Heart transplantation in baboons using 1,3-galactosyl transferase gene-knockout pigs as donors: initial experience

被引:557
作者
Kuwaki, K
Tseng, YL
Dor, FJMF
Shimizu, A
Houser, SL
Sanderson, TM
Lancos, CJ
Prabharasuth, DD
Cheng, J
Moran, K
Hisashi, Y
Mueller, N
Yamada, K
Greenstein, JL
Hawley, RJ
Patience, C
Awwad, M
Fishman, JA
Robson, SC
Schuurman, HJ
Sachs, DH
Cooper, DKC
机构
[1] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Transplantat Biol Res Ctr, Boston, MA 02129 USA
[2] Immerge BioTherapeut Inc, Cambridge, MA 02139 USA
[3] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Dept Pathol, Boston, MA 02114 USA
[4] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Div Infect Dis, Boston, MA 02114 USA
[5] Harvard Univ, Sch Med, Beth Israel Deaconess Med Ctr, Ctr Immunobiol, Boston, MA 02215 USA
关键词
D O I
10.1038/nm1171
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Hearts from alpha1,3-galactosyltransferase knockout pigs (GalT-KO, n = 8) were transplanted heterotopically into baboons using an anti-CD154 monoclonal antibody-based regimen. The elimination of the galactose-alpha1,3-galactose epitope prevented hyperacute rejection and extended survival of pig hearts in baboons for 2-6 months (median, 78 d); the predominant lesion associated with graft failure was a thrombotic microangiopathy, with resulting ischemic injury. There were no infectious complications directly related to the immunosuppressive regimen. The transplantation of hearts from GalT-KO pigs increased graft survival over previous studies.
引用
收藏
页码:29 / 31
页数:3
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