Evidence map›Paper›PMID 32661401›Full record

ArticleNature medicine2020

Xenogeneic cross-circulation for extracorporeal recovery of injured human lungs.

Ahmed E Hozain, John D O'Neill, Meghan R Pinezich, Yuliya Tipograf, Rachel Donocoff, Katherine M Cunningham, Andrew Tumen, Kenmond Fung, Rei Ukita, Michael T Simpson and 15 more

Open access · greenAbstract read
In one paragraph

Article in Nature medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
11.0field-weighted citation impact, top 1% 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

32 citing papers in PubMed, 72 citations in OpenAlex.

  1. Article
  2. Revealing the potential of non-transplanted donor organs: a comparative analysis in the Eurotransplant region.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  3. Article
  4. [Research progresses in ex vivo liver perfusion technology].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Review
  5. Lung rehabilitation using xenogeneic cross-circulation does not lead to hyperacute rejection in a human lung transplantation model.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2025
    Article
  6. Article
  7. Improving metabolic support during normothermicFrontiers in cardiovascular medicine · 2025
    Review
  8. Article
  9. CRISPR-Cas Genome Editing inHuman gene therapy · 2024
    Article
  10. Recovery of extracorporeal lungs using cross-circulation with injured recipient swine.The Journal of thoracic and cardiovascular surgery · 2024
    Article
  11. Article
  12. Machine Perfusion and Bioengineering Strategies in Transplantation-Beyond the Emerging Concepts.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Review
  13. Standardized Digital Method for Histological Evaluation of Experimental Acute Lung Injury.American journal of respiratory cell and molecular biology · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Technique for xenogeneic cross-circulation to support human donor lungs ex vivo.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2023
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 5 institutions in 1 country.

Ahmed E Hozain *Department of Biomedical Engineering, Columbia University, New York, NY, USA.
John D O'Neill *Department of Biomedical Engineering, Columbia University, New York, NY, USA.
Meghan R PinezichDepartment of Biomedical Engineering, Columbia University, New York, NY, USA.
Yuliya TipografDepartment of Surgery, Columbia University Medical Center, Columbia University, New York, NY, USA.
Rachel DonocoffInstitute of Comparative Medicine, Columbia University Medical Center, Columbia University, New York, NY, USA.
Katherine M CunninghamDepartment of Biomedical Engineering, Columbia University, New York, NY, USA.
Andrew TumenDepartment of Thoracic Surgery, Vanderbilt University, Nashville, TN, USA.
Kenmond FungDepartment of Clinical Perfusion, Columbia University Medical Center, Columbia University, New York, NY, USA.
Rei UkitaDepartment of Thoracic Surgery, Vanderbilt University, Nashville, TN, USA.
Michael T SimpsonDepartment of Surgery, Columbia University Medical Center, Columbia University, New York, NY, USA.
Jonathan A ReimerDepartment of Biomedical Engineering, Columbia University, New York, NY, USA.ORCID http://orcid.org/0000-0003-3950-2860
Edward C RuizDepartment of Biomedical Engineering, Columbia University, New York, NY, USA.
Dawn QueenVagelos College of Physicians and Surgeons, Columbia University Medical Center, Columbia University, New York, NY, USA.ORCID http://orcid.org/0000-0001-5665-102X
John W StokesDepartment of Thoracic Surgery, Vanderbilt University, Nashville, TN, USA.
Nancy L CardwellDepartment of Thoracic Surgery, Vanderbilt University, Nashville, TN, USA.
Jennifer TalackineDepartment of Thoracic Surgery, Vanderbilt University, Nashville, TN, USA.
Jinho KimDepartment of Biomedical Engineering, Columbia University, New York, NY, USA.
Hans-Willem SnoeckDepartment of Medicine, Columbia University Medical Center, Columbia University, New York, NY, USA.
Ya-Wen ChenDepartment of Medicine, Columbia University Medical Center, Columbia University, New York, NY, USA.
Alexander RomanovInstitute of Comparative Medicine, Columbia University Medical Center, Columbia University, New York, NY, USA.
Charles C MarboeDepartment of Pathology and Cell Biology, Columbia University Medical Center, Columbia University, New York, NY, USA.
Adam D GriesemerDepartment of Surgery, Columbia University Medical Center, Columbia University, New York, NY, USA.ORCID http://orcid.org/0000-0003-4894-2024
Brandon A GuenthartDepartment of Biomedical Engineering, Columbia University, New York, NY, USA.
Matthew Bacchetta *Department of Biomedical Engineering, Columbia University, New York, NY, USA. matthew.bacchetta@vumc.org.ORCID http://orcid.org/0000-0003-4456-4484
Gordana Vunjak-Novakovic *Department of Biomedical Engineering, Columbia University, New York, NY, USA. gv2131@columbia.edu.ORCID http://orcid.org/0000-0002-9382-1574
Columbia University Irving Medical Center · USVanderbilt University · USColumbia University · USStevens Institute of Technology · USUniversity of Southern California · US

Funding

POSTDOCTORAL TRAINING IN CARDIOVASCULAR DISEASET32HL007854 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Marwah Abdalla, Michael Argenziano · 1996 to 2026
$14.7M
Tissue Engineering Resource Center: TTDP41EB027062 · NIBIB · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Gordana Vunjak-Novakovic · 2019 to 2026
$12.6M
Modeling, pathogenesis and treatment of idiopathic pulmonary fibrosisU01HL134760 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SNOECK, HANS-WILLEM E, VUNJAK-NOVAKOVIC, GORDANA · 2016 to 2022
$8.5M
Bioengineering a Chimeric Human LungR01HL120046 · NHLBI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI SNOECK, HANS-WILLEM E, VUNJAK-NOVAKOVIC, GORDANA · 2013 to 2022
$6.1M
NHLBI NIH HHS L30 HL143733NHLBI NIH HHS R01 HL120046NHLBI NIH HHS T32 HL007854NHLBI NIH HHS U01 HL134760NIBIB NIH HHS P41 EB027062
6 · The paper itself

Abstract

Patients awaiting lung transplantation face high wait-list mortality, as injury precludes the use of most donor lungs. Although ex vivo lung perfusion (EVLP) is able to recover marginal quality donor lungs, extension of normothermic support beyond 6 h has been challenging. Here we demonstrate that acutely injured human lungs declined for transplantation, including a lung that failed to recover on EVLP, can be recovered by cross-circulation of whole blood between explanted human lungs and a Yorkshire swine. This xenogeneic platform provided explanted human lungs a supportive, physiologic milieu and systemic regulation that resulted in functional and histological recovery after 24 h of normothermic support. Our findings suggest that cross-circulation can serve as a complementary approach to clinical EVLP to recover injured donor lungs that could not otherwise be utilized for transplantation, as well as a translational research platform for immunomodulation and advanced organ bioengineering.

Indexed as

Acute Lung InjuryAnimalsExtracorporeal CirculationHumansLungLung TransplantationOrgan PreservationPerfusionSwineTissue Donors

Identifiers

PMID32661401
PMCPMC9990469
OpenAlexW3041065302

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.