SCREENING DONORS FOR XENOTRANSPLANTATION - THE POTENTIAL FOR XENOZOONOSES

Xenotransplantation is a potential solution to the current donor shortage for solid organ transplantation. The transmission of infectious agents hom donor organs or bone marrow to the recipient is a well-recognized phenomenon following allotransplantation. Thus the prospect of xenotransplantation raises the issue of xenozoonoses-i.e., the transmission of animal infections to the human host. Anticipating an increasing number of baboon to human transplants, 31 adult male baboons (Papio cynocephalus) from a single colony in the United States were screened for the presence of antibody to microbial agents (principally viral) that may pose a significant risk of infection. Antibody to simian cytomegalovirus, simian agent 8 and Epstein-Barr virus, was found in 97% of animals tested. Antibody to simian retroviruses and Toxoplasma gondii was found in 30% and 32% respectively. Discordant results were found when paired samples were examined by two primate laboratories. This was particularly noted when methodologies were based on crossreaction with human viral antigens. These results highlight the need to develop specific antibody tests against the species used for xenotransplantation.