Cardiac xenotransplantation: Clinical experience and future direction

被引:13
作者
Adams, DH [1 ]
Chen, RH [1 ]
Kadner, A [1 ]
机构
[1] Harvard Univ, Brigham & Womens Hosp, Sch Med, Div Cardiac Surg, Boston, MA 02115 USA
关键词
D O I
10.1016/S0003-4975(00)01281-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The shortage of human organs has focused research on finding an animal source of replacement organs. The immunological barriers to xenotransplantation are now more clearly defined, allowing retrospective interpretation of past clinical experience in humans. Due to physiological compatibilities as well as ethical and infectious considerations, pigs have now emerged as the most likely source of future xenografts. The introduction of transgenic pigs expressing human complement regulatory proteins and new immunosuppressive regimens have shown early promise in the laboratory, although further advancements are needed to advance to clinical trials. Additional clarification of infectious risks and patient strategies are remaining obstacles to application in the clinical arena. (Ann Thorac Surg 2000;70:320-6) (C) 2000 by The Society of Thoracic Surgeons.
引用
收藏
页码:320 / 326
页数:7
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