Commentary: Could Singapore consider animal-to-human transplants to address organ shortage?

FEASIBLE FOR XENOTRANSPLANTATION TO BECOME REGULAR TREATMENT?

By using genetically revised animals to ensure immunological acceptance and improving virological safety measures, xenotransplantation could help address the increasing severe shortage of donated individual organs, and honest issues like how you can fairly exclude patients from waiting lists or fairly assign the limited human being organs among those waiting around.

Besides individuals with end-stage organ failure, transplantation of animal cells and tissues could help other patients, like those with burn wounds, corneal blindness, plus neurological disorders, where human biological materials are not available.

But xenotransplantation furthermore raises many technological and clinical questions that must be answered just before it becomes standard treatment similar to human-to-human organ transplant.

Just how long can a person live with the heart of an pet? Would an animal body organ function as well as being a human organ? Very best mix of animal genetic modification plus immunosuppressive drugs to ensure short- and long lasting graft acceptance, given a recipient’s situation? What type and which usually breed of animal is definitely most suitable for delivering transplant organs to get humans?

Domestic pigs are currently the animal of choice for kidney or heart xenotransplantation because their hearts and kidneys are very similar in size and perform to us.

Recently, in separate experiments, transplant surgeons in the US successfully transplanted genetically modified this halloween kidneys and minds in brain-dead patients on life support (with their or their family’s prior consent) in order to graft rejection, success and function. These experiments are an intermediate step to collect data on the clinical protection and efficacy of pig-to-human organ transplant without risking the life span of a patient.