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E-book

Title Clinical xenotransplantation : pathways and progress in the transplantation of organs and tissues between species / David K.C. Cooper, Guerard Byrne, editors
Published Cham, Switzerland : Springer, [2020]

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Description 1 online resource
Contents Introduction -- taking xenotransplantation into the clinic 1. Xenotransplantation in nonhuman primates -- the present position Kidney xenotransplantation Heart xenotransplantation 2. Donor genetics and potential infectious risks The optimal genetically-engineered organ-source pig Organ-source pig health status and potential infectious risks Regulatory requirements for the organ-source pig 3. Antibody-mediated allotransplant rejection: lessons for xenotransplantation The problem of anti-HLA antibodies The problem of ABO blood group-incompatibility 4. Patient evaluation and selection for first clinical trials Kidney transplantation Heart transplantation in adults Heart transplantation in infants and children Heart transplantation vs mechanical circulatory support 5. Social and religious aspects of xenotransplantation 6. Economic implications of xenotransplantation 7. Summary -- closing in on clinical xenotransplantation
Summary This title provides an illuminating examination of the current state of xenotransplantation - grafting or transplanting organs or tissues between members of different species - and how it might move forward into the clinic. To be sure, this is a critical topic, as a major problem that remains worldwide is an inadequate supply of organs from deceased human donors, severely limiting the number of organ transplants that can be performed each year. Based on presentations given at a major conference on xenotransplantation, this title includes important views from many leading experts who were invited to present their data and opinions on how xenotransplantation can advance into the clinic. Attention was concentrated on pig kidney and heart transplantation as it is in regard to these organs that most progress has been made.Ì‚Collectively, these chapters effectively highlight the many advantages of xenotransplantation to patients with end-stage organ failure, thereby encouraging the mapping of a concrete pathway to clinical xenotransplantation. The book is organized across 22 chapters, beginning with background information on clinical and experimental xenotransplantation. Following this are discussions addressing how pigs can be genetically engineered for their organs to be resistant to the human immune response through deletion of pig xenoantigens, and the insertion of 'protective' human transgenes. Subsequent chapters analyze complications that arise in practice, comparing allotransplant and xenotransplant rejection. The selection of the ideal patients for the first clinical trials is discussed.Ì‚Finally, the book concludes with an analysis on the regulatory, economic, and social aspects of this research, including FDA perspectives and the sensitive, psychosocial factors regarding allotransplantation and xenotransplantation. A major and timely addition to the literature, Clinical Xenotransplantation will be of great interest to all researchers, physicians, and academics from other disciplines with an interest in xenotransplantation
Bibliography Includes bibliographical references and index
Notes Online resource; title from digital title page (viewed on October 29, 2020)
Subject Xenografts.
Transplantation, Heterologous
Hepatology.
Microbiology (non-medical)
Immunology.
Surgery.
Medical -- Gastroenterology.
Science -- Life Sciences -- Biology -- Microbiology.
Medical -- Immunology.
Medical -- Surgery -- General.
Xenografts
Form Electronic book
Author Cooper, David K. C., editor
Byrne, Guerard, editor
ISBN 9783030491277
3030491277