Combined islet and kidney xenotransplantation for diabetic nephropathy: an update in ongoing research for a clinically relevant application of porcine islet transplantation

Combined islet and kidney xenotransplantation for the treatment of diabetic nephropathy represents a compelling and increasingly relevant therapeutic possibility for an ever-growing number of patients who would benefit from both durable renal replacement and cure of the underlying cause of their ren...

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Main Authors: Daniel L. Eisenson, Hayato Iwase, Weili Chen, Yu Hisadome, Wanxing Cui, Michelle R. Santillan, Alexander C. Schulick, Du Gu, Amanda Maxwell, Kristy Koenig, Zhaoli Sun, Daniel Warren, Kazuhiko Yamada
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1351717/full
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author Daniel L. Eisenson
Hayato Iwase
Weili Chen
Yu Hisadome
Wanxing Cui
Michelle R. Santillan
Alexander C. Schulick
Du Gu
Amanda Maxwell
Kristy Koenig
Zhaoli Sun
Daniel Warren
Kazuhiko Yamada
author_facet Daniel L. Eisenson
Hayato Iwase
Weili Chen
Yu Hisadome
Wanxing Cui
Michelle R. Santillan
Alexander C. Schulick
Du Gu
Amanda Maxwell
Kristy Koenig
Zhaoli Sun
Daniel Warren
Kazuhiko Yamada
author_sort Daniel L. Eisenson
collection DOAJ
description Combined islet and kidney xenotransplantation for the treatment of diabetic nephropathy represents a compelling and increasingly relevant therapeutic possibility for an ever-growing number of patients who would benefit from both durable renal replacement and cure of the underlying cause of their renal insufficiency: diabetes. Here we briefly review immune barriers to islet transplantation, highlight preclinical progress in the field, and summarize our experience with combined islet and kidney xenotransplantation, including both challenges with islet-kidney composite grafts as well as our recent success with sequential kidney followed by islet xenotransplantation in a pig-to-baboon model.
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spelling doaj.art-9f62dea3c4f8441f8ad8dce9a809b9d72024-02-27T04:23:19ZengFrontiers Media S.A.Frontiers in Immunology1664-32242024-02-011510.3389/fimmu.2024.13517171351717Combined islet and kidney xenotransplantation for diabetic nephropathy: an update in ongoing research for a clinically relevant application of porcine islet transplantationDaniel L. Eisenson0Hayato Iwase1Weili Chen2Yu Hisadome3Wanxing Cui4Michelle R. Santillan5Alexander C. Schulick6Du Gu7Amanda Maxwell8Kristy Koenig9Zhaoli Sun10Daniel Warren11Kazuhiko Yamada12Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesCell Therapy and Manufacturing, Medstar Georgetown University Hospital, Washington DC, United StatesDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesResearch Animal Resources, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, United StatesCombined islet and kidney xenotransplantation for the treatment of diabetic nephropathy represents a compelling and increasingly relevant therapeutic possibility for an ever-growing number of patients who would benefit from both durable renal replacement and cure of the underlying cause of their renal insufficiency: diabetes. Here we briefly review immune barriers to islet transplantation, highlight preclinical progress in the field, and summarize our experience with combined islet and kidney xenotransplantation, including both challenges with islet-kidney composite grafts as well as our recent success with sequential kidney followed by islet xenotransplantation in a pig-to-baboon model.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1351717/fullislet xenotransplantationislet-kidneyxenogeneic immune responsetolerancexenotransplantation
spellingShingle Daniel L. Eisenson
Hayato Iwase
Weili Chen
Yu Hisadome
Wanxing Cui
Michelle R. Santillan
Alexander C. Schulick
Du Gu
Amanda Maxwell
Kristy Koenig
Zhaoli Sun
Daniel Warren
Kazuhiko Yamada
Combined islet and kidney xenotransplantation for diabetic nephropathy: an update in ongoing research for a clinically relevant application of porcine islet transplantation
Frontiers in Immunology
islet xenotransplantation
islet-kidney
xenogeneic immune response
tolerance
xenotransplantation
title Combined islet and kidney xenotransplantation for diabetic nephropathy: an update in ongoing research for a clinically relevant application of porcine islet transplantation
title_full Combined islet and kidney xenotransplantation for diabetic nephropathy: an update in ongoing research for a clinically relevant application of porcine islet transplantation
title_fullStr Combined islet and kidney xenotransplantation for diabetic nephropathy: an update in ongoing research for a clinically relevant application of porcine islet transplantation
title_full_unstemmed Combined islet and kidney xenotransplantation for diabetic nephropathy: an update in ongoing research for a clinically relevant application of porcine islet transplantation
title_short Combined islet and kidney xenotransplantation for diabetic nephropathy: an update in ongoing research for a clinically relevant application of porcine islet transplantation
title_sort combined islet and kidney xenotransplantation for diabetic nephropathy an update in ongoing research for a clinically relevant application of porcine islet transplantation
topic islet xenotransplantation
islet-kidney
xenogeneic immune response
tolerance
xenotransplantation
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1351717/full
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