Dr. Burdorf studies xenotransplantation, which is the process of transplanting organs from one species to another, specifically from pigs to humans. His research involves modifying pig organs genetically to make them more compatible with the human immune system. This includes organs like kidneys, hearts, and lungs. He investigates both the physiological responses and the immunological challenges that arise during these transplants. By examining how different genetic modifications and treatments affect the success of these transplants, he is working towards viable solutions for the severe shortage of human organs for transplant.
Key findings
In a study involving pig kidneys transplanted into baboons, 50% of the animals survived more than three months, demonstrating potential for genetically modified pig organs in human transplants.
In a pig kidney transplant into a brain-dead human, the organ functioned for 61 days with no experimental drugs, showing that even minimally modified organs can maintain critical functions.
Genetically modified pig hearts survived significantly longer in baboons, with one heart lasting 393 days, highlighting the potential for long-lasting pig organ transplants.
Research demonstrated that the removal of a specific compound from pig lungs allowed them to last for over six hours in human blood tests, thus decreasing rejection risks.
Kidneys from genetically modified pigs began producing urine within moments of transplant into humans, with no signs of immediate rejection observed.
Frequently asked questions
Does Dr. Burdorf study kidney transplants?
Yes, Dr. Burdorf conducts extensive research on xenotransplantation of pig kidneys into both primates and human candidates.
What treatments has Dr. Burdorf researched for organ transplants?
He has explored the use of immunosuppressive drugs to prevent organ rejection and genetic modifications to enhance organ compatibility.
Is Dr. Burdorf's work relevant to patients waiting for organ transplants?
Yes, his research on using pig organs could significantly benefit patients facing long waiting times for human organ donations.
What breakthroughs has Dr. Burdorf made in heart transplantation?
His studies have shown that genetically modified pig hearts can function for extended periods in primate models, indicating potential for future human use.
How do genetically modified pig organs improve transplant success?
The modifications aim to reduce the immune system's rejection response, allowing the transplanted organs to function properly for longer durations.
Publications in plain English
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.
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.
Extracellular electron transfer genes expressed by candidate flocking bacteria in cable bacteria sediment.
2025
mSystems
Lustermans JJM, Sereika M, Burdorf LDW, Albertsen M, Schramm A +1 more
Plain English This study looked at special bacteria called cable bacteria, which live in muddy sediments and help the environment by using substances to create energy. Researchers discovered that bacteria that swim around these cable bacteria, referred to as "flocking bacteria," can transfer electrons to them, acting like a bridge to help the cable bacteria reach oxygen. Out of the bacteria investigated, about 42% of the potential flocking bacteria were actively performing this electron transfer, revealing a complex interaction that enhances the overall health of the sediment ecosystem and influences important processes like carbon and metal cycling.
Who this helps: This research benefits environmental scientists, ecologists, and anyone interested in improving our understanding of sediment ecosystems.
Plain English This study examined how certain white blood cells, or leukocytes, behaved in monkeys that received a transplanted heart. Researchers found that neutrophils and monocytes increased significantly in the first two weeks after the transplant, and specific cells linked to rejection peaked just before the heart failed. This information is important because it helps us understand how different immune cells contribute to rejection, which could lead to better methods for preventing organ transplant failure.
Who this helps: This helps patients receiving organ transplants and their doctors.
Plain English This study focused on how white blood cells behave in monkeys after they received a transplanted heart and were given treatment to prevent their immune system from rejecting it. Researchers found that the treatment altered the behavior of these white blood cells, which could help improve the success of heart transplants. Understanding these changes is important because it could lead to better care and outcomes for transplant patients.
Who this helps: This benefits patients undergoing heart transplants.
Pig Lung Xenotransplantation: Barriers on the Road to Clinical Translation.
2025
Transplant international : official journal of the European Society for Organ Transplantation
Takemoto S, Burdorf L, Pierson RN
Plain English This study looked at the challenges of using pig lungs for transplantation into humans. Researchers found that while engineered pig lungs have survived longer in animal tests—up to weeks instead of just hours—significant problems remain, like immune reactions and blood clotting issues. Understanding these challenges is crucial for improving outcomes and eventually making pig lung transplants a viable option for patients who need lung transplants.
Who this helps: This helps patients in need of lung transplants, especially those who have few options.
Donor-reactive T cells and innate immune cells promote pig-to-human decedent xenograft rejection.
2025
Research square
Fathi F, Suek N, Vermette B, Breen K, Saad YS +14 more
Plain English This study tracked how donor-reactive immune cells behaved during a 61-day pig-to-human decedent kidney transplant. Specific T cell clones that attack pig tissue were detected expanding in blood and the organ, and innate immune cells also contributed to rejection. The findings clarify the combined immune barriers that must be overcome before pig-to-human transplants can succeed in living patients.
Cable bacteria delay euxinia and modulate phosphorus release in coastal hypoxic systems.
2024
Royal Society open science
Burdorf LDW, van de Velde SJ, Hidalgo-Martinez S, Meysman FJR
Plain English Researchers studied cable bacteria in coastal areas where oxygen levels frequently drop, focusing on how these bacteria affect the release of harmful substances from sediment. They found that sediment with active cable bacteria delayed the release of harmful sulfide gases for up to 102 days and helped control phosphorus levels, essential for maintaining healthy ocean environments. This matters because managing these releases can prevent toxic conditions that harm marine life and ecosystems.
Who this helps: This helps coastal ecosystems and the marine life that depends on them.
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.
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.
Persistent flocks of diverse motile bacteria in long-term incubations of electron-conducting cable bacteria,Electronema aureum.
2023
Frontiers in microbiology
Lustermans JJM, Bjerg JJ, Burdorf LDW, Nielsen LP, Schramm A +1 more
Plain English This study looked at how a type of bacteria, called cable bacteria, interacts with other bacteria that move in groups, or "flocks," in sediment where oxygen is low. Over 81 days, the researchers found that these flocks appeared whenever cable bacteria were present, regardless of their overall number or activity levels. This is important because it shows that the cable bacteria can attract a variety of other bacteria, potentially influencing the ecosystem in sediments.
Who this helps: This helps scientists and researchers studying microbial communities and sediment environments.
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.
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.
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.
Pig-to-baboon lung xenotransplantation: Extended survival with targeted genetic modifications and pharmacologic treatments.
2022
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
Burdorf L, Laird CT, Harris DG, Connolly MR, Habibabady Z +8 more
Plain English Researchers looked at how to improve the survival of baboons after receiving lungs transplanted from genetically modified pigs. They found that by using specific genetic changes and medications to manage the immune response, they could keep the pig lungs functioning for longer, with one baboon living for 31 days after the transplant, compared to less than a day with standard treatment. This is important because it brings us closer to the possibility of using animal organs for human transplants, which could help address the shortage of available human organs.
Who this helps: This helps patients needing organ transplants.
Human erythrocyte fragmentation during ex-vivo pig organ perfusion.
2022
Xenotransplantation
Habibabady ZA, Sendil S, Ellett F, Pollok F, Elias GF +7 more
Plain English This study looked at how red blood cells break apart during the process of keeping pig organs alive outside the body for transplantation. Researchers found unexpected fragments that resemble platelets, which actually come from damaged red blood cells, indicating that this fragmentation could lead to lower red blood cell counts or anemia after transplants. Understanding this process is important because it can help improve outcomes for patients receiving these kinds of organ transplants.
Who this helps: Patients receiving organ transplants.
Cable Bacteria Activity Modulates Arsenic Release From Sediments in a Seasonally Hypoxic Marine Basin.
2022
Frontiers in microbiology
van de Velde SJ, Burdorf LDW, Hidalgo-Martinez S, Leermakers M, Meysman FJR
Plain English This study looked at how certain bacteria, called cable bacteria, affect the release of arsenic from marine sediments that experience low oxygen levels. Researchers found that these bacteria help trap arsenic in a protective layer during oxygen-rich conditions, but when oxygen is low, they release significant amounts of arsenic, with levels reaching 20 micromoles per square meter per day, similar to those found in contaminated areas. Understanding this process is important because it shows how natural cycles can release toxic materials, impacting marine life and ecosystems.
Who this helps: This helps marine biologists and environmental scientists studying coastal ecosystems.
Genetic modifications designed for xenotransplantation attenuate sialoadhesin-dependent binding of human erythrocytes to porcine macrophages.
2022
Xenotransplantation
Petitpas K, Habibabady Z, Ritchie V, Connolly MR, Burdorf L +9 more
Plain English This study looked at how genetic changes in pigs can reduce the binding of human red blood cells to pig immune cells, which can lead to a drop in blood cell levels after organ transplants from pigs to humans. The researchers found that certain genetic modifications decreased this binding, leading to fewer clumps of red blood cells being destroyed, and this could help prevent anemia in human patients. By using these modified pigs and specific antibodies to block problematic interactions, the results suggest it could improve outcomes for patients receiving pig organs.
Who this helps: Patients receiving organ transplants from pigs.
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.
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.
Effect of salinity on cable bacteria species composition and diversity.
2021
Environmental microbiology
Dam AS, Marshall IPG, Risgaard-Petersen N, Burdorf LDW, Marzocchi U
Plain English Researchers studied cable bacteria, which are microorganisms that help break down toxic substances in both freshwater and salty environments. They found that salinity, or salt levels, played a major role in which species of cable bacteria can survive: freshwater bacteria thrived in low salt (0.3), while those from brackish water (21) struggled to survive in fresh conditions, showing a dramatic 93% drop in activity. Understanding how different salt levels impact these bacteria matters because they play a crucial role in maintaining healthy ecosystems in lakes and oceans.
Who this helps: This research benefits environmental scientists and ecologists studying water quality and ecosystem health.
Cable bacteria at oxygen-releasing roots of aquatic plants: a widespread and diverse plant-microbe association.
2021
The New phytologist
Scholz VV, Martin BC, Meyer R, Schramm A, Fraser MW +5 more
Plain English This study looked at a type of bacteria called cable bacteria that live around the roots of various aquatic plants, including seagrass and rice. Researchers found these bacteria in 16 out of 28 plant species and at 36 out of 55 locations worldwide, indicating that this relationship is common and not limited to specific plants. This matters because cable bacteria help reduce toxic substances, support plant health, and play a role in managing greenhouse gas emissions in ecosystems like rice fields and wetlands.
Who this helps: Patients and communities dependent on healthy aquatic ecosystems.
Minimizing Ischemia Reperfusion Injury in Xenotransplantation.
2021
Frontiers in immunology
Patel PM, Connolly MR, Coe TM, Calhoun A, Pollok F +5 more
Plain English This study looked at the damage that can happen to hearts transplanted from pigs to other animals when blood flow is restored after a period of being cut off, which is known as ischemia reperfusion injury (IRI). The research found that understanding the causes of this injury can lead to new genetic changes and techniques to reduce its impact, making such transplants safer and more effective. This work is crucial because it opens up the possibility for successful heart transplants between species, which can help address organ shortages.
Who this helps: Patients in need of heart transplants.
Humanized von Willebrand factor reduces platelet sequestration in ex vivo and in vivo xenotransplant models.
2021
Xenotransplantation
Connolly MR, Kuravi K, Burdorf L, Sorrells L, Morrill B +13 more
Plain English Researchers studied how modifying a protein in pig organs could improve outcomes for organ transplants from pigs to humans. They found that changing the von Willebrand factor in pigs significantly reduced the trapping of human platelets in laboratory tests and during actual transplants, which helps prevent blood problems. This matters because it could lead to safer and more successful organ transplants from pigs, helping to alleviate the shortage of human organs.
Who this helps: Patients needing organ transplants.
Plain English This paper examines models for transplanting pig lungs into humans to learn more about the challenges of successfully transplanting organs from one species to another. The researchers review the history of this approach and introduce two specific methods for studying these transplants: one that keeps pig lungs alive outside the body and another that involves transplanting them directly into living recipients. Their work provides detailed information on the equipment and analysis needed so that other scientists can replicate these experiments easily.
Who this helps: This benefits researchers working on improving organ transplantation.
Pig-to-human heart transplantation: Who goes first?
2020
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
Pierson RN, Burdorf L, Madsen JC, Lewis GD, D'Alessandro DA
Plain English This study focuses on the possibility of transplanting pig hearts into humans and aims to define which patients should be considered for this groundbreaking procedure. Researchers suggest that patients who might benefit most include those with severe heart problems that can't be treated by current methods, such as those at high immunological risk or with complex congenital heart disease. This matters because it opens up new treatment options for patients who have few other choices left.
Who this helps: Patients with severe heart conditions who need urgent solutions.
End-of-life practices in traumatic brain injury patients: Report of a questionnaire from the CENTER-TBI study.
2020
Journal of critical care
van Veen E, van der Jagt M, Citerio G, Stocchetti N, Epker JL +7 more
Plain English This study looked at how different hospitals handle end-of-life care for patients with severe brain injuries. It found that in 60% of the hospitals, less than half of patients who died in intensive care had their life support withdrawn, and the decision often involved discussions among medical teams and families, with age being a factor in 82% of cases. Understanding these differences in care practices is important for improving how end-of-life decisions are made for these patients.
Who this helps: This benefits patients and their families, doctors, and hospital staff involved in end-of-life care decisions.
Pierson RN, Fishman JA, Lewis GD, D'Alessandro DA, Connolly MR +3 more
Plain English This study focused on transplanting pig hearts into humans, known as xenotransplantation. Researchers found that patients who received these genetically modified pig hearts survived for more than 90 days with the help of a new drug treatment. This progress could lead to more effective heart transplants for people who need them.
Who this helps: This benefits patients with severe heart disease who are waiting for transplants.
Thromboxane and histamine mediate PVR elevation during xenogeneic pig lung perfusion with human blood.
2019
Xenotransplantation
Burdorf L, Harris D, Dahi S, Laird C, Zhang T +14 more
Plain English This study looked at how two substances, thromboxane and histamine, affect lung function when pig lungs are treated with human blood. The researchers found that using a specific treatment reduced the rise in lung pressure caused by human blood, with combined treatments providing the best results. This is important because it shows that targeting these substances could help improve the success of transplanting pig lungs into humans, making xenotransplantation a more viable option.
Who this helps: Patients needing lung transplants.
Selective CD28 Inhibition Modulates Alloimmunity and Cardiac Allograft Vasculopathy in Anti-CD154-Treated Monkeys.
2018
Transplantation
Zhang T, Azimzadeh AM, Sun W, O'Neill NA, Sievert E +12 more
Plain English Researchers studied how a treatment that blocks a specific immune signal (CD28) combined with another treatment (CD154 blockade) affects heart transplants in monkeys. They found that using both treatments together led to longer heart survival times—average survival was 141 days compared to 34 days with CD28 alone and 133 days with CD154 alone. This matters because it could lead to better management of organ transplant rejection and improve long-term transplant outcomes.
Who this helps: Patients receiving organ transplants.
P- and E-selectin receptor antagonism prevents human leukocyte adhesion to activated porcine endothelial monolayers and attenuates porcine endothelial damage.
2018
Xenotransplantation
Laird CT, Hassanein W, O'Neill NA, French BM, Cheng X +9 more
Plain English In this study, researchers explored how to prevent human white blood cells from sticking to pig blood vessels after a pig organ is transplanted into a human. They found that using two specific compounds almost completely blocked the attachment of these white blood cells to the pig blood vessels, reducing the damage caused to the pig organ by nearly 94% compared to untreated conditions. This is important because it could help make pig organs a safer option for transplantation in humans, addressing the shortage of human organs for transplant.
Who this helps: Patients waiting for organ transplants.
Interleukin-8 mediates neutrophil-endothelial interactions in pig-to-human xenogeneic models.
2018
Xenotransplantation
French BM, Sendil S, Sepuru KM, Ranek J, Burdorf L +9 more
Plain English This study looked at how a molecule called interleukin-8 (IL-8) affects the interaction between human immune cells (neutrophils) and pig cells in the context of transplanting pig lungs into humans. The researchers found that pig IL-8 levels rose significantly after these lung transplants, while human IL-8 levels also increased in both pig-to-human and pig-to-baboon transplants. Importantly, when they used a drug called Reparixin to block IL-8, it reduced the activation and adhesion of human neutrophils by about 84%, suggesting that targeting IL-8 could help reduce inflammation and injury during pig organ transplants.
Who this helps: Patients receiving pig organ transplants.
Overcoming Coagulation Dysregulation in Pig Solid Organ Transplantation in Nonhuman Primates: Recent Progress.
2018
Transplantation
Wang L, Cooper DKC, Burdorf L, Wang Y, Iwase H
Plain English Researchers studied how to improve survival rates for pig organ transplants in nonhuman primates by using genetically modified pigs and new drugs that reduce the immune response. They found that by inserting a human gene that helps regulate blood clotting, they were able to significantly increase survival times: heart transplants lasted up to 945 days compared to 179 days a decade ago, and kidney transplants lasted up to 499 days versus 90 days. This is important because it brings us closer to making pig organ transplants a viable option for humans, potentially solving a critical shortage of donor organs.
Who this helps: This helps patients waiting for organ transplants.
Progress and challenges in lung xenotransplantation: an update.
2018
Current opinion in organ transplantation
Burdorf L, Azimzadeh AM, Pierson RN
Plain English This study looked at new advances in using pig lungs for transplants in humans, a field known as xenotransplantation. Researchers found that by adding certain genes and drugs, they could improve the survival and function of pig lungs in test situations, with some lasting up to 31 days, which is a significant improvement compared to past attempts. This matters because it could pave the way for using pig lungs as a viable option for patients who need lung transplants, addressing the current shortage of human organs.
Who this helps: Patients with severe lung disease who are waiting for transplants.
Preemptive CD20+ B cell Depletion Attenuates Cardiac Allograft Vasculopathy in CD154-Treated Monkeys.
2017
Transplantation
Azimzadeh AM, Zhang T, Wu G, Kelishadi SS, Stoddard T +12 more
Plain English This study looked at how a treatment involving B cell depletion affects heart transplant survival in monkeys receiving a specific drug, CD154. The researchers found that monkeys treated with both CD154 and B cell depletion (using rituximab) had a median survival time of more than 90 days, compared to just 28 days for those treated with CD154 alone. This finding is significant because it shows that preemptive B cell depletion can improve heart transplant outcomes by reducing the risk of rejection and associated complications.
Who this helps: This helps patients undergoing heart transplants.
Transgenic expression of human leukocyte antigen-E attenuates GalKO.hCD46 porcine lung xenograft injury.
2017
Xenotransplantation
Laird CT, Burdorf L, French BM, Kubicki N, Cheng X +12 more
Plain English This study looked at how modifying pig lungs to express a human protein (HLA-E) could protect against damage when those lungs are exposed to human blood. The researchers found that lungs with the added HLA-E protein had significantly improved survival times, lasting over 4 hours compared to just 2 hours and 42 minutes for those without it. This enhancement also reduced harmful reactions like increased blood pressure in the lungs and lower activation of immune cells.
Who this helps: This benefits patients needing lung transplants and doctors involved in xenotransplantation.
N-glycolylneuraminic acid knockout reduces erythrocyte sequestration and thromboxane elaboration in an ex vivo pig-to-human xenoperfusion model.
2017
Xenotransplantation
Cimeno A, Hassanein W, French BM, Powell JM, Burdorf L +18 more
Plain English This study looked at how a specific sugar molecule called N-glycolylneuraminic acid (Neu5Gc), found in pigs but not in humans, affects the performance of pig livers used in organ transplants. Researchers compared pig livers with and without the Neu5Gc molecule while exposed to human blood and found that livers without Neu5Gc had 25% less red blood cell loss over time, improving red blood cell levels, but did not reduce early platelet loss. This is important because it shows that modifying pig organs could improve their compatibility with human blood, potentially making animal-to-human transplants safer and more effective.
Who this helps: This helps patients needing organ transplants.
Vascularized Thymosternal Composite Tissue Allo- and Xenotransplantation in Nonhuman Primates: Initial Experience.
2017
Plastic and reconstructive surgery. Global open
Sendil S, Diaconu SC, O'Neill NA, Burdorf L, Tatarov I +4 more
Plain English Researchers studied how to improve the survival of complex tissue transplants by using a combination of vascularized thymus and bone marrow in nonhuman primates. They successfully transplanted skin, muscle, thymus, and bone tissue from one monkey to another and highlighted two key findings: one transplant survived for 87 days after immunosuppressive treatment was stopped, while another showed early signs of rejection. These findings are important because they offer potential methods to promote long-term acceptance of organ transplants without continuing heavy immunosuppression.
Who this helps: This research benefits patients needing organ transplants and the doctors who care for them.
Plain English This study looks at recent advancements in using pig lungs for transplantation in humans, focusing on how genetic changes and treatments can improve the function and survival of these transplanted lungs. Researchers found that specific genetic modifications and drug treatments can significantly extend lung function, with improvements observed in lab models and in live subjects. For instance, new techniques have increased the survival of pig lungs during testing, suggesting that pig lungs could soon be a viable option for patients needing transplants.
Who this helps: This benefits patients in need of lung transplants.
Platelet sequestration and activation during GalTKO.hCD46 pig lung perfusion by human blood is primarily mediated by GPIb, GPIIb/IIIa, and von Willebrand Factor.
2016
Xenotransplantation
Burdorf L, Riner A, Rybak E, Salles II, De Meyer SF +19 more
Plain English This study looked at how certain proteins on platelets influence their behavior when human blood is used to keep pig lungs alive in a lab setting. Researchers found that blocking a specific protein called GPIb delayed how quickly platelets got trapped in the lungs and reduced their activation, which led to the lungs lasting over 240 minutes instead of the usual 162 minutes. This matters because keeping the pig lungs viable for longer could pave the way for better organ transplants in the future.
Who this helps: This helps patients awaiting organ transplants.
ClinicalDisease after Cardiac Transplantation in a Cynomolgus Macaque ().
2016
Comparative medicine
Rybak ER, Shipley S, Tatarov I, Zhang T, Sun W +6 more
Plain English Researchers conducted a study using a cynomolgus macaque that received a heart transplant without traditional immune-suppressing drugs. The macaque developed severe anemia and weight loss due to a parasitic infection called Trypanosoma cruzi, which ultimately led to its euthanasia. This case highlights the risk of Chagas disease after heart transplants, showing that even with advanced treatments, serious infections can still occur.
Who this helps: This helps doctors understand potential complications in heart transplant patients and improve post-transplant care.
Meta-analysis of the independent and cumulative effects of multiple genetic modifications on pig lung xenograft performance during ex vivo perfusion with human blood.
2015
Xenotransplantation
Harris DG, Quinn KJ, French BM, Schwartz E, Kang E +6 more
Plain English This study looked at how different genetic changes in pigs affect the survival of their lungs when used for transplanting into humans. Researchers analyzed data from 157 experiments with pig lungs, finding that more genetic modifications led to longer survival times for the lung transplants. Specifically, lungs with three or more modifications survived better, often showing less damage during the experiment.
Who this helps: This helps patients needing lung transplants, as it could lead to better options from genetically modified pigs.
Four-dimensional characterization of thrombosis in a live-cell, shear-flow assay: development and application to xenotransplantation.
2015
PloS one
Harris DG, Benipal PK, Cheng X, Burdorf L, Azimzadeh AM +1 more
Plain English This study looked at how blood clots form when human blood comes into contact with pig cells, which are being considered for organ transplants. The researchers created a new way to observe this interaction in real time and found that normal pig cells caused significant platelet adhesion and clot formation (about 65% adhesion), while modified pig cells designed to avoid rejection decreased clot volume by 60%. These findings are important because they help us understand how to improve the safety of using pig organs for human transplants by minimizing blood clotting risks.
Who this helps: This helps patients needing organ transplants and the doctors involved in xenotransplantation.
Early graft failure of GalTKO pig organs in baboons is reduced by expression of a human complement pathway-regulatory protein.
2015
Xenotransplantation
Azimzadeh AM, Kelishadi SS, Ezzelarab MB, Singh AK, Stoddard T +13 more
Plain English This study looked at how often pig organs fail shortly after being transplanted into baboons and whether adding a human protein could help. In the study, 43% of the baboons with regular GalTKO pig organs experienced early graft failure, whereas only 7% with the additional human protein had this issue. This finding suggests that using this human protein can significantly improve the success of organ transplants from genetically modified pigs.
Who this helps: This benefits patients who might receive organ transplants from pigs, especially those with organ shortages.
International journal of surgery (London, England)
Kubicki N, Laird C, Burdorf L, Pierson RN, Azimzadeh AM
Plain English This study looked at using pig lungs for transplants in baboons to address the shortage of human organs. Researchers found that using a combination of treatments can significantly protect the transplanted pig lungs from damage, achieving better results with methods that involve modifying pig genes and adding human genes. This is important because improving transplant outcomes could eventually lead to safer options for people who need lung transplants, potentially saving lives.
Who this helps: Patients needing lung transplants.
Cable bacteria generate a firewall against euxinia in seasonally hypoxic basins.
2015
Proceedings of the National Academy of Sciences of the United States of America
Seitaj D, Schauer R, Sulu-Gambari F, Hidalgo-Martinez S, Malkin SY +3 more
Plain English This study examined how certain microorganisms called cable bacteria help prevent harmful conditions in coastal waters that occur when oxygen levels drop in summer. Researchers found that these bacteria create a “firewall” by turning sulfides into a harmless form, which can delay the onset of toxic conditions known as euxinia. In the case of a marine basin in the Netherlands, the bacteria dominated during winter and helped maintain healthy conditions even as oxygen levels fell in summer, potentially explaining why toxic conditions are not often observed.
Who this helps: This benefits marine life and environmental scientists working to understand and protect coastal ecosystems.
A six question screen to facilitate primary cardiovascular disease prevention.
2015
BMC cardiovascular disorders
van der Hoeven NV, Niessen MA, Stroes ES, Burdorf L, Kraaijenhagen RA +1 more
Plain English This study created a simple six-question screening tool to help identify men at risk of serious heart disease, using non-invasive factors like age, smoking, and body weight instead of blood tests. The tool was tested on nearly 6,200 Dutch male workers and found that a score of 45 or higher reliably indicated a high risk of cardiovascular issues, with very good accuracy (93% sensitivity and 85% specificity). This matters because it allows for easier and cheaper initial screenings, helping to prioritize those who need more detailed health assessments.
Who this helps: Patients at risk of cardiovascular disease.