Reduction of consumptive coagulopathy using porcine cytomegalovirus-free cardiac porcine grafts in pig-to-primate xenotransplantation

Academic Article

Abstract

  • Background. Xenotransplantation using pigs as the source species for organs carries a potential risk for transmission and activation of porcine herpesviruses. Activation of porcine cytomegalovirus (PCMV) in pig-to-baboon xeno transplantation is associated with xenograft injury and possibly an increased incidence of consumptive coagulopathy (CC). Methods. To further investigate the role of PCMV activation in the occurrence of CC, a strategy to exclude PCMV from the donor was developed. To exclude PCMV, piglets were early-weaned and raised separated from other swine. These piglets were used as donors in an experimental protocol of pig-to-baboon heart xenotransplantation. Results. Early weaning of piglets was successful in excluding PCMV. Use of PCMV-free cardiac porcine xenografts in baboons resulted in prolonged graft survival and prevented consumptive coagulopathy in all recipients. Conclusions. The use of PCMV-free cardiac grafts is beneficial in reducing the direct effects of PCMV activation in the graft (tissue damage) and the indirect effects of PCMV activation in the recipient (consumptive coagulopathy).
  • Authors

    Digital Object Identifier (doi)

    Author List

  • Mueller NJ; Kuwaki K; Dor FJMF; Knosalla C; Gollackner B; Wilkinson RA; Sachs DH; Cooper DKC; Fishman JA
  • Start Page

  • 1449
  • End Page

  • 1453
  • Volume

  • 78
  • Issue

  • 10