Evidence map›Paper›PMID 31544995›Full record

ArticleXenotransplantation2020

Intra-bone bone marrow transplantation from hCD47 transgenic pigs to baboons prolongs chimerism to >60 days and promotes increased porcine lung transplant survival.

Hironosuke Watanabe, Yuichi Ariyoshi, Thomas Pomposelli, Kazuhiro Takeuchi, Dilrukshi K Ekanayake-Alper, Lennan K Boyd, Scott J Arn, Hisashi Sahara, Akira Shimizu, David Ayares and 4 more

Open access · greenAbstract read
In one paragraph

Article in Xenotransplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
6.6field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 49 citations in OpenAlex.

  1. Transgenic expression of human CD47 on pig cells provides only partial protection against human macrophage-mediated destruction in human immune system mice.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Pig Lung Xenotransplantation: Barriers on the Road to Clinical Translation.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Review
  7. Enhancing Kidney Transplantation and the Role of Xenografts: Report of a Scientific Workshop Sponsored by the National Kidney Foundation.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Xenotransplantation: how close are we?Nature biotechnology · 2023
    Article
  15. Article
  16. Review
  17. Developing pig-to-human organ transplants.Science (New York, N.Y.) · 2022
    Article
  18. Xenotransplantation becoming reality.Transgenic research · 2022
    Review
  19. Advances in pig models of human diseases.Animal models and experimental medicine · 2022
    Review
  20. 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

14 authors at 3 institutions in 2 countries.

Hironosuke WatanabeColumbia Center for Translational Immunology, Columbia University Medical Center, New York, New York.
Yuichi AriyoshiColumbia Center for Translational Immunology, Columbia University Medical Center, New York, New York.
Thomas PomposelliColumbia Center for Translational Immunology, Columbia University Medical Center, New York, New York.
Kazuhiro TakeuchiColumbia Center for Translational Immunology, Columbia University Medical Center, New York, New York.
Dilrukshi K Ekanayake-AlperColumbia Center for Translational Immunology, Columbia University Medical Center, New York, New York.
Lennan K BoydColumbia Center for Translational Immunology, Columbia University Medical Center, New York, New York.
Scott J ArnColumbia Center for Translational Immunology, Columbia University Medical Center, New York, New York.
Hisashi SaharaColumbia Center for Translational Immunology, Columbia University Medical Center, New York, New York.
Akira ShimizuDepartment of Analytic Human Pathology, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan.
David AyaresRevivicor, Inc., Blacksburg, Virginia.
Marc I LorberLung BioTechnology PBC, Silver Spring, Maryland.
Megan SykesColumbia Center for Translational Immunology, Columbia University Medical Center, New York, New York.
David H SachsColumbia Center for Translational Immunology, Columbia University Medical Center, New York, New York.ORCID 0000-0001-9588-8580
Kazuhiko YamadaColumbia Center for Translational Immunology, Columbia University Medical Center, New York, New York.ORCID 0000-0002-0510-5843
Columbia University Irving Medical Center · USKagoshima University · JPNippon Medical School · JP

Funding

XENOGRAFT TOLERANCE THROUGH MIXED CHIMERISMP01AI045897 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Megan Sykes · 2000 to 2026
$71.9M
Becton Dickinson LSR II Analytical Flow CytometerS10RR027050 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CLYNES, RAPHAEL A. · 2011 to 2011
$413k
NCRR NIH HHS S10 RR027050NIAID NIH HHS P01 AI045897
6 · The paper itself

Abstract

backgroundWe have recently demonstrated that human-CD47 (hCD47) expressed on endothelial cells of porcine lung xenografts extended median graft survival from 3.5 days to 8.7 days in baboons. Intra-bone bone marrow transplantation (IBBMTx) in a pig-to-baboon model was previously shown to markedly prolong the duration of macrochimerism up to 21 days from 1 to 4 days by intravenous BMTx. We now examined whether the use of hCD47 transgenic (Tg) BM further prolonged the duration of chimerism following IBBMTx. We then tested if lung xenograft survival was prolonged following IBBMTx.

methodsBaboons received GalTKO-hCD47/hCD55Tg (n = 5) or -hCD55Tg (n = 1) or -hCD46/HLA-E Tg (n = 1) pig IBBMTx. Macrochimerism, anti-pig T cells and antibody responses were assessed. Animals received lung xenografts from either hCD47+ or hCD47- porcine lungs 1-3 months later.

resultsAll baboons that received hCD47Tg porcine IBBM maintained durable macrochimerism >30 days, and two maintained chimerism for >8 weeks. Notably, anti-pig antibody levels decreased over time and anti-pig cellular unresponsiveness developed following IBBMTx. Lungs from hCD47Tg IBBMTx matched pigs were transplanted at day 33 or day 49 after IBBMTx. These animals showed extended survival up to 13 and 14 days, while animals that received lungs from hCD47 negative pigs displayed no prolonged survival (1-4 days).

conclusionThis is the first report demonstrating durable macrochimerism beyond 8 weeks, as well as evidence for B cell tolerance in large animal xenotransplantation. Using hCD47Tg pigs as both IBBMTx and lung donors prolongs lung xenograft survival. However, additional strategies are required to control the acute loss of lung xenografts.

Indexed as

Bone Marrow TransplantationLung TransplantationAnimalsAnimals, Genetically ModifiedB-LymphocytesBone MarrowCD47 AntigenCells, CulturedChimerismGraft SurvivalHumansImmune TolerancePapioSwineTransplantation, HeterologousCD47 AntigenCD47 protein, humanchimerismintra-bone bone marrow transplantationlung transplantationpig-to-baboon

Identifiers

PMID31544995
PMCPMC7007336
OpenAlexW2977120752

What OpenQuestion holds

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Registered trials

None linked

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.