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First 'clinical-grade' transplant of gene-edited pig kidneys into brain-dead human

University of Alabama at Birmingham researchers tested the first human preclinical model for transplanting genetically modified pig kidneys into humans.

BIRMINGHAM, Ala. — The University of Alabama at Birmingham Marnix E. Heersink School of Medicine announced the first peer-reviewed research outlining the successful transplant of genetically modified, clinical-grade pig kidneys into a brain-dead human individual, replacing the recipient’s native kidneys. 

They say these positive results demonstrate how xenotransplantation could address the worldwide organ shortage crisis. 

In the study published in the American Journal of Transplantation, UAB researchers tested the first human preclinical model for transplanting genetically modified pig kidneys into humans. 

The study recipient had two genetically modified pig kidneys transplanted in his abdomen after his native kidneys were removed. The organs were procured from a genetically modified pig at a pathogen-free facility. 

“Along with our partners, we have made significant investments in xenotransplantation for almost a decade hoping for the kinds of results published today,” said Selwyn Vickers, M.D., dean of the UAB Heersink School of Medicine and CEO of the UAB Health System and UAB/Ascension St. Vincent’s Alliance. 

For the first time, the pig kidneys transplanted were taken from pigs that had been genetically modified with 10 key gene edits that may make the kidneys suitable for transplant into humans.

The transplanted kidneys filtered blood, produced urine and, importantly, were not immediately rejected. The kidneys remained viable until the study was ended, 77 hours after transplant.

Gene editing in pigs to reduce immune rejection has made organ transplants from pigs to humans possible, which could offer help to thousands of people who face organ failure, disease or injury. 

Credit: UAB

Genetically modified pig kidneys have been extensively tested in non-human primates. In addition to testing in non-human primates, evaluating genetically modified pig kidneys in a human preclinical model research may provide important information about the potential safety and efficacy of kidneys in human transplant recipients, including in clinical trials. 

This effort is supported by biotechnology pioneer United Therapeutics Corporation, which awarded a grant to UAB to launch the innovative xenotransplantation program.

About the Study

The peer-reviewed research is a study of ambitious scope and great significance, given that more than 800,000 Americans are living with kidney failure.

Credit: UAB

Transplant recipient Jim Parsons helps open doors to the future of organ transplantation 

This scientific and medical breakthrough would not have been possible without Jim Parsons, the recipient, or his family.  

Kidney disease kills more people each year than breast or prostate cancer, according to the National Institute of Diabetes and Digestive and Kidney Diseases.  

Credit: UAB

UAB Medicine is a world leader in organ transplantation and has performed 9,055 kidney transplants from Jan. 1, 1988, to Dec. 31, 2021 — the second-most kidney transplants in the United States during that time. 

Editor's note: This content was originally published at uab.edu.

The UAB Team 

Meet the current UAB employees who joined Locke on the study team here.

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