Evidence map›Paper›PMID 28130881›Full record

ArticleXenotransplantation2017

Transplantation of hepatocytes from genetically engineered pigs into baboons.

Hayato Iwase, Hong Liu, Eva Schmelzer, Mohamed Ezzelarab, Martin Wijkstrom, Hidetaka Hara, Whayoung Lee, Jagjit Singh, Cassandra Long, Eric Lagasse and 3 more

Open access · greenAbstract read
In one paragraph

Article in Xenotransplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Gene therapy: The current trajectory of clinical and commercial translation.Progress in biophysics and molecular biology · 2026
    Review
  3. [Research and application progress for liver xenotransplantation].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Xenotransplantation: past, present, and future.Current opinion in organ transplantation · 2017
    Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 3 countries.

Hayato IwaseThomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA, USA.
Hong LiuThomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA, USA.
Eva SchmelzerDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Mohamed EzzelarabThomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA, USA.
Martin WijkstromThomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA, USA.
Hidetaka HaraThomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA, USA.
Whayoung LeeThomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA, USA.
Jagjit SinghThomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA, USA.
Cassandra LongThomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA, USA.
Eric LagasseDepartment of Pathology, McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Jörg C GerlachDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
David K C CooperThomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0002-8899-9431
Bruno GridelliMediterranean Institute for Transplantation and Advanced Specialized Therapies (ISMETT), Palermo, Italy.
University of Pittsburgh · USIstituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione · IT

Funding

Prolonging life-supported pig kidney and heart graft survival in baboons by suppressing inflammationU19AI090959 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MOHIUDDIN, MUHAMMAD M · 2010 to 2024
$26.3M
Therapeutic assessment of synthetic heparin sulfates in transplantation modelsP01HL107152 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI DESAI, UMESH RAMANLAL · 2011 to 2017
$15.8M
Baboon Research Resource ProgramP40OD010988 · OD · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI BANKS, RON E · 2012 to 2018
$9.0M
OUHSC Specific Pathogen Free Baboon Research ResourceP40OD010431 · OD · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI BANKS, RON E, PAPIN, JAMES F · 2013 to 2017
$3.8M
Thromboregulation to Prevent Thrombotic MicroangiopathyU01AI068642 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI COOPER, DAVID KC · 2005 to 2008
$2.7M
NHLBI NIH HHS P01 HL107152NIAID NIH HHS HHSN272200900037CNIAID NIH HHS U01 AI068642NIAID NIH HHS U19 AI090959NIH HHS P40 OD010431NIH HHS P40 OD010988
6 · The paper itself

Abstract

backgroundSome patients with acute or acute-on-chronic hepatic failure die before a suitable human liver allograft becomes available. Encouraging results have been achieved in such patients by the transplantation of human hepatocyte progenitor cells from fetal liver tissue. The aim of the study was to explore survival of hepatocytes from genetically engineered pigs after direct injection into the spleen and other selected sites in immunosuppressed baboons to monitor the immune response and the metabolic function and survival of the transplanted hepatocytes.

methodsBaboons (n=3) were recipients of GTKO/hCD46 pig hepatocytes. All three baboons received anti-thymocyte globulin (ATG) induction and tapering methylprednisolone. Baboon 1 received maintenance immunosuppressive therapy with tacrolimus and rapamycin. Baboons 2 and 3 received an anti-CD40mAb/rapamycin-based regimen that prevents sensitization to pig solid organ grafts. The baboons were euthanized 4 or 5 weeks after hepatocyte transplantation. The baboon immune response was monitored by the measurement of anti-non-Gal IgM and IgG antibodies (by flow cytometry) and CFSE-mixed lymphocyte reaction. Monitoring for hepatocyte survival and function was by (i) real-time PCR detection of porcine DNA, (ii) real-time PCR for porcine gene expression, and (iii) pig serum albumin levels (by ELISA). The sites of hepatocyte injection were examined microscopically.

resultsDetection of porcine DNA and porcine gene expression was minimal at all sites of hepatocyte injection. Serum levels of porcine albumen were very low-500-1000-fold lower than in baboons with orthotopic pig liver grafts, and approximately 5000-fold lower than in healthy pigs. No hepatocytes or infiltrating immune cells were seen at any of the injection sites. Two baboons (Baboons 1 and 3) demonstrated a significant increase in anti-pig IgM and an even greater increase in IgG, indicating sensitization to pig antigens. DISCUSSION AND

conclusionsAs a result of this disappointing experience, the following points need to be considered. (i) Were the isolated pig hepatocytes functionally viable? (ii) Are pig hepatocytes more immunogenic than pig hearts, kidneys, artery patch grafts, or islets? (iii) Does injection of pig cells (antigens) into the spleen and/or lymph nodes stimulate a greater immune response than when pig tissues are grafted at other sites? (iv) Did the presence of the recipient's intact liver prevent survival and proliferation of pig hepatocytes? (v) Is pig CD47-primate SIRP-α compatibility essential? In conclusion, the transplantation of genetically engineered pig hepatocytes into multiple sites in immunosuppressed baboons was associated with very early graft failure. Considerable further study is required before clinical trials should be undertaken.

Indexed as

Transplantation, HeterologousAnimalsAnimals, Genetically ModifiedAntibodiesAntibody FormationAntigensGraft SurvivalHepatocytesImmunosuppression TherapyImmunosuppressive AgentsPapio hamadryasSwineAntibodiesAntigensImmunosuppressive Agentsbaboonhepatocytespigxenotransplantation

Identifiers

PMID28130881
PMCPMC5397320
OpenAlexW2582976507

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.