Evidence map›Paper›PMID 42749895›Full record

ArticleNature biomedical engineering2026

Orthotopic liver xenotransplantation from gene-modified pig to decedent human.

Kaishan Tao, Zhaoxu Yang, Xuan Zhang, Hongtao Zhang, Zhibin Lin, Shuqiang Yue, Yanling Yang, Wenjie Song, Desheng Wang, Zhengcai Liu and 29 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature biomedical engineering, 2026. 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. Article
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

39 authors.

Kaishan Tao *Department of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China. taokaishan0686@163.com.ORCID http://orcid.org/0000-0002-8573-0445
Zhaoxu Yang *Department of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Xuan Zhang *Department of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Hongtao Zhang *Department of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Zhibin Lin *Department of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Shuqiang YueDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Yanling YangDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.ORCID http://orcid.org/0000-0001-8246-1756
Wenjie SongDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Desheng WangDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Zhengcai LiuDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Haimin LiDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Yong ChenDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Jingshi ZhouDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Rui DingDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Shiren SunDepartment of Nephrology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Ming YuDepartment of Ultrasound, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Jipeng LiDepartment of Experimental Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Weixun DuanDepartment of Cardiovascular Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Zhe WangDepartment of Pathology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Jingwen WangDepartment of Pharmacy, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Jiayun LiuDepartment of Clinical Laboratory Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Minwen ZhengDepartment of Radiology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Xijing ZhangDepartment of Critical Care Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Wen YinDepartment of Transfusion Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Weijun QinDepartment of Urology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Dongmei BianDepartment of Surgery Operating Room, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Lin LiDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Min LiDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Hao XuDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Dan WeiDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Hong ZhangDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Li ZhangDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Quancheng WangDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Juanli DuanDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Zhihong LuDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Hailong DongDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.ORCID http://orcid.org/0000-0001-8984-9067
Dengke PanChengdu Clonorgan Biotechnology Co., Ltd, Chengdu, China. pandengke2002@163.com.ORCID http://orcid.org/0000-0002-7994-1465
Lin WangDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China. fierywang@163.com.ORCID http://orcid.org/0000-0001-5586-3012
Kefeng DouDepartment of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China. doukef@fmmu.edu.cn.ORCID http://orcid.org/0000-0003-3224-5072

Funding

National Science Foundation of China | National Natural Science Foundation of China-Yunnan Joint Fund (NSFC-Yunnan Joint Fund) 82325007, 92468202
6 · The paper itself

Abstract

Xenotransplantation offers a critical solution to global organ shortages. Recent reports show that genetically engineered porcine livers can provide auxiliary metabolic support in human recipients and non-human primates. However, orthotopic pig-to-human liver xenotransplantation remained a challenge owing to the liver immunological and physiological complexity. Here we report the orthotopic pig-to-human liver xenotransplantation in a brain-deceased individual. Throughout the 11-day observation period, the xenograft maintains continuous albumin and bile production with normal composition, albeit at a relatively low level. Systemic haemodynamic stability is maintained, although suboptimal hepatic perfusion resulting from microthrombosis occurred, which likely contributed substantially to late-phase hepatic functional decline. Coagulation abnormalities manifest as progressive thrombocytopenia and reduced clotting factor activity. Histopathological analysis reveals scant T/B cell infiltration and immunoglobulin G deposition, yet demonstrates prominent innate immune activation and immunoglobulin M-mediated complement activation. While certain positive indicators emerge, critical challenges including endothelial damage, microthrombosis and coagulopathy remain. This study highlights the importance of genetic engineering and targeted immunosuppressive approaches to advance the clinical translation of xenogeneic liver transplantation.

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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.