Evidence map›Paper›PMID 38637524›Full record

ArticleNature communications2024

Consistent survival in consecutive cases of life-supporting porcine kidney xenotransplantation using 10GE source pigs.

Daniel Eisenson, Yu Hisadome, Michelle Santillan, Hayato Iwase, WeiLi Chen, Akira Shimizu, Alex Schulick, Du Gu, Armaan Akbar, Alice Zhou and 12 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 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
36.1field-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

33 citing papers in PubMed, 63 citations in OpenAlex.

  1. Review
  2. Article
  3. A novel immunoglobulin G- and immunoglobulin cleaving enzyme MG (IceMG), for antibody-mediated rejection.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  4. Review
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  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Xenotransplantation: Current Understanding of the Mechanism of Immune-Mediated Injury.Journal of the American Society of Nephrology : JASN · 2025
    Review
  14. Differences between xenotransplantation and allogeneic kidney transplantation: the current situation and future challenges in Japan.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2025
    Review
  15. Review
  16. Review
  17. Article
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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

22 authors at 3 institutions in 2 countries.

Daniel EisensonDepartment of Surgery, Division of Transplantation, The Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0000-0003-3868-0403
Yu HisadomeDepartment of Surgery, Division of Transplantation, The Johns Hopkins School of Medicine, Baltimore, MD, USA.
Michelle SantillanDepartment of Surgery, Division of Transplantation, The Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0009-0005-9942-6240
Hayato IwaseDepartment of Surgery, Division of Transplantation, The Johns Hopkins School of Medicine, Baltimore, MD, USA.
WeiLi ChenDepartment of Surgery, Division of Transplantation, The Johns Hopkins School of Medicine, Baltimore, MD, USA.
Akira ShimizuDepartment of Pathology, Nippon Medical School, Tokyo, Japan.ORCID http://orcid.org/0000-0002-4364-9251
Alex SchulickDepartment of Surgery, Division of Transplantation, The Johns Hopkins School of Medicine, Baltimore, MD, USA.
Du GuDepartment of Surgery, Division of Transplantation, The Johns Hopkins School of Medicine, Baltimore, MD, USA.
Armaan AkbarDepartment of Surgery, Division of Transplantation, The Johns Hopkins School of Medicine, Baltimore, MD, USA.
Alice ZhouDepartment of Surgery, Division of Transplantation, The Johns Hopkins School of Medicine, Baltimore, MD, USA.
Kristy KoenigDepartment of Surgery, Division of Transplantation, The Johns Hopkins School of Medicine, Baltimore, MD, USA.
Kasinath KuraviUnited Therapeutics Corporation, Silver Spring, MD, USA.
Farzana RahmanUnited Therapeutics Corporation, Silver Spring, MD, USA.
Lori SorrellsUnited Therapeutics Corporation, Silver Spring, MD, USA.
Lars BurdorfUnited Therapeutics Corporation, Silver Spring, MD, USA.
Kristina DeSmetUnited Therapeutics Corporation, Silver Spring, MD, USA.
Daniel WarrenDepartment of Surgery, Division of Transplantation, The Johns Hopkins School of Medicine, Baltimore, MD, USA.
Leigh PetersonUnited Therapeutics Corporation, Silver Spring, MD, USA.
Marc LorberUnited Therapeutics Corporation, Silver Spring, MD, USA.
David AyaresUnited Therapeutics Corporation, Silver Spring, MD, USA.
Andrew CameronDepartment of Surgery, Division of Transplantation, The Johns Hopkins School of Medicine, Baltimore, MD, USA.
Kazuhiko YamadaDepartment of Surgery, Division of Transplantation, The Johns Hopkins School of Medicine, Baltimore, MD, USA. kyamada6@jhmi.edu.ORCID http://orcid.org/0000-0002-0510-5843
Johns Hopkins University · USUnited Therapeutics (United States) · USNippon Medical School · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Xenotransplantation represents a possible solution to the organ shortage crisis and is an imminent clinical reality with long-term xenograft survival in pig-to-nonhuman primate (NHP) heart and kidney large animal models, and short-term success in recent human decedent and clinical studies. However, concerns remain about safe clinical translation of these results, given the inconsistency in published survival as well as key differences between preclinical procurement and immunosuppression and clinical standards-of-care. Notably, no studies of solid organ pig-to-NHP transplantation have achieved xenograft survival longer than one month without CD40/CD154 costimulatory blockade, which is not currently an FDA-approved immunosuppression strategy. We now present consistent survival in consecutive cases of pig-to-NHP kidney xenotransplantation, including long-term survival after >3 hours of xenograft cold preservation time as well as long-term survival using FDA-approved immunosuppression. These data provide critical supporting evidence for the safety and feasibility of clinical kidney xenotransplantation. Moreover, long-term survival without CD40/CD154 costimulatory blockade may provide important insights for immunosuppression regimens to be considered for first-in-human clinical trials.

Indexed as

Graft SurvivalKidneyAnimalsCD40 AntigensCD40 LigandGraft RejectionHeterograftsHumansImmunosuppression TherapySwineTransplantation, HeterologousCD40 AntigensCD40 Ligand

Identifiers

PMID38637524
PMCPMC11026402
OpenAlexW4394933420

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.