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心脏异种移植的未来。

The future of cardiac xenotransplantation.

机构信息

Center for Transplantation Sciences, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

出版信息

Nat Rev Cardiol. 2022 May;19(5):281-282. doi: 10.1038/s41569-022-00684-y.

DOI:10.1038/s41569-022-00684-y
PMID:35264775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10143783/
Abstract

Reflecting on the first genetically engineered pig-to-human heart transplantation in this Clinical Outlook article, we discuss the likely future of cardiac xenotransplantation. Initial clinical trials are expected to explore compassionate use as destination therapy in carefully selected adult patients and as a bridge to heart allotransplantation in infant patients with complex congenital heart disease.

摘要

在这篇临床展望文章中,我们反思了首例基因工程猪到人类心脏移植,讨论了心脏异种移植的可能未来。预计初步临床试验将探索在精心挑选的成年患者中作为同情使用的终点治疗,以及作为患有复杂先天性心脏病的婴儿患者心脏同种移植的桥梁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd43/10143783/724b9b3bfc09/nihms-1890648-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd43/10143783/724b9b3bfc09/nihms-1890648-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd43/10143783/724b9b3bfc09/nihms-1890648-f0001.jpg

相似文献

1
The future of cardiac xenotransplantation.心脏异种移植的未来。
Nat Rev Cardiol. 2022 May;19(5):281-282. doi: 10.1038/s41569-022-00684-y.
2
Xenotransplantation Is the Future of Pediatric Cardiac Surgery.异种移植是小儿心脏外科的未来。
Ann Thorac Surg. 2022 Aug;114(2):544. doi: 10.1016/j.athoracsur.2021.05.036. Epub 2021 Jun 5.
3
Cardiac xenotransplantation: future and limitations.心脏异种移植:前景与局限
Cardiology. 2004;101(1-3):144-55. doi: 10.1159/000075995.
4
Xenotransplantation: Is the future now?异种移植:未来已来?
Pediatr Transplant. 2022 Aug;26(5):e14271. doi: 10.1111/petr.14271. Epub 2022 Mar 18.
5
Pulmonary xenotransplantation: rapidly progressing into the unknown.肺异种移植:正迅速迈入未知领域。
Am J Transplant. 2004;4 Suppl 6:25-35. doi: 10.1111/j.1600-6135.2004.0342.x.
6
How and when will cardiac xenotransplantation enter the clinic? The recurrent debate has gained in realism.心脏异种移植何时以及如何进入临床应用?这场反复的争论已变得更加现实。
Nat Clin Pract Cardiovasc Med. 2005 Nov;2(11):550-1. doi: 10.1038/ncpcardio0369.
7
[The future of xenotransplantation].[异种移植的未来]
Rev Infirm. 1999 Oct(53):43-5.
8
[Xenotransplantation: current status and future prospects].[异种移植:现状与未来展望]
Kardiol Pol. 2003 Dec;59 Suppl 2:II17-25.
9
Cardiac xenotransplantation.心脏异种移植
Ann Thorac Surg. 1997 Dec;64(6):1858-65. doi: 10.1016/s0003-4975(97)00865-5.
10
Xenotransplantation: pausing to reflect.异种移植:暂停反思。
Hosp Pract (1995). 2000 Oct 15;35(10):71-8; quiz 87. doi: 10.3810/hp.2000.10.216.

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Current status of xenotransplantation from an immunobiological standpoint.从免疫生物学角度看异种移植的现状
Clin Transplant Res. 2025 Jun 30;39(2):97-115. doi: 10.4285/ctr.24.0065. Epub 2025 Mar 19.
2
Clinical course of respiratory tuberculosis relapses in the Kazakh population depending on HLA-DRB1 gene alleles.哈萨克族人群中呼吸道结核复发的临床病程与HLA-DRB1基因等位基因的关系
Virusdisease. 2024 Jun;35(2):281-292. doi: 10.1007/s13337-024-00874-x. Epub 2024 Jun 11.
3
The pig as an optimal animal model for cardiovascular research.

本文引用的文献

1
The growth of xenotransplanted hearts can be reduced with growth hormone receptor knockout pig donors.异种移植心脏的生长可以通过生长激素受体敲除猪供体来减少。
J Thorac Cardiovasc Surg. 2023 Feb;165(2):e69-e81. doi: 10.1016/j.jtcvs.2021.07.051. Epub 2021 Sep 4.
2
Old World Monkeys are less than ideal transplantation models for testing pig organs lacking three carbohydrate antigens (Triple-Knockout).旧世界猴不太适合作为测试缺乏三种碳水化合物抗原(三重敲除)的猪器官的移植模型。
Sci Rep. 2020 Jun 17;10(1):9771. doi: 10.1038/s41598-020-66311-3.
3
Pig-to-human heart transplantation: Who goes first?
猪作为心血管研究的最佳动物模型。
Lab Anim (NY). 2024 Jun;53(6):136-147. doi: 10.1038/s41684-024-01377-4. Epub 2024 May 21.
4
Comparative transcriptome analysis between long- and short-term survival after pig-to-monkey cardiac xenotransplantation reveals differential heart failure development.猪到猴心脏异种移植后长期和短期存活之间的比较转录组分析揭示了心力衰竭发展的差异。
Anim Cells Syst (Seoul). 2023 Oct 4;27(1):234-248. doi: 10.1080/19768354.2023.2265150. eCollection 2023.
5
Cardiac xenotransplantation: from concept to clinic.心脏异种移植:从概念到临床。
Cardiovasc Res. 2023 Feb 3;118(18):3499-3516. doi: 10.1093/cvr/cvac180.
6
Knock-out of N-glycolylneuraminic acid attenuates antibody-mediated rejection in xenogenically perfused porcine lungs.N-羟乙酰神经氨酸缺失可减轻异种灌注猪肺中的抗体介导排斥反应。
Xenotransplantation. 2022 Nov;29(6):e12784. doi: 10.1111/xen.12784. Epub 2022 Oct 17.
7
Consensus statement on heart xenotransplantation in children: Toward clinical translation.儿童心脏异种移植共识声明:迈向临床转化
J Thorac Cardiovasc Surg. 2023 Sep;166(3):960-967. doi: 10.1016/j.jtcvs.2022.09.001. Epub 2022 Sep 6.
8
Shooting for the moon: Genome editing for pig heart xenotransplantation.向月球进发:用于猪心异种移植的基因组编辑。
J Thorac Cardiovasc Surg. 2023 Sep;166(3):973-980. doi: 10.1016/j.jtcvs.2022.04.032. Epub 2022 May 7.
猪心移植到人:谁先受益?
Am J Transplant. 2020 Oct;20(10):2669-2674. doi: 10.1111/ajt.15916. Epub 2020 May 25.
4
Justification of specific genetic modifications in pigs for clinical organ xenotransplantation.为临床器官异种移植对猪进行特定基因修饰的理由。
Xenotransplantation. 2019 Jul;26(4):e12516. doi: 10.1111/xen.12516. Epub 2019 Apr 15.
5
Consistent success in life-supporting porcine cardiac xenotransplantation.在支持猪心异种移植方面取得持续成功。
Nature. 2018 Dec;564(7736):430-433. doi: 10.1038/s41586-018-0765-z. Epub 2018 Dec 5.
6
The Case for Cardiac Xenotransplantation in Neonates: Is Now the Time to Reconsider Xenotransplantation for Hypoplastic Left Heart Syndrome?新生儿心脏异种移植的理由:现在是重新考虑针对左心发育不全综合征进行异种移植的时候了吗?
Pediatr Cardiol. 2019 Feb;40(2):437-444. doi: 10.1007/s00246-018-1998-1. Epub 2018 Oct 9.
7
Does human leukocyte antigens sensitization matter for xenotransplantation?人类白细胞抗原致敏对异种移植有影响吗?
Xenotransplantation. 2018 May;25(3):e12411. doi: 10.1111/xen.12411.
8
Is sensitization to pig antigens detrimental to subsequent allotransplantation?猪抗原致敏对随后的同种异体移植有害吗?
Xenotransplantation. 2018 May;25(3):e12393. doi: 10.1111/xen.12393. Epub 2018 Apr 14.
9
Neonatal heart transplantation.新生儿心脏移植
Ann Cardiothorac Surg. 2018 Jan;7(1):118-125. doi: 10.21037/acs.2018.01.05.
10
High-dose porcine hematopoietic cell transplantation combined with CD40 ligand blockade in baboons prevents an induced anti-pig humoral response.高剂量猪造血细胞移植联合CD40配体阻断在狒狒中可预防诱导性抗猪体液反应。
Transplantation. 2000 Jun 15;69(11):2296-304. doi: 10.1097/00007890-200006150-00013.