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    Impact of porcine cytomegalovirus on long-term orthotopic cardiac xenotransplant survival (2020)

    Art
    Zeitschriftenartikel / wissenschaftlicher Beitrag
    Autoren
    Denner, Joachim (WE 5)
    Längin, Matthias
    Reichart, Bruno
    Krüger, Luise
    Fiebig, Uwe
    Mokelke, Maren
    Radan, Julia
    Mayr, Tanja
    Milusev, Anastasia
    Luther, Fabian
    Sorvillo, Nicoletta
    Rieben, Robert
    Brenner, Paolo
    Walz, Christoph
    Wolf, Eckhard
    Roshani, Berit
    Stahl-Hennig, Christiane
    Abicht, Jan-Michael
    Quelle
    Scientific reports
    Bandzählung: 10
    Seiten: Article number: 17531
    ISSN: 2045-2322
    Sprache
    Englisch
    Verweise
    URL (Volltext): https://www.nature.com/articles/s41598-020-73150-9
    DOI: 10.1038/s41598-020-73150-9
    Pubmed: 33067513
    Kontakt
    Institut für Virologie

    Robert-von-Ostertag-Str. 7-13
    14163 Berlin
    +49 30 838 51833
    virologie@vetmed.fu-berlin.de

    Abstract / Zusammenfassung

    Xenotransplantation using pig organs has achieved survival times up to 195 days in pig orthotopic heart transplantation into baboons. Here we demonstrate that in addition to an improved immunosuppressive regimen, non-ischaemic preservation with continuous perfusion and control of post-transplantation growth of the transplant, prevention of transmission of the porcine cytomegalovirus (PCMV) plays an important role in achieving long survival times. For the first time we demonstrate that PCMV transmission in orthotopic pig heart xenotransplantation was associated with a reduced survival time of the transplant and increased levels of IL-6 and TNFα were found in the transplanted baboon. Furthermore, high levels of tPA-PAI-1 complexes were found, suggesting a complete loss of the pro-fibrinolytic properties of the endothelial cells. These data show that PCMV has an important impact on transplant survival and call for elimination of PCMV from donor pigs.