Evidence map›Paper›PMID 38605083›Full record

ArticleNature communications2024

Spatiotemporal immune atlas of a clinical-grade gene-edited pig-to-human kidney xenotransplant.

Matthew D Cheung, Rebecca Asiimwe, Elise N Erman, Christopher F Fucile, Shanrun Liu, Chiao-Wang Sun, Vidya Sagar Hanumanthu, Harish C Pal, Emma D Wright, Gelare Ghajar-Rahimi and 19 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
12.6field-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

20 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. 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
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Xenophagocytosis blockade enhances interspecies chimerism.bioRxiv : the preprint server for biology · 2025
    Article
  12. Article
  13. 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
  14. Review
  15. Article
  16. Immunometabolism of Liver Xenotransplantation and Prospective Solutions.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  17. Article
  18. Article
  19. Spatial transcriptomics in health and disease.Nature reviews. Nephrology · 2024
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors at 1 institution in 1 country.

Matthew D Cheung *Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0003-4182-5220
Rebecca Asiimwe *Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0009-0002-1285-1614
Elise N ErmanDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Christopher F FucileInformatics Institute, University of Alabama at Birmingham, Birmingham, AL, USA.
Shanrun LiuDepartment of Biochemistry and Molecular Genetics, University of Alabama at Birmingham, Birmingham, AL, USA.
Chiao-Wang SunDepartment of Biochemistry and Molecular Genetics, University of Alabama at Birmingham, Birmingham, AL, USA.
Vidya Sagar HanumanthuFlow Cytometry & Single Cell Core Facility, University of Alabama at Birmingham, Birmingham, AL, USA.
Harish C PalFlow Cytometry & Single Cell Core Facility, University of Alabama at Birmingham, Birmingham, AL, USA.
Emma D WrightDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0009-0004-1778-964X
Gelare Ghajar-RahimiDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0001-5089-7176
Daniel EpsteinDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Babak J OrandiDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0001-6026-7135
Vineeta KumarDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0002-4271-463X
Douglas J AndersonDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0002-8919-2445
Morgan E GreeneDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0002-2959-8128
Markayla BellDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Stefani YatesDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Kyle H MooreDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0002-8028-8205
Jennifer LaFontaineDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
John T KillianDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0002-3702-9005
Gavin BakerDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0009-0007-2670-0995
Jackson PerryDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0009-0004-5550-1862
Zayd KhanDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Rhiannon ReedDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Shawn C LittleDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0002-2815-3696
Alexander F RosenbergInformatics Institute, University of Alabama at Birmingham, Birmingham, AL, USA.
James F GeorgeDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0003-0325-7891
Jayme E LockeDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Paige M PorrettDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. pmporrett@uabmc.edu.ORCID http://orcid.org/0000-0002-6895-5597
University of Alabama at Birmingham · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM008361 · NIGMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI YACOUBIAN, TALENE ALENE · 1992 to 2024
$16.8M
IMMUNOLOGIC DISEASES AND BASIC IMMUNOLOGYT32AI007051 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Laurie Ellen Harrington · 1985 to 2026
$13.1M
TRAINING IN CELLULAR PHYSIOLOGY MEMBRANE TRANSPORTT32DK007545 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GUTIERREZ, ORLANDO M · 1987 to 2023
$4.5M
Response of kidney resident macrophages to proximal tubule injuryF30DK132814 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CHEUNG, MATTHEW DAVID · 2022 to 2025
$170k
NIAID NIH HHS T32 AI007051NIDDK NIH HHS F30 DK132814NIDDK NIH HHS T32 DK007545NIGMS NIH HHS T32 GM008361
6 · The paper itself

Abstract

Pig-to-human xenotransplantation is rapidly approaching the clinical arena; however, it is unclear which immunomodulatory regimens will effectively control human immune responses to pig xenografts. Here, we transplant a gene-edited pig kidney into a brain-dead human recipient on pharmacologic immunosuppression and study the human immune response to the xenograft using spatial transcriptomics and single-cell RNA sequencing. Human immune cells are uncommon in the porcine kidney cortex early after xenotransplantation and consist of primarily myeloid cells. Both the porcine resident macrophages and human infiltrating macrophages express genes consistent with an alternatively activated, anti-inflammatory phenotype. No significant infiltration of human B or T cells into the porcine kidney xenograft is detectable. Altogether, these findings provide proof of concept that conventional pharmacologic immunosuppression may be able to restrict infiltration of human immune cells into the xenograft early after compatible pig-to-human kidney xenotransplantation.

Indexed as

Gene EditingKidneyAnimalsAnimals, Genetically ModifiedGraft RejectionHeterograftsHumansSwineTransplantation, Heterologous

Identifiers

PMID38605083
PMCPMC11009229
OpenAlexW4394726596

What OpenQuestion holds

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LicenceCC BY
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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.