Research on gene editing and immunosuppressants in kidney xenotransplantation

被引:0
作者
Luo, Jiajiao [1 ]
Bian, Congwen [1 ]
Liu, Min [1 ]
Fang, Yuan [1 ]
Jin, Li [1 ]
Yu, Rui [1 ]
Huang, Hanfei [1 ]
机构
[1] Kunming Med Univ, Affiliated Hosp 1, Dept Organ Transplantat, Kunming, Yunnan, Peoples R China
关键词
Xenotransplantation; Gene editing; Immunotherapy; NHP; Kidney xenotransplantation; DECAY-ACCELERATING FACTOR; TRANSGENIC EXPRESSION; COMPLEMENT ACTIVATION; ISCHEMIA-REPERFUSION; CELL DEPLETION; CD39; PROTECTS; PIG; KNOCKOUT; LIVER; REJECTION;
D O I
10.1016/j.trim.2025.102184
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Gene-edited pig organ transplantation can solve the serious shortage of human donor organs. Currently, xenotransplantation is rapidly developing and has made significant breakthroughs. The use of GTKO (Gal knockout) pigs is an important step forward. The subsequent knockout of three genes combined with the transfer of immune-related genes effectively prolonged the survival time of non-human primate (NHP) transplantation in xenotransplantation. Due to the success of allogeneic kidney transplantation on NHP, this gene editing protocol was recently applied to clinical patients. Two patients underwent allogeneic kidney transplantation and survived for 51 days and 47 days. Exceeding the hyperacute rejection period proves that appropriate gene editing strategies and the combination of immunosuppressive agents contribute to the success of xenotransplantation. To further enhance the feasibility of pig kidney xenograft, this article mainly explores the effects of the NHP xenograft gene editing scheme and immunosuppressants on prolonging transplant survival time.
引用
收藏
页数:7
相关论文
共 97 条
[1]   Anti-C5 Antibody Tesidolumab Reduces Early Antibody-mediated Rejection and Prolongs Survival in Renal Xenotransplantation [J].
Adams, Andrew B. ;
Lovasik, Brendan P. ;
Faber, David A. ;
Burlak, Christopher ;
Breeden, Cynthia ;
Estrada, Jose L. ;
Reyes, Luz M. ;
Vianna, Rodrigo M. ;
Tector, Matthew F. ;
Tector, Alfred Joseph .
ANNALS OF SURGERY, 2021, 274 (03) :473-480
[2]   Human SAMHD1 restricts the xenotransplantation relevant porcine endogenous retrovirus (PERV) in non-dividing cells [J].
Al-Shehabi, Hussein ;
Fiebig, Uwe ;
Kutzner, Juliane ;
Denner, Joachim ;
Schaller, Torsten ;
Bannert, Norbert ;
Hofmann, Henning .
JOURNAL OF GENERAL VIROLOGY, 2019, 100 (04) :656-661
[3]   Design and testing of a humanized porcine donor for xenotransplantation [J].
Anand, Ranjith P. ;
Layer, Jacob V. ;
Heja, David ;
Hirose, Takayuki ;
Lassiter, Grace ;
Firl, Daniel J. ;
Paragas, Violette B. ;
Akkad, Adam ;
Chhangawala, Sagar ;
Colvin, Robert B. ;
Ernst, Russell J. ;
Esch, Nicholas ;
Getchell, Kristen ;
Griffin, Alexandra K. ;
Guo, Xiaoyun ;
Hall, Katherine C. ;
Hamilton, Paula ;
Kalekar, Lokesh A. ;
Kan, Yinan ;
Karadagi, Ahmad ;
Li, Feng ;
Low, Susan C. ;
Matheson, Rudy ;
Nehring, Claudia ;
Otsuka, Ryo ;
Pandelakis, Matthew ;
Policastro, Robert A. ;
Pols, Rebecca ;
Queiroz, Luis ;
Rosales, Ivy A. ;
Serkin, William T. ;
Stiede, Kathryn ;
Tomosugi, Toshihide ;
Xue, Yongqiang ;
Zentner, Gabriel E. ;
Angeles-Albores, David ;
Chris Chao, J. ;
Crabtree, Juliet N. ;
Harken, Sierra ;
Hinkle, Nicole ;
Lemos, Tania ;
Li, Mailin ;
Pantano, Lorena ;
Stevens, Denise ;
Subedar, Omar D. ;
Tan, Xiaoqing ;
Yin, Shiyi ;
Anwar, Imran J. ;
Aufhauser, David ;
Capuano, Saverio .
NATURE, 2023, 622 (7982) :393-401
[4]   First gene-edited pig kidney transplant [J].
不详 .
NATURE BIOTECHNOLOGY, 2024, 42 (04) :544-544
[5]   Ischemic Cerebroprotection Conferred by Myeloid Lineage-Restricted or Global CD39 Transgene Expression [J].
Baek, Amy E. ;
Sutton, Nadia R. ;
Petrovic-Djergovic, Danica ;
Liao, Hui ;
Ray, Jessica J. ;
Park, Joan ;
Kanthi, Yogendra ;
Pinsky, David J. .
CIRCULATION, 2017, 135 (24) :2389-+
[6]   Ureteral stenosis in HDAF pig-to-primate renal xenotransplantation: A phenomenon related to immunological events? [J].
Baldan, N ;
Rigotti, P ;
Calabrese, F ;
Cadrobbi, R ;
Dedja, A ;
Lacopetti, I ;
Boldrin, M ;
Seveso, M ;
Dall'Olmo, L ;
Frison, L ;
De Benedictis, G ;
Bernardini, D ;
Thiene, G ;
Cozzi, E ;
Anconalb, E .
AMERICAN JOURNAL OF TRANSPLANTATION, 2004, 4 (04) :475-481
[7]  
BALLA G, 1992, J BIOL CHEM, V267, P18148
[8]   Update on C1 Esterase Inhibitor in Human Solid Organ Transplantation [J].
Berger, Mel ;
Lefaucheur, Carmen ;
Jordan, Stanley C. .
TRANSPLANTATION, 2019, 103 (09) :1763-1775
[9]   Transgenic Expression of Human CD46 on Porcine Endothelium: Effect on Coagulation and Fibrinolytic Cascades During Ex Vivo Human-to-Pig Limb Xenoperfusions [J].
Bongoni, Anjan K. ;
Kiermeir, David ;
Schnider, Jonas ;
Jenni, Hansjoerg ;
Garimella, Pavan ;
Baehr, Andrea ;
Klymiuk, Nikolai ;
Wolf, Eckhard ;
Ayares, David ;
Voegelin, Esther ;
Constantinescu, Mihai A. ;
Seebach, Joerg D. ;
Rieben, Robert .
TRANSPLANTATION, 2015, 99 (10) :2061-2069
[10]   Progress and challenges in lung xenotransplantation: an update [J].
Burdorf, Lars ;
Azimzadeh, Agnes M. ;
Pierson, Richard N., III .
CURRENT OPINION IN ORGAN TRANSPLANTATION, 2018, 23 (06) :621-627