“…First, these data confirm what was already suspected: The ␣Gal epitope needs to be removed, complement activation needs to be prevented, and pig EC need to be maintained in an antithrombotic state. Already, ␣Gal, the major target of preformed anti-pig antibody in humans, has been deleted in pigs (12,13). As Shimizu et al comment, the use of ␣Gal knockout pigs has had a significant impact on the severity of renal thrombotic microangiopathy after pig renal xenotransplantation in baboons (14).…”