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Related Experiment Video

Updated: Mar 31, 2026

A Standardized Pig to Macaque Heterotopic Heart Xenotransplantation Model
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Xenotransplantation Literature Update: July-December 2025.

Kasra Shirini1, Joseph M Ladowski2, Niket Harsh1

  • 1Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Xenotransplantation
|March 30, 2026
PubMed
Summary
This summary is machine-generated.

Xenotransplantation is moving towards clinical trials, with genetically engineered pig organs showing promise in human recipients. Advances in immunology, engineering, and safety are paving the way for human trials.

Keywords:
clinical trialsgenetic modificationsimmunosuppressionkidney xenotransplantationliver xenotransplantationpig‐to‐human xenotransplantation

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Area of Science:

  • Transplantation immunology
  • Bioengineering
  • Medical ethics

Background:

  • Xenotransplantation has progressed from experimental stages to early clinical translation.
  • Genetically engineered porcine organs (kidneys, livers) have been used in human recipients.
  • Understanding organ compatibility and immune responses is crucial.

Purpose of the Study:

  • To summarize key advancements in xenotransplantation in late 2025.
  • To highlight the transition towards clinical application.
  • To outline the scientific and regulatory groundwork for human trials.

Main Methods:

  • Analysis of prolonged physiologic support from porcine organs in humans.
  • Molecular profiling to understand immune injury.
  • Review of preclinical non-human primate studies.
  • Assessment of donor-pig engineering and immunomodulation strategies.

Main Results:

  • Provided insights into organ compatibility and rejection dynamics.
  • Refined understanding of innate and humoral immune injury.
  • Demonstrated strengthened translational readiness through engineering and safety frameworks.
  • Informed clinical trial design regarding proteinuria, complement incompatibility, and xenoantigens.

Conclusions:

  • Xenotransplantation is rapidly maturing, moving towards clinical reality.
  • Scientific and regulatory foundations are established for human trials.
  • Ethical considerations and public trust are increasingly important for implementation.