2017
DOI: 10.1007/s40472-017-0157-6
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Gene Editing, Gene Therapy, and Cell Xenotransplantation: Cell Transplantation Across Species

Abstract: Purpose of Review Cell xenotransplantation has the potential to provide a safe, ethically acceptable, unlimited source for cell replacement therapies. This review focuses on genetic modification strategies aimed to overcome remaining hurdles standing in the way of clinical porcine islet transplantation and to develop neural cell xenotransplantation. Recent Findings In addition to previously described genetic modifications aimed to mitigate hyperacute rejection, instant blood-mediated inflammatory reaction, and… Show more

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Cited by 14 publications
(7 citation statements)
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References 79 publications
(77 reference statements)
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“…52 The glucose homeostasis functions of porcine islets can also be modified to improve their efficacy, which may further reduce the quantity needing to survive for successful functional engraftment. 53,54 Indeed, this presents a clear opportunity for further targeted genetic modification which may ultimately be critical for early porcine xenoislet engraftment. [55][56][57] Costimulation-based immunosuppression has been tested in small clinical islet allotransplant studies with promising results.…”
Section: Discussionmentioning
confidence: 99%
“…52 The glucose homeostasis functions of porcine islets can also be modified to improve their efficacy, which may further reduce the quantity needing to survive for successful functional engraftment. 53,54 Indeed, this presents a clear opportunity for further targeted genetic modification which may ultimately be critical for early porcine xenoislet engraftment. [55][56][57] Costimulation-based immunosuppression has been tested in small clinical islet allotransplant studies with promising results.…”
Section: Discussionmentioning
confidence: 99%
“…Third, genome editing in animals could provide a solution to the long-standing shortage of human organ donors by facilitating xenotransplantation from pigs into humans [ [26,39,51,64,66,68,73,74,76,77,130,135,140]. It was mentioned that this solution should be compared to alternative solutions to this problem in terms of resource allocation and prioritization [105].…”
Section: Human Healthmentioning
confidence: 99%
“…60 While various organs have been proposed to be good candidates for xenotransplantation (such as pancreatic islets, kidneys, heart and liver), 6163 high immunological rejection due to cross species incompatibility remains a major challenge. 64 …”
Section: Methodsmentioning
confidence: 99%