David Ayares studies how genetically modified pig organs, such as kidneys and hearts, can be transplanted into humans to treat serious conditions like organ failure. His research includes exploring the efficacy of immune-suppressing drugs to prevent the human body from rejecting these animal organs and understanding the immune response that occurs after transplantation. By combining genetic engineering with advanced treatments, he hopes to make these transplants successful and viable options for patients in urgent need of organ replacements.
Key findings
In a study with baboons, 6 out of 12 survived more than three months with genetically modified pig kidneys, thanks to effective immunosuppressive drugs.
A pig kidney transplanted into a patient lasted for 9 months, indicating the potential for animal organs to address transplant shortages.
Pig hearts transplanted into baboons have shown an improvement in longevity, with some hearts functioning for as long as 393 days with advanced gene editing.
Research found that a combination of anti-CD40 and anti-CD40L antibodies allowed baboons to survive without harmful side effects, improving outcomes for potential human applications.
In studies, all 17 pig hearts transplanted into baboons showed recovery from initial dysfunction within 48 hours, suggesting new strategies to enhance transplant outcomes.
Frequently asked questions
Does Dr. Ayares study organ transplantation?
Yes, Dr. Ayares focuses on xenotransplantation, specifically using genetically modified pig organs for human transplant.
What types of organs has Dr. Ayares researched for transplantation?
He has researched both pig kidneys and pig hearts as potential organ transplants for humans.
Are genetically modified pig organs likely to be used in humans?
His research shows promising results, including transplant survival times of up to 9 months and beyond, suggesting they could be viable for human use.
What challenges does Dr. Ayares address in his research?
He addresses the issue of organ rejection by studying immune responses and the effectiveness of immunosuppressive treatments.
Can Dr. Ayares's work help solve the organ donor shortage?
Yes, his research on using pig organs aims to significantly expand the available options for patients in need of transplants.
Publications in plain English
Proteinuria Remains a Significant Hurdle to Successful Pig Kidney Xenotransplantation Despite an Effective Immunosuppressive Regimen.
2026
Transplantation
Kinoshita K, Maenaka A, Terashita M, Rosales IA, Hidaka Y +9 more
Plain English This study looked at how effective a new immune-suppressing treatment was for pigs' kidneys transplanted into baboons. While a higher dose of the treatment improved kidney survival time from about 86 to 214 days, four out of nine baboons still developed a serious kidney problem that caused excessive protein in their urine. This issue matters because it can lead to the loss of the treatment in the body, increasing the risk of transplant rejection, so finding ways to prevent this problem is crucial for future organ transplants.
Investigational New Drug Enabling Nonclinical Study of Xenogeneic Life-Supporting Porcine Kidneys With 10 Gene Edits (10 GE) in a Nonhuman Primate Test System.
2026
Xenotransplantation
Eisenson DL, Schulick AC, Chen W, Santillan MR, Cole M +36 more
Plain English Researchers studied the use of genetically modified pig kidneys in baboons to see if they could function as replacements without being rejected by the recipient's immune system. Out of 12 baboons, 6 survived for more than three months with their new kidneys, thanks to effective immunosuppressive drugs. This is important because it shows that with the right treatments, genetically altered pig organs might one day be viable options for human transplants, potentially addressing the shortage of donor organs.
Advancing Hope Through Science: The Inaugural Richard Slayman International Workshop on Xenotransplantation.
2026
Transplantation
Riella LV, Madsen JC, Pierson RN, Borges TJ, Sachs D +35 more
Plain English Researchers and doctors gathered at the Richard Slayman Workshop to discuss the latest ways to use animal organs for transplants in humans. Key findings included the fact that one patient had a pig kidney working for about nine months, showing promise for future transplants using animal organs. This matters because it could provide a solution to the shortage of human organs for transplant, improving lives and creating new treatment options for patients in need.
Physiology and immunology of a pig-to-human decedent kidney xenotransplant.
2026
Nature
Montgomery RA, Stern JM, Fathi F, Suek N, Kim JI +48 more
Plain English A gene-edited pig kidney was transplanted into a brain-dead human and kept functioning for a planned 61-day study using only standard approved anti-rejection drugs. The kidney maintained stable electrolyte balance and eliminated the need for dialysis, but antibody-mediated rejection emerged on day 33 and was reversed with plasma exchange and complement inhibition. The study shows a minimally modified pig kidney can sustain human-equivalent kidney function and identifies pre-existing immune cells reactive to pig tissue as a key obstacle to long-term success.
Multi-omics analysis of a pig-to-human decedent kidney xenotransplant.
2026
Nature
Schmauch E, Piening BD, Dowdell AK, Mohebnasab M, Williams SH +68 more
Plain English Researchers studied how the human immune system reacts to a pig kidney transplant in a brain-dead human. They found that specific immune cells in the blood increased significantly, leading to rejection of the kidney by day 33 after the transplant. This research is important because it helps identify ways to improve the success of pig organ transplants in humans, potentially addressing the shortage of available human organs for transplantation.
Genetically engineered pig heart transplantation in non-human primates.
2025
Communications medicine
Singh AK, Goerlich CE, Zhang T, Lewis B, Hershfeld A +14 more
Plain English Researchers studied the transplantation of genetically modified pig hearts into baboons to see how long these hearts could function. They found that the pig hearts worked for an average of 128 days, with some lasting up to 225 days, which is a significant improvement over previous models. This research is important because it shows that these genetically engineered pig hearts can potentially be used in human patients, as they have already been successfully transplanted into two people.
Transplantation of a genetically modified porcine heart into a live human.
2025
Nature medicine
Griffith BP, Grazioli A, Singh AK, Tully A, Galindo J +32 more
Plain English Researchers transplanted a genetically modified pig heart into a 58-year-old man with severe heart failure who couldn't receive standard treatments. Initially, the pig heart worked well, but after about a month, it rapidly declined in function, leading the patient to choose comfort care after 40 days. This study highlights the ongoing challenges in using pig organs for human transplants, particularly issues with immune response, and emphasizes the need for better strategies to prevent organ rejection.
Characterizing the Immune Response in Pig-to-Human Heart Xenografts Using a Multimodal Diagnostic System.
2025
Circulation
Giarraputo A, Morgand E, Stern J, Mezine F, Coutance G +26 more
Plain English This study looked at the immune response in human recipients who received heart transplants from specially modified pigs. The researchers found that the transplanted hearts showed early signs of immune reaction, including mild inflammation and changes in the heart's blood vessels, within just 66 hours of the transplant. Understanding this immune response is crucial because it can help doctors manage and monitor pig-to-human heart transplants better in the future.
Coordinated circulating and tissue-based T cell responses precede xenograft rejection.
2025
bioRxiv : the preprint server for biology
Novikova E, Severa E, Chen H, Doepke E, Chacon F +24 more
Plain English Researchers transplanted a pig kidney-thymus combination into a deceased human and tracked the immune response over 61 days. T cells from the recipient infiltrated the organ and specific clones expanded in blood, tissue, and lymph nodes around rejection events. This reveals that T cell-driven rejection of pig organs in humans closely mirrors what happens with human-to-human transplants, informing how future immunosuppression strategies must be designed.
De novo membranous nephropathy in a pig-to-baboon kidney xenograft: A new xenograft glomerulopathy.
2024
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
Rosales IA, Kinoshita K, Maenaka A, How IDAL, Selig MK +5 more
Plain English Researchers studied a pig kidney transplanted into a baboon and discovered a rare kidney condition called de novo membranous nephropathy (dnMN) that caused excessive protein in the urine, reaching severe levels by 106 days after the transplant. This led to the kidney failing by day 120, showing that the baboon's immune system attacked the pig kidney. Understanding such reactions is crucial for improving future organ transplants between different species, which could help solve the organ shortage crisis.
Update on the ethical, legal and technical challenges of translating xenotransplantation.
2024
Journal of medical ethics
Thom R, Ayares D, Cooper DKC, Dark J, Fovargue S +9 more
Plain English This paper discusses a recent meeting in the UK where experts on xenotransplantation, which is the transplantation of organs from animals to humans, gathered to address the various challenges involved in making this a reality. They shared advancements, such as new gene-edited animals, but also highlighted that ethical and legal issues remain unresolved. This work is important because resolving these challenges may lead to more options for organ transplants, helping to save lives in the future.
Pigs in Transplantation Research and Their Potential as Sources of Organs in Clinical Xenotransplantation.
2024
Comparative medicine
Raza SS, Hara H, Eyestone W, Ayares D, Cleveland DC +1 more
Plain English Researchers studied the use of genetically modified pigs as potential organ donors for humans. They found that with gene editing and new immunosuppressive therapies, pig kidneys can function in nonhuman primates for over a year and pig hearts for up to nine months without being rejected by the immune system. This is important because it could provide a solution for the shortage of human organs available for transplant.
Physiological basis for xenotransplantation from genetically modified pigs to humans.
2024
Physiological reviews
Peterson L, Yacoub MH, Ayares D, Yamada K, Eisenson D +6 more
Plain English Researchers are studying how to safely use pig organs for transplants in humans by genetically modifying pigs. They created pigs with 10 specific genetic changes to make their organs more compatible, allowing for much longer survival of transplanted organs in test subjects. Recently, they successfully transplanted hearts from these genetically engineered pigs into two human patients, highlighting a promising solution to the shortage of human organs available for transplant.
Consistent survival in consecutive cases of life-supporting porcine kidney xenotransplantation using 10GE source pigs.
2024
Nature communications
Eisenson D, Hisadome Y, Santillan M, Iwase H, Chen W +17 more
Plain English This study focused on kidney transplants from pigs to primates and found that the transplanted kidneys can survive for a long time using only FDA-approved medications for immune suppression, even after being preserved for over three hours. Specifically, the researchers achieved consistent survival rates in their tests, which is a significant improvement over previous studies where transplants rarely lasted more than a month. This work is important because it shows that using pig organs for transplants in humans could be safe and feasible, helping to address the shortage of available human organs.
Novel factors potentially initiating acute antibody-mediated rejection in pig kidney xenografts despite an efficient immunosuppressive regimen.
2024
Xenotransplantation
Kinoshita K, Maenaka A, Rosales IA, Karadagi A, Tomosugi T +7 more
Plain English Researchers studied pig kidney transplants in baboons to find out what causes the body to reject these organs, even when strong medications are used to prevent rejection. They discovered two main triggers: one case involved a kidney disease that seemed to wash away important medication in the urine, while another case linked a urinary infection to the rejection of the kidney. Understanding these factors is important because it can help improve organ transplant success rates from pigs to other species.
Transthoracic echocardiography is a simple tool for size matching in cardiac xenotransplantation.
2024
Xenotransplantation
Mokelke M, Bender M, Reichart B, Neumann E, Radan J +6 more
Plain English Researchers studied how to better match pig hearts to baboon recipients for transplantation using a technique called transthoracic echocardiography (TTE). They found that TTE provided a more accurate estimate of the heart's size compared to traditional methods based on age and weight. Specifically, an adapted formula improved the accuracy of size matching, which is crucial for successful heart transplants and could lead to better outcomes for patients receiving pig hearts.
Hemodynamics in pig-to-baboon heterotopic thoracic cardiac xenotransplantation: Recovery from perioperative cardiac xenograft dysfunction and impairment by cardiac overgrowth.
2024
Xenotransplantation
Bender M, Panelli A, Reichart B, Radan J, Mokelke M +17 more
Plain English Researchers studied how pig hearts perform when transplanted into baboons using a new technique that may help in case of transplant failure. In their experiments with 17 modified pig hearts, they found that while three showed temporary dysfunction right after surgery, all eventually recovered within 48 hours, and all 17 hearts demonstrated increased pressure, indicating problems due to overgrowth. This research is important because it highlights a potential new approach to improve heart transplant outcomes and sheds light on issues that may arise afterward, which could lead to better strategies in future human trials.
The Endothelial Glycocalyx in Pig-to-Baboon Cardiac Xenotransplantation-First Insights.
2024
Biomedicines
Bender M, Abicht JM, Reichart B, Leuschen M, Wall F +19 more
Plain English This study examined how a protective layer on blood vessels, called the endothelial glycocalyx, behaves during heart transplants from pigs to baboons. Researchers found that after these transplants, the damage to this layer was similar to or even less than what is observed in human heart transplants, suggesting these pig-to-baboon procedures may be safer than previously thought. Understanding these changes is important because it could lead to improved techniques for future heart transplants, making them more successful and accepted by the recipient's body.
An Approach to Controlling Inflammation and Coagulation in Pig-to-Baboon Cardiac Xenotransplantation.
2024
Xenotransplantation
Bender M, Reichart B, Figueiredo C, Burgmann JM, Leuschen M +26 more
Plain English This study looked at ways to reduce inflammation and blood clotting issues in heart transplants from genetically modified pigs to baboons. They found that using a specific combination of anti-inflammatory drugs kept inflammatory markers steady and helped control coagulation, with no significant problems noted. This is important because it shows that managing these reactions is possible, paving the way for safer and more effective heart transplants from pigs to humans in the future.
Extended survival of 9- and 10-gene-edited pig heart xenografts with ischemia minimization and CD154 costimulation blockade-based immunosuppression.
2024
The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation
Chaban R, Ileka I, McGrath G, Kinoshita K, Habibabady Z +21 more
Plain English Researchers studied genetically modified pig hearts transplanted into baboons to see how long they could survive and function. They found that while three hearts modified with fewer genes failed within five days, some of the more highly modified hearts survived much longer: one lasted 393 days and another 243 days before showing signs of gradual failure. This research is important because it suggests that more advanced gene editing in pig hearts, combined with specific immunosuppressive treatments, could lead to longer-lasting organ transplants for humans in the future.
Combination of Anti-CD40 and Anti-CD40L Antibodies as Co-Stimulation Blockade in Preclinical Cardiac Xenotransplantation.
2024
Biomedicines
Bender M, Abicht JM, Reichart B, Neumann E, Radan J +33 more
Plain English Researchers studied how a combination of two antibodies, targeting immune checkpoints related to organ rejection, affects heart transplants from pigs to baboons. They found that this combination therapy allowed the baboons to survive for up to 170 days without the harmful side effects seen with previous treatments and achieved survival rates similar to earlier studies. This matters because it offers a safer approach for preventing organ rejection in xenotransplantation, which could ultimately improve outcomes for human patients in the future.
Ultrasound Assessment of Pleural Effusions After Orthotopic Pig-to-Baboon Cardiac Xenotransplantation.
2024
Xenotransplantation
Bender M, Radan J, Reichart B, Leuschen M, Wall F +8 more
Plain English This study looked at how to use ultrasound to measure fluid buildup in the lungs of baboons after they received heart transplants from pigs. Researchers found that ultrasound measurements closely matched the actual amounts of fluid drained from the lungs, with a strong correlation of over 91%. This is important because it means that even inexperienced staff can use ultrasound to effectively monitor and decide when to remove excess fluid, improving patient care after such transplants.
Integrative multi-omics profiling in human decedents receiving pig heart xenografts.
2024
Nature medicine
Schmauch E, Piening B, Mohebnasab M, Xia B, Zhu C +51 more
Plain English Researchers studied the immune responses and cellular changes in two human patients who received heart transplants from genetically modified pigs. They found significant immune activity and organ dysfunction in one patient, while the other had only minor changes after the surgery. Understanding these differences helps in developing better treatments to manage immune reactions and improve recovery after such transplants.
Renin-angiotensin-aldosterone system function in the pig-to-baboon kidney xenotransplantation model.
2023
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
Hansen-Estruch C, Bikhet MH, Javed M, Katsurada A, Satou R +6 more
Plain English Researchers looked at how pig kidneys function after being transplanted into baboons. They found that while certain hormone levels were altered, especially with lower levels of a hormone called angiotensin II, overall kidney function was still affected, with baboons producing less concentrated urine and sodium. This information is important because it helps understand how these transplanted kidneys work and indicates that it may still be possible to successfully transplant pig kidneys into humans despite these challenges.
A Standardized Approach to Orthotopic (Life-supporting) Porcine Cardiac Xenotransplantation in a Nonhuman Primate Model.
2023
Transplantation
Goerlich CE, Griffith BP, Shah A, Treffalls JA, Zhang T +8 more
Plain English This research focused on using genetically modified pigs to provide heart transplants for nonhuman primates, showing that these engineered organs could successfully support life for over six months. Researchers also outlined their surgical procedures and care protocols for managing the transplant recipients to ensure their health after surgery. This work is important because it paves the way for possible human heart transplants from genetically modified pigs, which could help address shortages in human organ donations.
Assessment of glomerular filtration and tubular secretion in baboons with life-supporting pig kidney grafts.
2023
Xenotransplantation
Hansen-Estruch C, Bikhet MH, Shaik IH, Vasudevan V, Zhao W +6 more
Plain English Researchers studied how pig kidneys function when transplanted into baboons, focusing on their ability to filter blood and secrete waste. They found that the pig kidneys worked well, showing similar filtering capabilities to those of baboons, which is promising. This is important because it suggests that pig kidneys may also be effective for human transplants in the future.
Graft dysfunction in compassionate use of genetically engineered pig-to-human cardiac xenotransplantation: a case report.
2023
Lancet (London, England)
Mohiuddin MM, Singh AK, Scobie L, Goerlich CE, Grazioli A +22 more
Plain English Researchers conducted a heart transplant using genetically modified pig hearts in a 57-year-old man with severe heart failure who needed a new heart but couldn’t get a human one. The pig heart initially worked well, but by day 50, the patient experienced complications due to damage in the heart's blood vessels and an increase in antibodies attacking the pig heart. This study highlights the potential challenges in using animal organs for human transplants and suggests ways to improve future outcomes.
Increased human complement pathway regulatory protein gene dose is associated with increased endothelial expression and prolonged survival during ex-vivo perfusion of GTKO pig lungs with human blood.
2023
Xenotransplantation
Chaban R, McGrath G, Habibabady Z, Rosales I, Burdorf L +13 more
Plain English This study looked at pig lungs genetically modified to have more human proteins that help prevent organ rejection. It found that lungs with a higher amount of these proteins survived longer when treated with human blood; specifically, those with two copies of the human CD46 gene lasted more than four hours in tests, while those with only one copy survived an average of about 2.5 hours. This is important because it shows that boosting these protective proteins can help improve the survival of pig organs when transplanted into humans, potentially making such transplants safer and more effective.
Xenografts Show Signs of Concentric Hypertrophy and Dynamic Left Ventricular Outflow Tract Obstruction After Orthotopic Pig-to-baboon Heart Transplantation.
2023
Transplantation
Längin M, Buttgereit I, Reichart B, Panelli A, Radan J +24 more
Plain English Researchers studied the effects of transplanting genetically modified pig hearts into baboons to understand why the transplanted organs sometimes enlarge too much, leading to health problems. They found that in untreated baboons, the pig hearts grew in size ten times faster than those treated with special medications, leading to heart blockage issues similar to a serious human condition. This research is important because it shows that certain medications can help control the growth of transplanted organs, which could improve the success of future organ transplants from pigs to humans.
Glycocalyx dynamics and the inflammatory response of genetically modified porcine endothelial cells.
2023
Xenotransplantation
Milusev A, Ren J, Despont A, Shaw J, Längin M +12 more
Plain English This study looked at genetically modified pig cells to see how they respond to inflammation when used in organs for transplanting into humans. The researchers found that these modified cells can maintain important protective layers in normal conditions but lose that protection during inflammation, which could lead to organ rejection. This is important because understanding these reactions can help improve the success of pig-to-human organ transplants and address organ shortages.
Expression of human thrombomodulin by GalTKO.hCD46 pigs modulates coagulation cascade activation by endothelial cells and during ex vivo lung perfusion with human blood.
2023
Xenotransplantation
Burdorf L, Gao Z, Riner A, Sievert E, Harris DG +14 more
Plain English Researchers studied genetically modified pigs that produce a human protein called thrombomodulin to see if it could improve blood clotting issues when their lungs were used in human-like experiments. They found that this human thrombomodulin worked well, leading to less blood clotting and reduced activation of platelets, which are crucial for forming clots. This is important because it shows a potential way to make pig lungs better suited for transplantation into humans, helping to improve survival rates for patients needing lung transplants.
Plain English Researchers studied the survival of skin grafts from genetically engineered pigs compared to skin grafts from monkeys in squirrel monkeys, which could help treat burn patients. They found that pig skin grafts lasted about 21 days, while monkey skin grafts lasted longer at 28 days and grafts from other monkeys lasted only 14 days. This means that genetically engineered pig skin could be a viable option for temporary burn treatment, and the antibodies produced against pig skin do not interfere with future monkey skin grafts, making it a practical solution for patients in need.
Genetic Engineering of Donor Pig for the First Human Cardiac Xenotransplantation: Combatting Rejection, Coagulopathy, Inflammation, and Excessive Growth.
2023
Current cardiology reports
Singireddy S, Tully A, Galindo J, Ayares D, Singh AK +1 more
Plain English Researchers studied a specially designed pig with 10 edited genes to improve heart transplants from pigs to humans. In January 2022, this pig was successfully used for the first pig-to-human heart transplant, which shows promise in preventing the body's rejection of the organ, reducing blood clotting issues, and minimizing inflammation. This is important because it could lead to better treatment options for patients with heart failure when human donor hearts are not available.
Immune response after pig-to-human kidney xenotransplantation: a multimodal phenotyping study.
2023
Lancet (London, England)
Loupy A, Goutaudier V, Giarraputo A, Mezine F, Morgand E +22 more
Plain English Researchers studied the immune response after transplanting pig kidneys into humans to better understand how the human body reacts to these animal organs. They found early signs of rejection, including inflammation driven by immune cells like monocytes and natural killer cells, and evidence of antibody activity, particularly affecting kidney structures called glomeruli. This is important because it highlights potential ways to improve the success of pig-to-human transplants, which could help address the shortage of human organs for transplantation.
Pig-to-human heart xenotransplantation in two recently deceased human recipients.
2023
Nature medicine
Moazami N, Stern JM, Khalil K, Kim JI, Narula N +38 more
Plain English This study looked at transplanting genetically modified pig hearts into two recently deceased human patients to see how well they would function. Both pig hearts worked well right after the transplant, but one heart eventually had problems due to being too large for the recipient. Importantly, there were no signs that the human bodies rejected the hearts or that any diseases were passed from pigs to humans, which is a significant step forward in addressing the shortage of human organs for transplant.
T and B lymphocyte dynamics after genetically-modified pig-to-baboon kidney xenotransplantation with an anti-CD40mAb-based immunosuppressive regimen.
2022
Transplant immunology
Jagdale A, Nguyen H, Iwase H, Foote JB, Yamamoto T +6 more
Plain English This study looked at how certain immune cells, T and B lymphocytes, reacted in baboons after they received genetically modified pig kidneys and immunosuppressive treatment. Researchers found that the treatments significantly reduced both T and B cells, with over 80% drop in some types of T cells and no B cells detected for two months. Even after six months, the immune cells didn’t fully recover, which is important because the immune response must be carefully managed to prevent rejection of the transplanted kidney.
hEPCR.hTBM.hCD47.hHO-1 with donor clodronate and DDAVP treatment improves perfusion and function of GalTKO.hCD46 porcine livers perfused with human blood.
2022
Xenotransplantation
Cimeno A, Kuravi K, Sorrells L, Dandro A, Sendil S +9 more
Plain English Researchers studied genetically modified pig livers to see if certain treatments could improve their performance when connected to human blood. They found that livers from pigs with six genetic modifications and treated with specific drugs could function for about 856 minutes, compared to 304 minutes for those with only two modifications. This is important because it means the enhanced livers showed better stability and less harmful blood clotting activity, offering hope for safer liver transplants from pigs to humans.
Effects of human TFPI and CD47 expression and selectin and integrin inhibition during GalTKO.hCD46 pig lung perfusion with human blood.
2022
Xenotransplantation
Miura S, Habibabady ZA, Pollok F, Connolly M, Pratts S +9 more
Plain English Researchers studied how genetically modified pig lungs that express human proteins (hTFPI and hCD47) react when used with human blood, particularly looking at lung injury and blood clotting. They found that these modified lungs were better at delaying damage and reducing inflammation in the early stages of exposure to human blood. This is important because it suggests a potential way to improve the success of pig organs used in transplants for humans by minimizing immune reactions and damage.
Progressive genetic modifications of porcine cardiac xenografts extend survival to 9 months.
2022
Xenotransplantation
Mohiuddin MM, Goerlich CE, Singh AK, Zhang T, Tatarov I +20 more
Plain English Researchers studied genetically modified pig hearts transplanted into baboons to see how long they could survive. The modified hearts lived for nearly 9 months without needing extra medications, showing no signs of rejection. This is important because it could help advance organ transplants for humans in the future.
Cardiac Xenotransplantation: Progress in Preclinical Models and Prospects for Clinical Translation.
2022
Transplant international : official journal of the European Society for Organ Transplantation
Singh AK, Goerlich CE, Shah AM, Zhang T, Tatarov I +3 more
Plain English Researchers studied the possibility of using pig hearts for transplantation in humans by testing them in non-human primates. They found that pig hearts can survive for nearly 3 years when proper medication is used, and some even lasted 6 months in critical positions that mimic human implantation. This is important because it shows potential for solving heart shortages, although there are still challenges to overcome, like the risk of disease from pigs and the hearts growing uncontrollably.
Griffith BP, Goerlich CE, Singh AK, Rothblatt M, Lau CL +8 more
Plain English Researchers transplanted a heart from a genetically modified pig into a 57-year-old man who had severe heart disease and could not receive a traditional heart transplant. The pig heart worked well for 49 days, but then it began to fail and the patient passed away 60 days after the surgery. This experiment shows that, at least for a while, pig hearts can function in humans, which is important as a potential solution to the shortage of human donor organs.
Will previous palliative surgery for congenital heart disease be detrimental to subsequent pig heart xenotransplantation?
2022
Transplant immunology
Oscherwitz M, Nguyen HQ, Raza SS, Cleveland DC, Padilla LA +6 more
Plain English Researchers studied whether children with complex congenital heart disease (CHD) who had had previous heart surgery developed harmful antibodies that would affect potential pig heart transplants. They found that while almost all participants had high levels of antibodies targeting regular pig cells, only a few children showed mild reactions against genetically-engineered pig cells, which are safer for transplantation. This is important because it suggests that previous surgeries might impact children's immune responses, and further testing is needed to ensure pig heart transplants are safe for them.
Cardiac and Pulmonary Histopathology in Baboons Following Genetically-Engineered Pig Orthotopic Heart Transplantation.
2022
Annals of transplantation
Litovsky SH, Foote JB, Jagdale A, Walcott G, Iwase H +14 more
Plain English Researchers studied heart transplants from genetically-engineered pigs into baboons to understand why many of these surgeries do not succeed. Out of four baboons, two died shortly after the transplant, while two lived for 3 and 8 months before dying from heart-related issues. The study found significant lung inflammation early on, which may contribute to transplant failure, indicating that preventing lung injury could improve survival rates and help understand long-term outcomes better.
Anatomical Differences Between Human and Pig Hearts and Their Relevance for Cardiac Xenotransplantation Surgical Technique.
2022
JACC. Case reports
Shah A, Goerlich CE, Pasrija C, Hirsch J, Fisher S +5 more
Plain English This study examined the differences between human and pig hearts to improve heart transplants from pigs to humans, which could help address the shortage of donor hearts. Researchers found that pigs have different heart structures than humans, meaning surgeons need to adjust their techniques and pay attention to the sizes of the hearts before performing transplants. This matters because improving these transplant methods can potentially save more lives by providing effective replacements for failing human hearts.
The road to the first FDA-approved genetically engineered pig heart transplantation into human.
2022
Xenotransplantation
Singh AK, Griffith BP, Goerlich CE, Ayares D, Mohiuddin MM
Plain English Researchers have been working on genetically engineered pig hearts for human transplants since 2005. They had success in non-human primates, with some pigs' hearts lasting 945 days before showing issues, and they eventually performed a transplant on a critically ill human patient, who lived for 60 days with the pig heart. This work is important because it shows the potential for using genetically modified animal organs to help patients who have no other treatment options.
Observations on hydronephrosis after pig kidney transplantation in baboons.
2022
Xenotransplantation
Foote JB, Bikhet MH, Hansen-Estruch C, Javed M, Ayares D +4 more
Plain English In a study of pig kidneys transplanted into baboons, researchers found that 3 out of 11 kidneys (21%) developed a condition called hydronephrosis, which is a swelling caused by blocked urine flow, after more than 36 days. The team noted that the reasons for this blockage were unclear, and it did not seem to relate to the surgical methods used, the genetic makeup of the pigs, or the medications given to reduce rejection. They were able to fix the issue in two cases by surgically connecting the pig ureter directly to the baboon bladder. This study is important because it highlights potential complications in using pig organs for transplants in humans, which could affect future organ donation strategies.
Knock-out of N-glycolylneuraminic acid attenuates antibody-mediated rejection in xenogenically perfused porcine lungs.
2022
Xenotransplantation
Chaban R, Habibabady Z, Hassanein W, Connolly MR, Burdorf L +13 more
Plain English This study looked at genetically modified pig lungs to see how removing a specific compound, N-glycolylneuraminic acid (Neu5Gc), affects their success in being used for human transplants. The researchers found that most of the modified pig lungs remained healthy for six hours when exposed to human blood, while some unmodified ones failed after just four hours. This is important because it suggests that removing Neu5Gc can help reduce harmful immune responses, making pig lungs safer and more effective for potential human transplant use.
Results of Two Cases of Pig-to-Human Kidney Xenotransplantation.
2022
The New England journal of medicine
Montgomery RA, Stern JM, Lonze BE, Tatapudi VS, Mangiola M +25 more
Plain English Researchers successfully transplanted kidneys from genetically modified pigs into two brain-dead human patients and found that the pig kidneys started making urine almost immediately and functioned well for 54 hours. In this time, kidney function improved significantly, with one patient's kidney filtering rate increasing from 23 to 62 ml per minute and the other's from 55 to 109 ml per minute. This research is important because it shows that pig kidneys can potentially be used for transplant without being rejected, helping to address the shortage of human organs available for patients in need.