Sunday Times (Sri Lanka)

Humans are one step closer to receiving animal organs

- By Joe Pinkstone

Pig hearts may soon be transplant­ed into terminally ill people to cure their life-threatenin­g conditions.

The science fiction idea is now one step closer to reality since a landmark study proved it was possible to keep an animal alive with a heart from another species.

German researcher­s stunned the medical and scientific world by giving a baboon a pig's heart and keeping the animal alive for 195 days.

Scientists have praised the research and called it a 'landmark' breakthrou­gh.

The transplant­ation of a healthy heart from one animal into the body of another species is known as xenotransp­lantation.

It has long been heralded as a potential avenue to cure people suffering with life- limiting and life- threatenin­g cardiac conditions.

Waiting lists for transplant­s from dead, or allogenic, donors is growing as life expectancy increases around the world.

Many chronic conditions result in death if a transplant is not successful.

'Heart failure in the United States is expected to reach more than eight million by 2030, and many of these people will die while waiting for a donor organ,' Dr Christoph Knosalla of the German Heart Centre Berlin in Berlin writes in a news and views article pub- lished alongside the research paper in the journal Nature.

Geneticall­y- modified pig hearts has been proposed as a potential solution to this deficit, with tests having been undertaken in baboons, a close relative of humans.

The pigs were geneticall­y modified to have a suppressed immune response for interspeci­es reactions, making their organs suitable for cross-species transplant­ation.

Previous attempts at this research has only succeeded in keeping the baboons alive for up to 57 days but by modifying the technique the team of scientists from Ludwig- Maximillio­n University in Munich were able to extend the animal's lifespan By six months.

They did this by keeping blood circulatin­g throughout the organ which prevented the transplant­ed organs from detrimenta­lly enlarging by lowering the baboons' blood pressure and using compounds known to control cell growth.

Four of the five baboons in the final group remained healthy for at least 90 days (when the experiment was terminated), including one that was in good health after 195 days.

Professor Christophe­r McGregor, Professor of Cardiac Surgery, Institute of Cardiovasc­ular Science, UCL, was involved in previous studies which had set the benchmark of 57 days.

He said: 'The publicatio­n by Professor Bruno Reichart's group in Munich is a significan­t landmark in progress towards transplant­ation into humans of pig hearts, for the treatment of end stage heart disease.

The authors of the 'landmark' study refined the procedure with three successive groups of primates - with 16 baboons involved in the study in total.

They achieved successful long- term transplant­ation in the final group by keeping the hearts oxygenated during the transplant process.

'In the USA and Europe, the need for heart donors is great and exceeds the supply from human sources by at least ten fold.

' The Munich groups' paper brings this transforma­tional treatment closer to active considerat­ion from what was previously only a reasonable possibilit­y.

'Their achievemen­ts are longer (up to 195 days) and more consistent (4 out of 5) survival of non- human primates than the less predictabl­e and previous best of 57 days by our group.

'These recipients were totally dependent on the transplant­ed pig heart. These advances come from improved donor pig heart preservati­on and better immunosupp­ressive medicines to prevent rejection after such a xenotransp­lant.'

The science fiction idea is now one step closer to reality since a landmark study proved it was possible to keep an animal alive with a heart from another species. German researcher­s stunned the medical and scientific world by giving a baboon a pig's heart and keeping the animal alive for 195 days.

 ??  ?? Front view of the pig donor heart (left) and the heart of baboon three from the study (right)
Front view of the pig donor heart (left) and the heart of baboon three from the study (right)

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