Evidence map›Paper›PMID 41827111›Full record

ReviewJournal of clinical medicine2026

Present Advances and Emerging Challenges in Kidney Xenotransplantation.

Kazuaki Yamanaka, Yoichi Kakuta, Shuji Miyagawa, Kentaro Inoue, Soichi Matsumura, Shota Fukae, Masataka Kawamura, Shigeaki Nakazawa, Kenichi Kobayashi, Susumu Kageyama and 1 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Kazuaki YamanakaDepartment of Urology, Shiga University of Medical Science, Otsu 520-2192, Japan.ORCID 0000-0001-8581-2427
Yoichi KakutaDepartment of Urology, Graduate School of Medicine, Osaka University, Suita 565-0871, Japan.ORCID 0000-0001-5339-4312
Shuji MiyagawaDepartment of Pediatric Surgery, Graduate School of Medicine, Osaka University, Suita 565-0871, Japan.
Kentaro InoueDepartment of Urology, Shiga University of Medical Science, Otsu 520-2192, Japan.
Soichi MatsumuraDepartment of Urology, Graduate School of Medicine, Osaka University, Suita 565-0871, Japan.
Shota FukaeDepartment of Urology, Graduate School of Medicine, Osaka University, Suita 565-0871, Japan.ORCID 0000-0003-1437-3177
Masataka KawamuraDepartment of Urology, Graduate School of Medicine, Osaka University, Suita 565-0871, Japan.
Shigeaki NakazawaDepartment of Urology, Graduate School of Medicine, Osaka University, Suita 565-0871, Japan.ORCID 0000-0001-5857-3483
Kenichi KobayashiDepartment of Urology, Shiga University of Medical Science, Otsu 520-2192, Japan.ORCID 0000-0002-6618-5664
Susumu KageyamaDepartment of Urology, Shiga University of Medical Science, Otsu 520-2192, Japan.ORCID 0000-0001-7150-647X
Norio NonomuraDepartment of Urology, Graduate School of Medicine, Osaka University, Suita 565-0871, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Xenotransplantation, particularly the use of genetically modified pigs for kidney transplantation, is gaining attention as a potential solution to the organ shortage. Pigs are ideal donors due to their physiological similarity to humans and rapid reproduction rates. Advances in gene editing technologies like CRISPR have enabled the development of genetically modified pigs that express human-compatible molecules while lacking xenogeneic antigens, such as Galα1-3Gal, which trigger strong immune responses. These modifications significantly reduce the risks of hyperacute and acute rejection, major barriers to successful xenotransplantation. Preclinical studies involving non-human primates and deceased human donors have shown promising short-term results, indicating that pig kidneys can function in human recipients. However, there are no documented cases of long-term survival, and the long-term effects of such transplants remain uncertain. Additionally, concerns about zoonotic disease transmission from pigs to humans necessitate robust pathogen detection systems to ensure safety. More research is also needed to understand immune responses to xenogeneic organs and develop effective immunosuppressive therapies. Ethical considerations surrounding the use of animal organs require ongoing societal dialog. Continued research is essential to establish xenotransplantation as a viable treatment for patients with renal failure.

Indexed as

innate immunitykidney transplantationxenotransplantation

Identifiers

PMID41827111
PMCPMC12986341

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.