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[异种移植,即将成为临床现实?]

[Xenotransplantation, soon a clinical reality?].

作者信息

Sgroi Antonino, Baertschiger Reto M, Morel Philippe, Buhler Leo H

机构信息

Unité d'investigations chirurgicales, HUG, 1211 Geneve 14.

出版信息

Rev Med Suisse. 2007 Jun 27;3(117):1632-6.

Abstract

Organ transplantation has encountered great development during the 80's. However, the number of organ donations and transplantations performed stabilized during the 90ies, with a concomitant increase of patients on the waiting list. Xenotransplantation, i.e. the use of animal organs for transplantation to humans, is one among various alternatives to human organ donation. Xenotransplantation offers several advantages, e.g. it would be possible to transplant all patients at an early stage of their disease. The main barriers to xenotransplantation are the strong immunological responses that human develop against animal antigens and zoonoses. To overcome these hurdles, genetically modified pigs have been engineered by cloning and could allow the initiation of new clinical trials in a near future.

摘要

器官移植在20世纪80年代取得了巨大发展。然而,器官捐赠和移植的数量在20世纪90年代趋于稳定,与此同时,等待移植的患者数量却在增加。异种移植,即使用动物器官移植给人类,是人体器官捐赠的多种替代方案之一。异种移植具有诸多优势,例如有可能在疾病早期就为所有患者进行移植。异种移植的主要障碍是人类针对动物抗原产生的强烈免疫反应以及人畜共患病。为克服这些障碍,已通过克隆技术培育出转基因猪,这有望在不久的将来启动新的临床试验。

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