;81(1):95–100. Shimizu I, Smith NR, Guiling Z, Medof E, Sykes M. Decay-accelerating factor prevents acute humoral rejection induced by low levels of anti-αGal natural antibodies. Transplantation. 2006;81(1):95–100.
29.
Zurück zum Zitat Schuurman H, Pino-Chavez G, Phillips MJ, Thomas L, White DJG, Cozzi E. Incidence of hyperacute rejection in pig-to-primate transplantation using organs from hDAF-transgenic donors. Transplantation. 2002;73(7):1146–1151. Schuurman H, Pino-Chavez G, Phillips MJ, Thomas L, White DJG, Cozzi E. Incidence of hyperacute rejection in pig-to-primate transplantation using organs from hDAF-transgenic donors. Transplantation. 2002;73(7):1146–1151.
30.
Zurück zum Zitat Waterworth PD, Cozzi E, Tolan MJ, Langford G, Braidley P, Chavez G, et al. Pig-to-primate cardiac xenotransplantation and cyclophosphamide therapy. Transplant Proc. 1997;29(1):899–900. Waterworth PD, Cozzi E, Tolan MJ, Langford G, Braidley P, Chavez G, et al. Pig-to-primate cardiac xenotransplantation and cyclophosphamide therapy. Transplant Proc. 1997;29(1):899–900.
31.
Zurück zum Zitat Azimzadeh AM, Kelishadi SS, Ezzelarab MB, Singh AK, Stoddard T, Iwase H, et al. Early graft failure of GalTKO pig organs in baboons is reduced by expression of a human complement pathway-regulatory protein. Xenotransplantation (Københaven). 2015;22(4):310–6.CrossRef Azimzadeh AM, Kelishadi SS, Ezzelarab MB, Singh AK, Stoddard T, Iwase H, et al. Early graft failure of GalTKO pig organs in baboons is reduced by expression of a human complement pathway-regulatory protein. Xenotransplantation (Københaven). 2015;22(4):310–6.CrossRef
32.
Zurück zum Zitat Miyagawa S, Shirakura R, Iwata K, Nakata S, Matsumiya G, Izutani H, et al. Effects of transfected complement regulatory proteins, MCP, DAF, and MCP/DAE hybrid, on complement-mediated swine endothelial cell lysis. Transplantation. 1994;58(7):834–40.CrossRefPubMed Miyagawa S, Shirakura R, Iwata K, Nakata S, Matsumiya G, Izutani H, et al. Effects of transfected complement regulatory proteins, MCP, DAF, and MCP/DAE hybrid, on complement-mediated swine endothelial cell lysis. Transplantation. 1994;58(7):834–40.CrossRefPubMed
33.
Zurück zum Zitat Fischer K, Kraner-Scheiber S, Petersen B, Rieblinger B, Buermann A, Flisikowska T, et al. Efficient production of multi-modified pigs for xenotransplantation by ‘combineering’, gene stacking and gene editing. Sci Rep. 2016;6(1):29081. Fischer K, Kraner-Scheiber S, Petersen B, Rieblinger B, Buermann A, Flisikowska T, et al. Efficient production of multi-modified pigs for xenotransplantation by ‘combineering’, gene stacking and gene editing. Sci Rep. 2016;6(1):29081.
34.
Zurück zum Zitat Byrne GW, Mccurry KR, Martin MJ, Mcclellan SM, Platt JL, Logan JS. Transgenic pigs expressing human CD59 and decay-accelerating factor produce an intrinsic barrier to complement-mediated damage. Transplantation. 1997;63(1):149–155. Byrne GW, Mccurry KR, Martin MJ, Mcclellan SM, Platt JL, Logan JS. Transgenic pigs expressing human CD59 and decay-accelerating factor produce an intrinsic barrier to complement-mediated damage. Transplantation. 1997;63(1):149–155.
35.
Zurück zum Zitat Johnson S, Brooks NJ, Smith RA, Lea SM, Bubeck D. Structural basis for recognition of the pore-forming toxin intermedilysin by human complement receptor CD59. Cell Rep. 2013;3(5):1369–77.CrossRefPubMedPubMedCentral Johnson S, Brooks NJ, Smith RA, Lea SM, Bubeck D. Structural basis for recognition of the pore-forming toxin intermedilysin by human complement receptor CD59. Cell Rep. 2013;3(5):1369–77.CrossRefPubMedPubMedCentral
36.
Zurück zum Zitat Aigner B, Klymiuk N, Wolf E. Transgenic pigs for xenotransplantation: selection of promoter sequences for reliable transgene expression. Curr Opin Organ Transplant. 2010;15(2):201–6.CrossRefPubMed Aigner B, Klymiuk N, Wolf E. Transgenic pigs for xenotransplantation: selection of promoter sequences for reliable transgene expression. Curr Opin Organ Transplant. 2010;15(2):201–6.CrossRefPubMed
38.
Zurück zum Zitat Salvaris EJ, Moran CJ, Roussel JC, Fisicaro N, Robson SC, Cowan PJ. Pig endothelial protein C receptor is functionally compatible with the human protein C pathway. Xenotransplantation. 2020;27(2):e12557.CrossRefPubMed Salvaris EJ, Moran CJ, Roussel JC, Fisicaro N, Robson SC, Cowan PJ. Pig endothelial protein C receptor is functionally compatible with the human protein C pathway. Xenotransplantation. 2020;27(2):e12557.CrossRefPubMed
39.
Zurück zum Zitat Crikis S, Zhang XM, Dezfouli S, Dwyer KM, Murray-Segal LM, Salvaris E, et al. Antiinflammatory and anticoagulant effects of transgenic expression of human thrombomodulin in mice. Am J Transplant. 2010;10(2):242–50.CrossRefPubMedPubMedCentral Crikis S, Zhang XM, Dezfouli S, Dwyer KM, Murray-Segal LM, Salvaris E, et al. Antiinflammatory and anticoagulant effects of transgenic expression of human thrombomodulin in mice. Am J Transplant. 2010;10(2):242–50.CrossRefPubMedPubMedCentral
40.
Zurück zum Zitat Mohiuddin MM, Singh AK, Corcoran PC, Thomas Iii ML, Clark T, Lewis BG, et al. Chimeric 2C10R4 anti-CD40 antibody therapy is critical for long-term survival of GTKO.hCD46.hTBM pig-to-primate cardiac xenograft. Nat Commun. 2016;7:11138. Mohiuddin MM, Singh AK, Corcoran PC, Thomas Iii ML, Clark T, Lewis BG, et al. Chimeric 2C10R4 anti-CD40 antibody therapy is critical for long-term survival of GTKO.hCD46.hTBM pig-to-primate cardiac xenograft. Nat Commun. 2016;7:11138.
41.
Zurück zum Zitat Iwase H, Hara H, Ezzelarab M, Li T, Zhang Z, Gao B, et al. Immunological and physiological observations in baboons with life-supporting genetically engineered pig kidney grafts. Xenotransplantation. 2017;24(2). Iwase H, Hara H, Ezzelarab M, Li T, Zhang Z, Gao B, et al. Immunological and physiological observations in baboons with life-supporting genetically engineered pig kidney grafts. Xenotransplantation. 2017;24(2).
42.
Zurück zum Zitat Ide K, Wang H, Tahara H, Liu J, Wang X, Asahara T, et al. Role for CD47-SIRPalpha signaling in xenograft rejection by macrophages. Proc Natl Acad Sci U S A. 2007;104(12):5062–6.CrossRefPubMedPubMedCentral Ide K, Wang H, Tahara H, Liu J, Wang X, Asahara T, et al. Role for CD47-SIRPalpha signaling in xenograft rejection by macrophages. Proc Natl Acad Sci U S A. 2007;104(12):5062–6.CrossRefPubMedPubMedCentral
43.
Zurück zum Zitat Yan JJ, Koo TY, Lee HS, Lee WB, Kang B, Lee JG, et al. Role of human CD200 overexpression in pig-to-human xenogeneic immune response compared with human CD47 overexpression. Transplantation. 2018;102(3):406–16.CrossRefPubMed Yan JJ, Koo TY, Lee HS, Lee WB, Kang B, Lee JG, et al. Role of human CD200 overexpression in pig-to-human xenogeneic immune response compared with human CD47 overexpression. Transplantation. 2018;102(3):406–16.CrossRefPubMed
44.
Zurück zum Zitat Tena A, Sachs DH, Mallard C, Yang Y, Tasaki M, Farkash E, et al. Prolonged survival of pig skin on baboons following administration of pig cells expressing human CD47. Transplantation. 2017;101(2):316–321. Tena A, Sachs DH, Mallard C, Yang Y, Tasaki M, Farkash E, et al. Prolonged survival of pig skin on baboons following administration of pig cells expressing human CD47. Transplantation. 2017;101(2):316–321.
45.
Zurück zum Zitat Takeuchi K, Ariyoshi Y, Shimizu A, Okumura Y, Cara-Fuentes G, Garcia GE, et al. Expression of human CD47 in pig glomeruli prevents proteinuria and prolongs graft survival following pig-to-baboon xenotransplantation. Xenotransplantation. 2021;28(6):e12708.CrossRefPubMedPubMedCentral Takeuchi K, Ariyoshi Y, Shimizu A, Okumura Y, Cara-Fuentes G, Garcia GE, et al. Expression of human CD47 in pig glomeruli prevents proteinuria and prolongs graft survival following pig-to-baboon xenotransplantation. Xenotransplantation. 2021;28(6):e12708.CrossRefPubMedPubMedCentral
46.
Zurück zum Zitat Camara NO, Soares MP. Heme oxygenase-1 (HO-1), a protective gene that prevents chronic graft dysfunction. Free Radic Biol Med. 2005;38(4):426–35.CrossRefPubMed Camara NO, Soares MP. Heme oxygenase-1 (HO-1), a protective gene that prevents chronic graft dysfunction. Free Radic Biol Med. 2005;38(4):426–35.CrossRefPubMed
47.
Zurück zum Zitat Petersen B, Ramackers W, Lucas-Hahn A, Lemme E, Hassel P, Queißer A, et al. Transgenic expression of human heme oxygenase-1 in pigs confers resistance against xenograft rejection during ex vivo perfusion of porcine kidneys. Xenotransplantation (Københaven). 2011;18(6):355–68.CrossRef Petersen B, Ramackers W, Lucas-Hahn A, Lemme E, Hassel P, Queißer A, et al. Transgenic expression of human heme oxygenase-1 in pigs confers resistance against xenograft rejection during ex vivo perfusion of porcine kidneys. Xenotransplantation (Københaven). 2011;18(6):355–68.CrossRef
48.
Zurück zum Zitat Soares MP, Lin Y, Anrather J, Csizmadia E, Takigami K, Sato K, et al. Expression of heme oxygenase-1 can determine cardiac xenograft survival. Nat Med. 1998;4(9):1073–7.CrossRefPubMed Soares MP, Lin Y, Anrather J, Csizmadia E, Takigami K, Sato K, et al. Expression of heme oxygenase-1 can determine cardiac xenograft survival. Nat Med. 1998;4(9):1073–7.CrossRefPubMed
49.
Zurück zum Zitat Goerlich CE, Griffith B, Hanna P, Hong SN, Ayares D, Singh AK, et al. The growth of xenotransplanted hearts can be reduced with growth hormone receptor knockout pig donors. J Thorac Cardiovasc Surg. 2023;165(2):e69–81.CrossRefPubMed Goerlich CE, Griffith B, Hanna P, Hong SN, Ayares D, Singh AK, et al. The growth of xenotransplanted hearts can be reduced with growth hormone receptor knockout pig donors. J Thorac Cardiovasc Surg. 2023;165(2):e69–81.CrossRefPubMed
50.
Zurück zum Zitat Hinrichs A, Riedel EO, Klymiuk N, Blutke A, Kemter E, Längin M, et al. Growth hormone receptor knockout to reduce the size of donor pigs for preclinical xenotransplantation studies. Xenotransplantation. 2021;28(2):e12664.CrossRefPubMed Hinrichs A, Riedel EO, Klymiuk N, Blutke A, Kemter E, Längin M, et al. Growth hormone receptor knockout to reduce the size of donor pigs for preclinical xenotransplantation studies. Xenotransplantation. 2021;28(2):e12664.CrossRefPubMed
51.
Zurück zum Zitat Troncoso R, Ibarra C, Vicencio JM, Jaimovich E, Lavandero S. New insights into IGF-1 signaling in the heart. Trends Endocrinol Metab. 2014;25(3):128–137. Troncoso R, Ibarra C, Vicencio JM, Jaimovich E, Lavandero S. New insights into IGF-1 signaling in the heart. Trends Endocrinol Metab. 2014;25(3):128–137.
52.
Zurück zum Zitat Mohiuddin MM, Singh AK, Scobie L, Goerlich CE, Grazioli A, Saharia K, et al. Graft dysfunction in compassionate use of genetically engineered pig-to-human cardiac xenotransplantation: a case report. Lancet. 2023;402(10399):397–410.CrossRefPubMed Mohiuddin MM, Singh AK, Scobie L, Goerlich CE, Grazioli A, Saharia K, et al. Graft dysfunction in compassionate use of genetically engineered pig-to-human cardiac xenotransplantation: a case report. Lancet. 2023;402(10399):397–410.CrossRefPubMed
53.
Zurück zum Zitat Montgomery RA, Stern JM, Lonze BE, Tatapudi VS, Mangiola M, Wu M, et al. Results of two cases of pig-to-human kidney xenotransplantation. N Engl J Med. 2022;386(20):1889–98.CrossRefPubMed Montgomery RA, Stern JM, Lonze BE, Tatapudi VS, Mangiola M, Wu M, et al. Results of two cases of pig-to-human kidney xenotransplantation. N Engl J Med. 2022;386(20):1889–98.CrossRefPubMed
54.
Zurück zum Zitat Porrett PM, Orandi BJ, Kumar V, Houp J, Anderson D, Cozette Killian A, et al. First clinical-grade porcine kidney xenotransplant using a human decedent model. Am J Transplant. 2022;22(4):1037–53.CrossRefPubMed Porrett PM, Orandi BJ, Kumar V, Houp J, Anderson D, Cozette Killian A, et al. First clinical-grade porcine kidney xenotransplant using a human decedent model. Am J Transplant. 2022;22(4):1037–53.CrossRefPubMed
Metadaten
Titel
Genetic Engineering of Donor Pig for the First Human Cardiac Xenotransplantation: Combatting Rejection, Coagulopathy, Inflammation, and Excessive Growth
verfasst von
Shreya Singireddy
Andy Tully
Javier Galindo
David Ayares
Avneesh K. Singh
Muhammad M. Mohiuddin
Publikationsdatum
08.11.2023
Verlag
Springer US
Erschienen in
Current Cardiology Reports / Ausgabe 11/2023
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-023-01978-4

Weitere Artikel der Ausgabe 11/2023

Current Cardiology Reports 11/2023 Zur Ausgabe

Diversity and Health Equity in Cardiology (AE Johnson, Section Editor)

Preventing Heart Failure Readmission in Patients with Low Socioeconomic Position

Cardiometabolic Disease (DM and CV) (CJ Lavie, Section Editor)

Body Fat Distribution, Diabetes Mellitus, and Cardiovascular Disease: an Update

Women and Cardiovascular Health (N Goldberg and S Lewis, Section Editors)

Tailored to a Woman’s Heart: Gender Cardio-Oncology Across the Lifespan

Cardiometabolic Disease (DM and CV) (CJ Lavie, Section Editor)

Obesity, Cardiorespiratory Fitness, and Cardiovascular Disease

Nach Herzinfarkt mit Typ-1-Diabetes schlechtere Karten als mit Typ 2?

29.05.2024 Herzinfarkt Nachrichten

Bei Menschen mit Typ-2-Diabetes sind die Chancen, einen Myokardinfarkt zu überleben, in den letzten 15 Jahren deutlich gestiegen – nicht jedoch bei Betroffenen mit Typ 1.

Erhöhtes Risiko fürs Herz unter Checkpointhemmer-Therapie

28.05.2024 Nebenwirkungen der Krebstherapie Nachrichten

Kardiotoxische Nebenwirkungen einer Therapie mit Immuncheckpointhemmern mögen selten sein – wenn sie aber auftreten, wird es für Patienten oft lebensgefährlich. Voruntersuchung und Monitoring sind daher obligat.

GLP-1-Agonisten können Fortschreiten diabetischer Retinopathie begünstigen

24.05.2024 Diabetische Retinopathie Nachrichten

Möglicherweise hängt es von der Art der Diabetesmedikamente ab, wie hoch das Risiko der Betroffenen ist, dass sich sehkraftgefährdende Komplikationen verschlimmern.

TAVI versus Klappenchirurgie: Neue Vergleichsstudie sorgt für Erstaunen

21.05.2024 TAVI Nachrichten

Bei schwerer Aortenstenose und obstruktiver KHK empfehlen die Leitlinien derzeit eine chirurgische Kombi-Behandlung aus Klappenersatz plus Bypass-OP. Diese Empfehlung wird allerdings jetzt durch eine aktuelle Studie infrage gestellt – mit überraschender Deutlichkeit.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.