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Kidney Xenotransplantation: Are We Ready for Prime Time?
Curr Urol Rep. 2023 Jun; 24(6):287-297.CU

Abstract

PURPOSE OF REVIEW

With the exponential increase in interest and great strides toward clinical application, many experts believe we are ready for kidney xenotransplant human trials. In this review, we will examine the obstacles overcome and those yet to be conquered, discussing the human trials performed and the questions they raised. Additionally, we will revisit overlooked aspects that may be crucial for improvements and suggest future approaches for xenotransplant research.

RECENT FINDINGS

Improving survival in pig-to-non-human-primate models with the identification of an ideal immunosuppression regimen led to 3 cases of kidney xenotransplant in brain-dead humans with limited follow-up and a single clinical case of pig-to-human heart xenotransplant with 2-month survival. With limited human results and unlimited potential, xenotransplantation shines a beacon of hope for a brighter future. However, we must navigate through the complexities of balancing scientific progress and patient welfare, avoiding being blinded by xenotransplantation's unquestionable potential.

Authors+Show Affiliations

Schiff Center for Liver Diseases, Miami Transplant Institute, University of Miami, 1801 NW 9Th Ave, Room 329, Miami, FL, 33136, USA. rxm1389@med.miami.edu.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

37086386

Citation

Dos Santos, Rafael Miyashiro Nunes. "Kidney Xenotransplantation: Are We Ready for Prime Time?" Current Urology Reports, vol. 24, no. 6, 2023, pp. 287-297.
Dos Santos RMN. Kidney Xenotransplantation: Are We Ready for Prime Time? Curr Urol Rep. 2023;24(6):287-297.
Dos Santos, R. M. N. (2023). Kidney Xenotransplantation: Are We Ready for Prime Time? Current Urology Reports, 24(6), 287-297. https://doi.org/10.1007/s11934-023-01156-7
Dos Santos RMN. Kidney Xenotransplantation: Are We Ready for Prime Time. Curr Urol Rep. 2023;24(6):287-297. PubMed PMID: 37086386.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Kidney Xenotransplantation: Are We Ready for Prime Time? A1 - Dos Santos,Rafael Miyashiro Nunes, Y1 - 2023/04/22/ PY - 2023/02/28/accepted PY - 2023/5/15/medline PY - 2023/4/22/pubmed PY - 2023/04/22/entrez KW - Genetic engineering KW - Genetic-engineered animals KW - Kidney xenotransplantation KW - Xenoantigen KW - Xenotransplantation KW - Zoonoses SP - 287 EP - 297 JF - Current urology reports JO - Curr Urol Rep VL - 24 IS - 6 N2 - PURPOSE OF REVIEW: With the exponential increase in interest and great strides toward clinical application, many experts believe we are ready for kidney xenotransplant human trials. In this review, we will examine the obstacles overcome and those yet to be conquered, discussing the human trials performed and the questions they raised. Additionally, we will revisit overlooked aspects that may be crucial for improvements and suggest future approaches for xenotransplant research. RECENT FINDINGS: Improving survival in pig-to-non-human-primate models with the identification of an ideal immunosuppression regimen led to 3 cases of kidney xenotransplant in brain-dead humans with limited follow-up and a single clinical case of pig-to-human heart xenotransplant with 2-month survival. With limited human results and unlimited potential, xenotransplantation shines a beacon of hope for a brighter future. However, we must navigate through the complexities of balancing scientific progress and patient welfare, avoiding being blinded by xenotransplantation's unquestionable potential. SN - 1534-6285 UR - https://www.unboundmedicine.com/medline/citation/37086386/Kidney_Xenotransplantation:_Are_We_Ready_for_Prime_Time DB - PRIME DP - Unbound Medicine ER -