Martin Ulrich, Tacke Stefan J, Simon André R, Schröder Carsten, Wiebe Karsten, Lapin B, Haverich Axel, Denner Joachim, Steinhoff Gustav
Leibniz Research Laboratories for Biotechnology and Artificial Organs, Department of Thoracic and Cardiovascular Surgery, Hannover Medical School, Podbielskistrasse 380, 30659 Hannover, Germany.
Transpl Int. 2002 Jul;15(7):361-8. doi: 10.1007/s00147-002-0428-7. Epub 2002 Jun 22.
Xenotransplantation of pig organs seems a promising way of overcoming the prevailing limitation on allotransplantation due to donor numbers. However, as porcine endogenous retroviruses (PERVs) can infect human cells in vitro, there is substantial concern regarding the risk of a PERV infection in xenogeneic transplant recipients. Cultured porcine endothelial cells, stimulated peripheral blood mononuclear cells, and pancreatic islet cells can release PERV infectious for human cells in vitro, but it is currently unknown whether PERV is released in vivo, whether these viral particles can infect the transplant recipient, and whether they are pathogenic. In a retrospective study 15 immunosuppressed baboons were tested for a specific immune response against PERV after transplantation of porcine endothelial cells, mononuclear blood cells, and lungs. Anti-PERV antibody expression was analyzed with peptide-based, enzyme-linked immunosorbent assays and highly sensitive Western Blot assays. This xenotransplantation study using nonhuman primates found no evidence of PERV specific humoral immune response. Our data suggest that no productive PERV infection and no continuous PERV release takes place in the nonhuman primates analyzed in this study.
由于供体数量的限制,猪器官异种移植似乎是克服同种异体移植普遍局限性的一种有前景的方法。然而,由于猪内源性逆转录病毒(PERVs)可在体外感染人类细胞,人们对异种移植受者感染PERV的风险极为担忧。培养的猪内皮细胞、刺激的外周血单核细胞和胰岛细胞在体外可释放能感染人类细胞的PERV,但目前尚不清楚PERV在体内是否释放、这些病毒颗粒能否感染移植受者以及它们是否具有致病性。在一项回顾性研究中,对15只免疫抑制的狒狒在移植猪内皮细胞、单核血细胞和肺后进行了针对PERV的特异性免疫反应检测。采用基于肽的酶联免疫吸附测定和高灵敏度蛋白质印迹测定分析抗PERV抗体表达。这项使用非人类灵长类动物的异种移植研究未发现PERV特异性体液免疫反应的证据。我们的数据表明,在本研究分析的非人类灵长类动物中未发生有效的PERV感染,也没有持续的PERV释放。