원문정보
Transgenesis of Pigs for Xenotransplantation Crisis - an Update
초록
영어
Transgenic pigs are promising donor organisms for xenotransplantation as they share many anatomical and physiological characteristics with humans. Recently, a step has been moved closer to xenotransplantation by producing genetically modified pigs that has no α-1,3-Gal epitope, the major xenoantigens triggering HAR of pig to primate xenografts. Further genetic modifications such as expression of human complementary regulatory proteins, CD39, endothelial protein C receptor, heme-oxygenase 1, thrombomodulin, tissue factor pathway inhibitoras well as modulators of the HLA-E/β-2-microglobulin, and CTLA-4Ig are due to address for further rejection mechanisms and incompatibilities between porcine and primate blood coagulation systems. Although the pig is the favored species for use as a xenograft donor, a detailed description of the transgenic pig development and surgical technique is lacking which seems mandatory to address for broader understanding of this issue.
목차
INTRODUCTION
MAJOR OBSTACLES IN XENOTRANSPLANTATION
Immunological
Microbiological
TRANSGENIC TECHNOLOGY AND HISTORICAL PERSPECTIVE
SUS SCROFAGENOME MODIFICATION
CONSIDERATIONS FOR ANIMAL MODELS FOR HEART TRANSPLANTATION
SURGICAL CONSIDERATIONS
FUTURE DIRECTIONS
CONCLUSION
REFERENCES