Evidence map›Paper›PMID 40106379›Full record

ArticleXenotransplantation

Detection of Anti-Non-α-Gal Xenoreactive Antibodies in Human Blood Products.

Joseph M Ladowski, Meghan Hu, Janghoon Yoon, Zheng Chen, Stuart Knechtle, Annette M Jackson, Jean Kwun

Abstract read
In one paragraph

Article in Xenotransplantation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

4 citing papers in PubMed.

  1. 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

7 authors.

Joseph M LadowskiDepartment of Surgery, Duke Transplant Center, Duke University School of Medicine, Durham, North Carolina, USA.
Meghan HuDepartment of Surgery, Duke Transplant Center, Duke University School of Medicine, Durham, North Carolina, USA.
Janghoon YoonDepartment of Surgery, Duke Transplant Center, Duke University School of Medicine, Durham, North Carolina, USA.
Zheng ChenDepartment of Surgery, Duke Transplant Center, Duke University School of Medicine, Durham, North Carolina, USA.
Stuart KnechtleDepartment of Surgery, Duke Transplant Center, Duke University School of Medicine, Durham, North Carolina, USA.
Annette M JacksonDepartment of Surgery, Duke Transplant Center, Duke University School of Medicine, Durham, North Carolina, USA.
Jean KwunDepartment of Surgery, Duke Transplant Center, Duke University School of Medicine, Durham, North Carolina, USA.

Funding

Resource Core for National Swine Resource and Research Center (NSRRC) Years 21-25U42OD011140 · OD · UNIVERSITY OF MISSOURI-COLUMBIA · PI Kiho Lee, Kevin Dale Wells · 2012 to 2026
$26.7M
Overcoming humoral rejection after xenotransplantation in sensitized nonhuman primate recipientsR01AI175411 · NIAID · DUKE UNIVERSITY · PI Jean Kwun · 2023 to 2026
$3.2M
Stimulating Access to Research in Residency (StARR) - NIAIDR38AI140297 · NIAID · DUKE UNIVERSITY · PI Rachel G Greenberg, David H. Harpole · 2018 to 2026
$2.4M
The Effect of a Desensitization Protocol in Highly Sensitized Renal Transplant Recipients on T Follicular Helper CellsF32AI174651 · NIAID · DUKE UNIVERSITY · PI LADOWSKI, JOSEPH M · 2023 to 2023
$75k
American Society of Transplant SurgeonsNational Institute of Allergy and Infectious Diseases of the National Institutes of Health F32AI174651National Institute of Allergy and Infectious Diseases of the National Institutes of Health R01AI175411NIAID NIH HHS F32 AI174651NIAID NIH HHS R01 AI175411NIAID NIH HHS R38 AI140297NIH HHS U42 OD011140
6 · The paper itself

Abstract

backgroundSurgical bleeding is a risk in any solid organ transplant, and is commonly addressed with the transfusion of human blood products to replace or supplement coagulation factors. It is unknown if these blood products would harm xenotransplanted pig organs in human recipients demonstrating coagulopathy. The aim of this study was to investigate in vitro if blood products such as fresh frozen plasma (FFP) or cryoprecipitate (cryo) contain xenoantibodies capable of cytotoxicity to GTKO pig cells.

methodsWe obtained 12 individual single-donor (7 FFP and 5 cryo) blood products from our institution's blood bank for testing. Peripheral blood mononuclear cells (PBMCs) were obtained from a GTKO/hCD55 pig for use as target cells. We performed a series of flow cytometry crossmatch (FCXM) and complement-dependent cytotoxicity (CDC) assays.

resultsWe found that all the tested blood products contained some degree of IgM and IgG xenoantibody. Tests using a 1:50 dilution revealed a significant decrease in IgM xenoantibody binding, but an increase in the detection of IgG binding. Multiple preparations were capable of GTKO PBMC cytotoxicity but the level of antibody binding and cell death varied by preparation.

conclusionsBoth FFP and cryo contain IgM and IgG non-galactose-α-1,3-galactose (αGal) xenoantibodies capable of killing GTKO PBMCs, though the level varies by preparation. Although some centers utilize a genetic background with mutations in the three enzymes responsible for the known xenoantigens, others are investigating the GTKO pig as a potential option. These results suggest that a center pursuing a human xenotransplantation study with a GTKO genetic background should pre-screen blood products prior to administration.

Indexed as

Antibodies, HeterophileTransplantation, HeterologousAnimalsAnimals, Genetically ModifiedHumansImmunoglobulin GImmunoglobulin MLeukocytes, MononuclearPlasmaSwineAntibodies, HeterophileImmunoglobulin GImmunoglobulin Malloantibodycryoprecipitatefresh frozen plasmakidney transplantationxenoreactive antibodyxenotransplantation

Identifiers

PMID40106379
PMCPMC12013840

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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.