Evidence map›Paper›PMID 41200999›Full record

ReviewXenotransplantation

Porcine Corneal Tissue and Xenozoonotic Risks: A Review of the Current Evidence.

Rodrigo Moreira, Heloisa Nascimento, Thaís Maria da Mata Martins, Gabriel Barbieri, Pedro Pires, Lucimeire N Carvalho, Larissa R Rosa, Augusto Almeida, Carmen Luz Pessuti, Henrique Ferrer and 4 more

Abstract readReview
In one paragraph

Review in Xenotransplantation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Review
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.

Rodrigo MoreiraVision Institute (IPEPO), São Paulo, Brazil.ORCID https://orcid.org/0000-0002-9132-2819
Heloisa NascimentoVision Institute (IPEPO), São Paulo, Brazil.
Thaís Maria da Mata MartinsFederal University of São Paulo (UNIFESP), São Paulo, Brazil.
Gabriel BarbieriFederal University of São Paulo (UNIFESP), São Paulo, Brazil.
Pedro PiresUniversity of São Paulo (USP), São Paulo, Brazil.
Lucimeire N CarvalhoFederal University of São Paulo (UNIFESP), São Paulo, Brazil.
Larissa R RosaFederal University of São Paulo (UNIFESP), São Paulo, Brazil.
Augusto AlmeidaUniversity of São Paulo (USP), São Paulo, Brazil.
Carmen Luz PessutiFederal University of São Paulo (UNIFESP), São Paulo, Brazil.
Henrique FerrerFederal University of São Paulo (UNIFESP), São Paulo, Brazil.
José Álvaro Pereira GomesFederal University of São Paulo (UNIFESP), São Paulo, Brazil.
Ernesto GoulartUniversity of São Paulo (USP), São Paulo, Brazil.
Silvano RaiaUniversity of São Paulo (USP), São Paulo, Brazil.ORCID https://orcid.org/0000-0002-2636-1117
Rubens BelfortVision Institute (IPEPO), São Paulo, Brazil.

Funding

by FAPESP
6 · The paper itself

Abstract

Corneal opacities affect millions worldwide, with corneal transplantation as the primary treatment. However, donor shortages remain a challenge, leaving thousands waiting for transplants. Xenotransplantation using porcine corneas has emerged as a promising alternative due to anatomical and physiological similarities with human corneas. Advances in CRISPR/Cas technology enable genetic modifications to address immune rejection and zoonotic risks. A key concern is xenozoonosis, the transmission of infectious agents from pigs to humans. Pathogens such as porcine endogenous retroviruses (PERVs), porcine cytomegalovirus (PCMV), and bacteria pose potential risks. While PERVs can infect human cells in vitro, no transmission has been documented in vivo. Regulatory bodies, including the WHO and IXA, have established guidelines for monitoring and clinical trials. The first human corneal xenotransplantation trials in South Korea and China are underway. Enhanced biosecurity measures in tissue banks have reduced microbial contamination, improving safety. Corneal xenotransplantation presents lower risks compared to solid organ xenotransplants. With ongoing research, stringent regulations, and improved pathogen-free animal models, this technique could become a viable clinical option. Future human trials will provide crucial insights into its long-term safety and effectiveness.

Indexed as

CorneaCorneal TransplantationTransplantation, HeterologousAnimalsHeterograftsHumansSwinecorneal transplantxenotransplantationxenozoonosis

Identifiers

PMID41200999
PMCPMC12593271

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.