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Xenotransplantation at 30 years - A personal reminiscence and some thoughts for the future. 异种器官移植 30 年--个人回忆和对未来的一些思考。
IF 3.9 4区 医学 Q1 Medicine Pub Date : 2024-03-01 DOI: 10.1111/xen.12846
David H Sachs
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引用次数: 0
Evaluation of knowledge, attitude, and awareness of liver transplant patients toward xenotransplantation 评估肝移植患者对异种移植的知识、态度和认识
IF 3.9 4区 医学 Q1 Medicine Pub Date : 2024-02-26 DOI: 10.1111/xen.12844
Bahar Aslan Dogan, Gurkan Ozden, Sevim Dolu, Mesut Mese, Sami Akbulut
Xenotransplantation (XTx) is an alternative treatment for organ scarcity. Investigating the acceptance of XTx among patients from diverse cultural and religious backgrounds is essential. This study aimed to evaluate the knowledge, attitudes, and awareness of XTx among patients undergoing liver transplant (LT).
异种器官移植(XTx)是治疗器官匮乏的一种替代疗法。调查来自不同文化和宗教背景的患者对异种器官移植的接受程度至关重要。本研究旨在评估接受肝移植(LT)的患者对 XTx 的知识、态度和认识。
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引用次数: 0
A study of knowledge and acceptance of kidney xenotransplantation among Chinese kidney transplant recipients and candidates 关于中国肾移植受者和候选者对肾脏异种移植的了解和接受程度的研究
IF 3.9 4区 医学 Q1 Medicine Pub Date : 2024-02-26 DOI: 10.1111/xen.12843
Yuhao Tu, Xiangli Zhao, Gang Chen, Lan Zhu
In recent years, the implementation of the first case of pig-to-human heart xenotransplantation and the report of three cases of pig-to-brain-dead human recipient kidney transplantation indicate that xenotransplantation is getting closer to clinical application. In the near future, China may also launch clinical trials of kidney xenotransplantation. Therefore, it is necessary to investigate the level of knowledge and acceptance of xenotransplantation among kidney transplant recipients and candidates in China. This study aims to investigate the level of comprehension and acceptance of kidney xenotransplantation in kidney transplant recipients and explore related factors, providing a reference for promoting the application and clinical trials of xenotransplantation in the near future.
近年来,首例猪-人心脏异种移植的实施和三例猪-脑死亡人受体肾移植的报道表明,异种移植离临床应用越来越近。不久的将来,我国也可能开展肾脏异种移植的临床试验。因此,有必要调查中国肾移植受者和候选者对异种移植的认知和接受程度。本研究旨在调查肾移植受者对肾脏异种移植的了解和接受程度,并探讨相关因素,为在不久的将来推广异种移植的应用和临床试验提供参考。
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引用次数: 0
Pressing ethical issues relating to clinical pig organ transplantation studies 与临床猪器官移植研究有关的紧迫伦理问题
IF 3.9 4区 医学 Q1 Medicine Pub Date : 2024-02-26 DOI: 10.1111/xen.12848
Daniel J. Hurst, David K. C. Cooper
Clinical pig heart transplant experiments have been undertaken, and further clinical experiments and/or clinical trials of gene-edited pig organ xenotransplantation are anticipated. The ethical issues relating to xenotransplantation have been discussed for decades but with little resolution. Consideration of certain ethical issues is more urgent than others, and the need to attain consensus is important. These issues include: (i) patient selection criteria for expanded access and/or clinical trials; (ii) appropriate protection of the patient from xenozoonoses, that is, infections caused by pig microorganisms transferred with the organ graft, (iii) minimization of the risk of a xenozoonosis to bystanders, and (iv) the need for additional public perception studies. We discuss why it is important and urgent to achieve consensus on these ethical issues prior to carrying out further expanded access experiments or initiating formal clinical trials. The ways forward on each issue are proposed.
猪心脏移植临床实验已经开始,预计还将进行基因编辑猪器官异种移植的临床实验和/或临床试验。有关异种器官移植的伦理问题已经讨论了几十年,但几乎没有得到解决。对某些伦理问题的审议比对其他伦理问题的审议更为迫切,因此达成共识非常重要。这些问题包括(i)扩大使用范围和/或临床试验的患者选择标准;(ii)适当保护患者免受异种人畜共患病(即随器官移植转移的猪微生物引起的感染)的侵害;(iii)最大限度地降低异种人畜共患病对旁观者造成的风险;(iv)开展更多公众认知研究的必要性。我们讨论了为什么在开展进一步的扩大使用实验或启动正式临床试验之前,就这些伦理问题达成共识是重要和紧迫的。我们提出了在每个问题上的前进方向。
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引用次数: 0
Hemodynamics in pig-to-baboon heterotopic thoracic cardiac xenotransplantation: Recovery from perioperative cardiac xenograft dysfunction and impairment by cardiac overgrowth 猪-狒狒异位胸腔心脏异种移植的血液动力学:从围术期心脏异种移植的功能障碍和心脏过度生长的损害中恢复过来
IF 3.9 4区 医学 Q1 Medicine Pub Date : 2024-01-25 DOI: 10.1111/xen.12841
Martin Bender, Alessandro Panelli, Bruno Reichart, Julia Radan, Maren Mokelke, Elisabeth Neumann, Ines Buttgereit, Sebastian Michel, Andreas Bauer, Ann Kathrin Fresch, Tanja Mayr, Fabian Werner, Stefanie Egerer, Andrea Bähr, Barbara Kessler, Nikolai Klymiuk, David Ayares, Eckhard Wolf, Christian Hagl, Paolo Brenner, Matthias Längin, Jan-Michael Abicht
Orthotopic cardiac xenotransplantation has seen notable improvement, leading to the first compassionate use in 2022. However, it remains challenging to define the clinical application of cardiac xenotransplantation, including the back-up strategy in case of xenograft failure. In this regard, the heterotopic thoracic technique could be an alternative to the orthotopic procedure. We present hemodynamic data of heterotopic thoracic pig-to-baboon transplantation experiments, focusing on perioperative xenograft dysfunction and xenograft overgrowth.
正位心脏异种移植已取得显著进展,并于2022年首次获得同情使用。然而,确定心脏异种移植的临床应用,包括异种移植失败时的后备策略,仍具有挑战性。在这方面,异位胸腔移植技术可以替代正位手术。我们展示了异位胸腔猪对狒狒移植实验的血液动力学数据,重点关注围手术期异种移植的功能障碍和异种移植的过度生长。
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引用次数: 0
Porcine embryonic stem cells: An alternative solution for the shortage of human islets to treat type 1 diabetes? 猪胚胎干细胞:治疗 1 型糖尿病的人类胰岛不足的替代解决方案?
IF 3.9 4区 医学 Q1 Medicine Pub Date : 2024-01-25 DOI: 10.1111/xen.12840
Mark B. Nottle, Ivan Vassiliev, Wayne J. Hawthorne, Peter J. Cowan
Transplantation of human embryonic stem cell (ESC) derived beta-like cells and xenotransplantation of porcine islets are two potential cures for type 1 diabetes (T1D). We have previously reported the isolation of porcine ESCs and have also separately shown that islets from genetically modified pigs can effectively cure diabetes in a preclinical baboon model. Here we discuss the possibility of combining these technologies to produce gene-edited porcine ESC-derived islets as an alternative for treating T1D, which may offer several advantages compared with these approaches.
人类胚胎干细胞(ESC)衍生的β样细胞移植和猪胰岛异种移植是治疗1型糖尿病(T1D)的两种潜在方法。我们以前曾报道过猪胚胎干细胞的分离,还分别证明了转基因猪的胰岛可有效治疗临床前狒狒模型中的糖尿病。在此,我们讨论了将这些技术结合起来生产基因编辑的猪干细胞衍生胰岛作为治疗 T1D 的替代方法的可能性,与这些方法相比,这种方法可能具有一些优势。
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引用次数: 0
Alteration of γδ T cell subsets in non-human primates transplanted with GGTA1 gene-deficient porcine blood vessels. 移植了 GGTA1 基因缺陷猪血管的非人灵长类动物体内 γδ T 细胞亚群的变化。
IF 3.9 4区 医学 Q1 Medicine Pub Date : 2024-01-01 Epub Date: 2023-12-19 DOI: 10.1111/xen.12838
Sujin Lee, Yun Shin Chung, Kyo Won Lee, Miran Choi, Chung Hee Sonn, Won Jun Oh, Hun Gi Hong, Joohyun Shim, Kimyung Choi, Sung Joo Kim, Jae Berm Park, Tae Jin Kim

Background: αGal-deficient xenografts are protected from hyperacute rejection during xenotransplantation but are still rejected more rapidly than allografts. Despite studies showing the roles of non-Gal antibodies and αβ T cells in xenograft rejection, the involvement of γδ T cells in xenograft rejection has been limitedly investigated.

Methods: Six male cynomolgus monkeys were transplanted with porcine vessel xenografts from wild-type (n = 3) or GGTA1 knockout (n = 3) pigs. We measured the proportions and T cell receptor (TCR) repertoires of blood γδ T cells before and after xenotransplant. Grafted porcine vessel-infiltrating immune cells were visualized at the end of experiments.

Results: Blood γδ T cells expanded and infiltrated into the graft vessel adventitia following xenotransplantation of α-Gal-deficient pig blood vessels. Pre- and post-transplant analysis of γδ TCR repertoire revealed a transition in δ chain usage post-transplantation, with the expansion of several clonotypes of δ1, δ3, or δ7 chains. Furthermore, the distinctions between pre- and post-transplant δ chain usages were more prominent than those observed for γ chain usages.

Conclusion: γδ TCR repertoire was significantly altered by xenotransplantation, suggesting the role of γδ T cells in sustained xenoreactive immune responses.

背景:在异种移植过程中,αGal缺陷的异种移植物可避免超急性排斥反应,但其排斥反应仍比异种移植物快。尽管有研究表明非Gal抗体和αβ T细胞在异种移植物排斥反应中发挥作用,但对γδ T细胞参与异种移植物排斥反应的研究还很有限:方法:将野生型猪(n = 3)或GGTA1基因敲除猪(n = 3)的猪血管异种移植给6只雄性猴。我们测量了异种移植前后血液中γδT细胞的比例和T细胞受体(TCR)汇集。移植猪血管浸润免疫细胞在实验结束时可视化:结果:异种移植α-Gal缺陷猪血管后,血液中的γδT细胞扩增并浸润到移植血管的血管内膜。移植前和移植后的γδTCR反应谱分析显示,移植后δ链的使用发生了转变,δ1、δ3或δ7链的多个克隆型扩大。结论:异种移植显著改变了γδ TCR 反应谱系,表明γδ T 细胞在持续的异种活性免疫反应中发挥作用。
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引用次数: 0
Xenotransplantation literature update March 2023-November 2023. 2023 年 3 月至 2023 年 11 月异种移植文献更新。
IF 3.9 4区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1111/xen.12837
Shani Kamberi, Raphael P H Meier

We present an updated report highlighting significant developments in the field of xenotransplantation since March 2023. The past six months have witnessed significant strides in the field and the emergence of novel research that is expected to facilitate the journey towards clinical trials. We are reviewing here the most pertinent findings from March 2023 to November 2023.

我们提交一份最新报告,重点介绍自2023年3月以来异种移植领域的重大进展。在过去的六个月里,该领域取得了长足的进步,新研究的出现有望推动临床试验的进程。我们在此回顾2023年3月至2023年11月期间最相关的研究成果。
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引用次数: 0
The Young Investigator Committee of the International Xenotransplantation Association-Perspective of advancements in the field in 2023. 国际异种器官移植协会青年研究员委员会--展望 2023 年该领域的发展。
IF 3.9 4区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1111/xen.12845
Corbin E Goerlich, Shani S Kamberi, Joseph Ladowski, Antonio Citro, Margaret Connolly, Konrad Fischer, Evelyn J Salvaris, Avneesh K Singh, Yi Wang, Jeffrey Stern, Raphael P H Meier

The 2023 IXA conference, hosted in San Diego, CA, brimmed with excitement against the backdrop of recent innovations in both the pre-clinical and clinical realms with several first-in-human applications of xenotransplantation. The theme, "Pigs are flying," alluded to the adage that xenotransplantation would only become a clinical reality "when pigs fly," suggesting a day that might never come. The event witnessed significant attendance, with 600 participants-the highest in the history of an IXA-IPITA joint congress. Among the attendees were members of the Food and Drug Administration (FDA), the National Institutes of Health (NIH), and corporate sponsors deeply engaged in the field. We summarize the latest topics from the congress, ranging from the pros/cons of decedent models of xenotransplantation and genetic engineering of porcine heart valves, solid organs, and cells for clinical translation and their regulatory and ethical landscape.

2023 年国际器官移植协会会议在加利福尼亚州圣迭戈举行,会议以临床前和临床领域的最新创新为背景,介绍了异种器官移植在人体中的首次应用。会议的主题是 "猪在飞",暗指异种移植只有在 "猪会飞的时候 "才会成为临床现实,这意味着这一天可能永远不会到来。本次大会参会人数众多,共有 600 人参加,是 IXA-IPITA 联合大会历史上参会人数最多的一次。与会者包括食品药品管理局 (FDA)、美国国立卫生研究院 (NIH) 的成员以及深耕该领域的企业赞助商。我们总结了大会的最新议题,包括异种移植的尸体模型和猪心脏瓣膜基因工程、实体器官和细胞用于临床转化的利弊及其监管和伦理状况。
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引用次数: 0
Development and characterization of islet-derived mesenchymal stem cells from clinical grade neonatal porcine cryopreserved islets. 临床级新生猪冷冻保存胰岛来源的间充质干细胞的制备和特性研究。
IF 3.9 4区 医学 Q1 Medicine Pub Date : 2024-01-01 Epub Date: 2023-10-17 DOI: 10.1111/xen.12831
Takeshi Kikuchi, Masuhiro Nishimura, Natsuki Komori, Naho Iizuka, Takeshige Otoi, Shinichi Matsumoto

Background: Porcine tissues display a great potential as donor tissues in xenotransplantation, including cell therapy. Cryopreserving clinical grade porcine tissue and using it as a source for establishing therapeutic cells should be advantageous for transportation and scheduled manufacturing of MSCs. Of note, we previously performed encapsulated porcine islet transplantation for the treatment of unstable type 1 diabetes mellitus in the clinical setting. It has been reported that co-transplantation of islets and Mesenchymal stem cells (MSCs) enhanced efficacy. We assume that co-transplantation of porcine islets and porcine islet-derived MSCs could improve the efficacy of clinical islet xenotransplantation.

Methods: MSCs were established from fresh and cryopreserved non-clinical grade neonatal porcine islets and bone marrow (termed non-clinical grade npISLET-MSCs and npBM-MSCs, respectively), as well as from cryopreserved clinical grade neonatal porcine islets (termed clinical grade npISLET-MSCs). Subsequently, the cell proliferation rate and diameter, surface marker expression, adipogenesis, osteogenesis, and colony-forming efficiency of the MSCs were assessed.

Results: Cell proliferation rate and diameter did not differ between clinical grade and non-clinical grade npISLET-MSCs. However, non-clinical grade npBM-MSCs were significantly shorter and smaller than both npISLET-MSCs (p < 0.05). MSC markers (CD29, CD44, and CD90) were strongly expressed in clinical grade npISLET-MSCs and non-clinical grade npISLET-MSCs and npBM-MSCs. The expression of MSC-negative markers CD31, CD34, and SLA-DR was low in all MSCs. Clinical grade npISLET-MSCs derived from adipose and osteoid tissues were positive for Oil Red and alkaline phosphatase staining. The results of colony-forming assay were not significantly different between clinical grade npISLET-MSCs and non-clinical grade npBM-MSCs.

Conclusion: The method described herein was successful in of developing clinical grade npISLET-MSCs from cryopreserved islets. Cryopreserved clinical grade porcine islets could be an excellent stable source of MSCs for cell therapy.

背景:猪组织在异种移植(包括细胞治疗)中显示出巨大的供体组织潜力。冷冻保存临床级猪组织并将其用作建立治疗细胞的来源,应有利于MSC的运输和计划制造。值得注意的是,我们之前在临床环境中进行了封装猪胰岛移植治疗不稳定型1型糖尿病。据报道,胰岛和间充质干细胞的联合移植提高了疗效。我们认为,猪胰岛和猪胰岛来源的间充质干细胞的联合移植可以提高临床胰岛异种移植的疗效。方法:从新鲜和冷冻保存的非临床级新生猪胰岛和骨髓(分别称为非临床级npISLET MSCs和npBM MSCs),以及冷冻保存的临床级新生猪胰岛(称为临床级npIS-LET MSC)中建立MSCs。随后,评估MSCs的细胞增殖率和直径、表面标记物表达、脂肪生成、成骨和集落形成效率。结果:临床分级和非临床分级的npISLET MSCs的细胞增殖率和直径没有差异。然而,非临床级npBM MSCs明显比两种npISLET MSCs更短、更小(p结论:本文所述的方法成功地从冷冻保存的胰岛中制备了临床级npISLET MSCs。冷冻保存的临床级猪胰岛可能是用于细胞治疗的极好的稳定MSCs来源。
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引用次数: 0
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Xenotransplantation
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