Erschienen in:
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
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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.