Dr. O'Neill studies a groundbreaking technique called xenogeneic cross-circulation, where injured human lungs are connected to a live pig's circulatory system. This method helps the damaged lungs recover function over several days, making them more viable for transplant. By addressing the challenges of lung injuries that often prevent organ donation, Dr. O'Neill's research strives to boost the availability of donor lungs for patients in need of transplants.
Key findings
The xenogeneic cross-circulation method allows damaged human lungs to recover their function over multiple days, significantly improving transplant viability.
This innovative approach could dramatically increase the number of donated lungs that can be successfully used for transplant, addressing a major shortage in available organs.
Frequently asked questions
Does Dr. O'Neill study lung injuries?
Yes, he focuses on recovering injured human lungs to make them suitable for transplantation.
What treatments has Dr. O'Neill researched?
He has researched the use of pig organ systems to support damaged human lungs, improving their function before transplant.
Is Dr. O'Neill's work relevant to lung transplant patients?
Absolutely, his research aims to increase the number of usable donor lungs, which directly benefits lung transplant patients.
Publications in plain English
Lung rehabilitation using xenogeneic cross-circulation does not lead to hyperacute rejection in a human lung transplantation model.
2025
The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation
Tracy KM, Harris TR, Petrovic M, Cortelli M, Tucker W +23 more
Plain English This study looked at a method to improve discarded human lungs to make them usable for transplantation by connecting them to the blood circulation of pigs. The researchers found that after the lungs were treated in this way, they showed no signs of a severe immune reaction known as hyperacute rejection when they were later connected back to human blood. This is significant because it means this technique could help recover more donor lungs for transplantation, potentially saving more lives.
Who this helps: This helps patients in need of lung transplants.
Theranostic methodology for ex vivo donor lung rehabilitation.
2025
Med (New York, N.Y.)
Pinezich MR, O'Neill JD, Guenthart BA, Kim J, Vila OF +11 more
Plain English This study looked at how to improve damaged donor lungs so they can be used for transplants. Researchers tested various methods on 23 lungs, including 17 that were injured, to develop a new approach combining therapy and diagnosis, which they called "theranostic." They found that using certain treatments allowed for real-time monitoring and improvements in lung function, with a focus on enhancing the viability of donor lungs that would otherwise be discarded.
Who this helps: This benefits patients needing lung transplants and the doctors who provide their care.
Lung-Mimetic Hydrofoam Sealant to Treat Pulmonary Air Leak.
2024
Advanced healthcare materials
Pinezich MR, Mir M, Graney PL, Tavakol DN, Chen J +11 more
Plain English Researchers studied a new type of sealant designed to fix lung air leaks, a common problem after lung surgery that affects up to 60% of patients. This new "lung-mimetic" hydrofoam sealant closely resembles lung tissue, allowing it to effectively seal air leaks in lab animal tests, restoring normal lung function. These findings are important because they provide a potential solution for a complication that traditionally lacks reliable treatment.
Who this helps: This benefits patients recovering from lung surgery.
Sound-guided assessment and localization of pulmonary air leak.
2023
Bioengineering & translational medicine
Pinezich MR, Mir SM, Reimer JA, Kaslow SR, Chen J +5 more
Plain English This study examined a new method to find and measure air leaks in the lungs after surgery by using sounds made when air escapes from damaged tissue. Researchers tested this technique in both rats and pigs and found that the sounds from air leaks can reveal how severe the leak is and where it is located, with an accuracy of about 1 centimeter. This method could help doctors better detect and treat lung air leaks during surgery, potentially improving patient outcomes.
Who this helps: This helps patients undergoing lung surgery and their doctors.
Technique for xenogeneic cross-circulation to support human donor lungs ex vivo.
2023
The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation
Kelly Wu W, Guenthart BA, O'Neill JD, Hozain AE, Tipograf Y +9 more
Plain English This study looked at a new technique called xenogeneic cross-circulation, which uses pigs to support and improve human donor lungs that weren’t initially suitable for transplant. After 24 hours of using this technique on nine lungs, researchers found that lung function improved significantly; oxygen exchange increased by 158% and lung compliance went up by 127%. This method is important because it could help make more donor lungs available for patients in need of transplants by ensuring they remain healthy and functional before surgery.
Who this helps: This benefits patients waiting for lung transplants.
Imaging-guided bioreactor for de-epithelialization and long-term cultivation ofrat trachea.
2022
Lab on a chip
Mir M, Chen J, Pinezich MR, O'Neill JD, Huang SXL +2 more
Plain English In this study, researchers developed a special system that allows them to grow and monitor tissue from rat tracheas in a controlled way. They successfully removed the outer layer of cells in the trachea while keeping the underlying structure intact, which was confirmed using advanced imaging and testing. This method paves the way for creating engineered airway tissues that could be useful for testing drugs and studying diseases.
Who this helps: This benefits researchers and doctors working on respiratory conditions and treatments.
Targeting Metabolic Adaptations in the Breast Cancer-Liver Metastatic Niche Using Dietary Approaches to Improve Endocrine Therapy Efficacy.
2022
Molecular cancer research : MCR
Zuo Q, Mogol AN, Liu YJ, Santaliz Casiano A, Chien C +13 more
Plain English This study focused on how liver metastases from estrogen receptor-positive breast cancer (ER+ MBC) respond to treatment with the drug fulvestrant. Researchers discovered that liver tumors adapt their metabolism to resist this drug, leading to increased sugar processing, which complicates treatment. They found that a fasting-mimicking diet improved the effectiveness of fulvestrant, helping to reduce the number of liver metastases.
Who this helps: This research benefits patients with ER+ metastatic breast cancer, especially those with liver metastases.
Homogeneous Distribution of Exogenous Cells onto De-epithelialized Rat Trachea via Instillation of Cell-Loaded Hydrogel.
2022
ACS biomaterials science & engineering
Chen J, Mir SM, Pinezich MR, O'Neill JD, Guenthart BA +4 more
Plain English This study explored how to effectively remove the damaged cells from the lining of rat trachea (the windpipe) and then evenly distribute new cells using a special gel. The results showed that the new cells were placed uniformly and could survive well in the trachea. This approach is important because it could lead to better ways to create treatments for serious lung conditions like cystic fibrosis and chronic obstructive pulmonary disease.
Who this helps: Patients with lung diseases.
Imaging-Guided Bioreactor for Generating Bioengineered Airway Tissue.
2022
Journal of visualized experiments : JoVE
Mir M, Chen J, Pinezich MR, O'Neill JD, Guenthart BA +2 more
Plain English Researchers developed a special device called a bioreactor that allows them to grow artificial airway tissue in the lab while also using imaging technology to see what’s happening inside the tissue as it's being produced. They successfully used this bioreactor to safely remove natural cells from rat trachea and then replace them with other cells while keeping the tissue structure intact. This advancement is important because it shows a new way to create functional airway tissues that could be used for drug testing or to replace damaged tissues in patients.
Who this helps: This helps patients with chronic lung diseases and doctors looking for better treatment options.
Cross-Circulation for Extracorporeal Liver Support in a Swine Model.
2022
ASAIO journal (American Society for Artificial Internal Organs : 1992)
Wu WK, Tumen A, Stokes JW, Ukita R, Hozain A +11 more
Plain English This study tested a new method called V-AV cross-circulation to support livers outside the body in pigs. Over 12 hours, the livers showed good function and no major injury, meaning they were able to produce bile and clear waste effectively. These findings are important because they could lead to better ways to preserve and evaluate liver organs for transplantation, addressing the shortage of available organs.
Who this helps: This helps patients waiting for liver transplants.
Plain English This study looked at the changes in the lung structure of patients with end-stage cystic fibrosis, focusing on the distal (far) part of the lungs, which hasn't been studied much before. Researchers found 68 proteins in the lung matrix that were expressed differently in cystic fibrosis patients, with over 90% of these proteins showing lower levels than in healthy lungs. This is important because it suggests that while the total amount of lung matrix remains the same, the diversity of proteins is reduced, which could impact lung health and point towards new treatments that not only fix the defective protein in cystic fibrosis but also improve the lung's structure.
Who this helps: Patients with cystic fibrosis.
Gut bioengineering strategies for regenerative medicine.
2021
American journal of physiology. Gastrointestinal and liver physiology
O'Neill JD, Pinezich MR, Guenthart BA, Vunjak-Novakovic G
Plain English This research looks at new ways to engineer gut tissues to help treat gastrointestinal diseases, which are on the rise globally. The authors highlight advancements in creating tiny gut models and larger grafts that can be implanted, but they also point out ongoing challenges in developing reliable models and effective therapies. Improving these bioengineering strategies could lead to better treatment options and outcomes for patients with gut diseases.
Who this helps: This helps patients with gastrointestinal diseases.
Non-destructive vacuum-assisted measurement of lung elastic modulus.
2021
Acta biomaterialia
Chen J, Mir M, Pinezich MR, O'Neill JD, Guenthart BA +4 more
Plain English This study looked at a new way to measure how stiff lung tissue is without damaging it. Researchers found that the stiffness of lung tissue from rats increased by at least 64% when certain cells were disrupted, suggesting that lung stiffness changes in different conditions. This method is important because understanding lung stiffness can improve how we diagnose and treat lung diseases.
Who this helps: This helps patients with lung conditions and doctors treating them.
Combined Targeting of Estrogen Receptor Alpha and Exportin 1 in Metastatic Breast Cancers.
2020
Cancers
Cotul EK, Zuo Q, Santaliz-Casiano A, Imir OB, Mogol AN +18 more
Plain English This study looked at ways to improve treatment for women with advanced breast cancer that is resistant to standard hormone therapies. Researchers found that combining selinexor, a drug that targets a key protein involved in cancer resistance, with hormone treatments can help shrink tumors and keep them from coming back. Specifically, they discovered that cancer cells become more reliant on a nutrient called glutamine when they start resisting treatments, highlighting new targets for more effective therapies.
Who this helps: This benefits patients with estrogen receptor-positive metastatic breast cancer.
Multiday maintenance of extracorporeal lungs using cross-circulation with conscious swine.
2020
The Journal of thoracic and cardiovascular surgery
Hozain AE, Tipograf Y, Pinezich MR, Cunningham KM, Donocoff R +7 more
Plain English This study explored a new method to keep donor lungs healthy outside the body for up to four days, using a system where blood circulation from live pigs supported the lungs. Researchers found that the lungs maintained good function and the pigs remained stable throughout this period, with functional lung measurements staying above key thresholds. This advancement could help make more lungs available for transplant, improving outcomes for patients in need.
Who this helps: Patients awaiting lung transplants.
Xenogeneic cross-circulation for extracorporeal recovery of injured human lungs.
2020
Nature medicine
Hozain AE, O'Neill JD, Pinezich MR, Tipograf Y, Donocoff R +20 more
Plain English Most donated lungs are never used because injury makes them too risky for transplant. Researchers connected damaged human lungs to a living pig's circulation as an extended support system and showed the lungs could recover function over multiple days. This xenogeneic cross-circulation approach could dramatically increase the number of usable donor lungs.
The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation
Guenthart BA, O'Neill JD, Kim J, Fung K, Vunjak-Novakovic G +1 more
Plain English This study looked at ways to improve the availability of functional lungs for transplant by using cell replacement techniques. Researchers found that they could effectively remove damaged lung cells and replace them with new cells, specifically mesenchymal stem cells or airway epithelial cells. In tests, the new cells were successfully retained in the lungs and spread evenly, which is a promising step toward creating usable lungs for transplant or even treating lung diseases without the need for surgery.
Who this helps: This research benefits patients with end-stage lung disease and doctors looking for alternatives to traditional lung transplants.
Regeneration of severely damaged lungs using an interventional cross-circulation platform.
2019
Nature communications
Guenthart BA, O'Neill JD, Kim J, Queen D, Chicotka S +12 more
Plain English Researchers studied a new method to repair severely damaged lungs that are usually not suitable for transplant. They used a technique called interventional cross-circulation in pigs with lung injuries caused by gastric aspiration. This approach significantly improved lung function and helped restore healthy lung cells, suggesting that it could make more lungs available for transplant, potentially expanding the number of donor organs.
Who this helps: This benefits patients with end-stage lung disease in need of transplants.
Nims RJ, Cigan AD, Durney KM, Jones BK, O'Neill JD +4 more
Plain English This study looked at how different ways of growing cartilage in the lab affect its strength and stability. Researchers created a special "cage" to limit the swelling of cartilage while still providing enough nutrients. They found that cartilage grown in these cages was much stronger, with a stability measure of 639 kPa compared to only 193 kPa for those allowed to swell. This matters because stronger cartilage can lead to better treatments for joint injuries or diseases.
Who this helps: Patients with joint injuries or cartilage-related conditions.
Controlled delivery and minimally invasive imaging of stem cells in the lung.
2017
Scientific reports
Kim J, Guenthart B, O'Neill JD, Dorrello NV, Bacchetta M +1 more
Plain English This study looked at how to effectively deliver and track stem cells in the lungs, especially for treating lung injuries or diseases. Researchers found ways to adjust the number and placement of these cells when delivered into the lungs and created new imaging methods to watch the cells in real time. These advancements could significantly improve how treatments using stem cells are applied, leading to better health outcomes for patients with lung issues.
Who this helps: This helps patients with lung injuries or chronic lung diseases.
Functional vascularized lung grafts for lung bioengineering.
2017
Science advances
Dorrello NV, Guenthart BA, O'Neill JD, Kim J, Cunningham K +8 more
Plain English Researchers studied how to create functional lung grafts that could be used for transplantation. They found that by removing the outer layer of lung tissue while keeping the important blood vessel network intact, they could support human lung cells' growth in a lab setting. This is significant because it could help address the shortage of donor lungs available for transplants and improve treatments for severe lung diseases.
Who this helps: This helps patients with end-stage lung disease who need transplants.
Targeted delivery of liquid microvolumes into the lung.
2015
Proceedings of the National Academy of Sciences of the United States of America
Kim J, O'Neill JD, Dorrello NV, Bacchetta M, Vunjak-Novakovic G
Plain English This study explored a new way to deliver medications directly into specific areas of the lungs using very small amounts of liquid. Researchers found that by carefully controlling how a tiny liquid plug (less than 1 mL) is pushed into the lungs during breathing, they could effectively place medication in hard-to-reach areas, which could improve treatment for serious lung diseases. The findings suggest that this targeted delivery method could reduce side effects and provide better outcomes for patients.
Who this helps: This benefits patients with lung diseases like cystic fibrosis, COPD, and lung cancer.
Rapid retraction of microvolume aqueous plugs traveling in a wettable capillary.
2015
Applied physics letters
Kim J, O'Neill JD, Vunjak-Novakovic G
Plain English This study examined how tiny water plugs move in a small tube when air pressure is applied. Researchers found that as the front plug moves, it creates a thin layer of water on the tube's surface, which causes it to lose volume and eventually break apart. When this happens, the second plug quickly catches up because of the combined effects of air pressure and surface tension, with the speed of this movement influenced by the tube’s size and the distance between the plugs.
Who this helps: This benefits researchers and engineers working on fluid transport in medical devices and microfluidics.
Natural cardiac extracellular matrix hydrogels for cultivation of human stem cell-derived cardiomyocytes.
2014
Methods in molecular biology (Clifton, N.J.)
Freytes DO, O'Neill JD, Duan-Arnold Y, Wrona EA, Vunjak-Novakovic G
Plain English This study looked at how to use natural materials from pig hearts to create a supportive gel (hydrogel) for growing human heart cells, known as cardiomyocytes, from various types of human stem cells. The researchers found that this pig heart material provides a better environment for heart cell growth than synthetic options, which is valuable for developing new treatments for heart diseases. This research is important because it can improve the effectiveness of therapies aimed at repairing damaged heart tissue.
Who this helps: This benefits patients with heart disease and doctors working in regenerative medicine.
Decellularization of human and porcine lung tissues for pulmonary tissue engineering.
2013
The Annals of thoracic surgery
O'Neill JD, Anfang R, Anandappa A, Costa J, Javidfar J +6 more
Plain English This study looked at how to use pig lungs as a substitute for human lungs in research focused on lung tissue engineering. The researchers found that a specific method of decellularization (using a substance called CHAPS) worked best, with both pig and human lung structures maintaining similar properties, though human lungs were slightly stiffer and supported cell growth better. This is important because pig lungs could provide a valuable resource for testing new treatments for lung diseases without relying solely on limited human organs.
Who this helps: Patients with severe lung conditions who may benefit from advancements in lung therapies.
The regulation of growth and metabolism of kidney stem cells with regional specificity using extracellular matrix derived from kidney.
2013
Biomaterials
O'Neill JD, Freytes DO, Anandappa AJ, Oliver JA, Vunjak-Novakovic GV
Plain English Researchers studied how different parts of kidney tissue affect kidney stem cells when grown in lab settings. They found that stem cells grown on the papilla region of the kidney did not multiply as quickly but had higher energy use and different shapes compared to those grown on the cortex and medulla regions. This is important because it shows that using specific kidney tissue can improve how we study and potentially use stem cells for kidney-related therapies.
Who this helps: This helps patients with kidney diseases by improving research on potential stem cell therapies.
An epidemiological perspective of injuries in the Northwest Territories.
1992
Arctic medical research
Young TK, Moffatt ME, O'Neill JD
Plain English This research paper examined injuries in the Northwest Territories of Canada, finding that the death rate from injuries is consistently higher than the national average. Specifically, there has been an increase in deaths from motor vehicle accidents and homicides, while other accidental deaths like drowning and fires have decreased. The rates of injury deaths among Indigenous peoples were about twice as high as those of non-Indigenous people, indicating a significant public health issue that needs to be addressed.
Who this helps: This information benefits healthcare providers, policymakers, and Indigenous communities working to improve safety and reduce injury-related deaths.