Immunological selection and monitoring of patients undergoing pig kidney transplantation.


Journal

Xenotransplantation
ISSN: 1399-3089
Titre abrégé: Xenotransplantation
Pays: Denmark
ID NLM: 9438793

Informations de publication

Date de publication:
07 2021
Historique:
revised: 03 03 2021
received: 01 02 2021
accepted: 18 03 2021
pubmed: 22 4 2021
medline: 18 9 2021
entrez: 21 4 2021
Statut: ppublish

Résumé

Pig kidney xenotransplantation has the potential to alleviate the current shortage of deceased and living human organs and provide patients with end-stage renal disease with a greater opportunity for long-term survival and a better quality of life. In recent decades, advances in the genetic engineering of pigs and in immunosuppressive therapy have permitted the resolution of many historical obstacles to the success of pig kidney transplantation in nonhuman primates. Pig kidney xenotransplantation may soon be translated to the clinic. Given the potential risks of kidney xenotransplantation, particularly of immunologic rejection of the graft, potential patients must be carefully screened for inclusion in the initial clinical trials and immunologically monitored diligently post-transplantation. We provide an overview of the immunological methods we believe should be used to (i) screen potential patients for the first clinical trials to exclude those with a higher risk of rejection, and (ii) monitor patients with a pig kidney graft to determine their immunological response to the graft.

Identifiants

pubmed: 33880816
doi: 10.1111/xen.12686
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e12686

Subventions

Organisme : NIAID NIH HHS
ID : U19 AI090959
Pays : United States

Informations de copyright

© 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Références

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Auteurs

Aaron C K Lucander (ACK)

Xenotransplantation Program, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.

Huy Nguyen (H)

Xenotransplantation Program, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.

Jeremy B Foote (JB)

Department of Microbiology and Animal Resources Program, University of Alabama at Birmingham, Birmingham, AL, USA.

David K C Cooper (DKC)

Xenotransplantation Program, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.

Hidetaka Hara (H)

Xenotransplantation Program, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.

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