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US Surgeons Successfully Carry Out 1st Pig Heart Implant In A Human Being | READ DETAILS

Faith Ukanwa

Jan 11, 2022

US surgeons have successfully implanted a heart from a genetically modified pig in a 57-year-old man, a medical first that could one day help solve the chronic shortage of organ donations.

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The "historic" procedure took place Friday, the University of Maryland Medical School said in a statement on Monday. While the patient's prognosis is far from certain, it represents a major milestone for animal-to-human transplantation.

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The patient, David Bennett, had been deemed ineligible for human transplant - a decision that is often taken when the recipient has very poor underlying health.

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He is now recovering and being carefully monitored to determine how the new organ performs.

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"It was either die or do this transplant. I want to live. I know it's a shot in the dark, but it's my last choice," the Maryland resident said a day before the surgery.

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Surgeons perform a transplant of a heart from a genetically modified pig to patient David Bennett, Sr., in Baltimore, Maryland, on January 7, 2022. AFP

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Bennett, who has spent the last several months bedridden on a heart-lung bypass machine, added: "I look forward to getting out of bed after I recover."

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The Food and Drug Administration granted emergency authorization for the surgery on New Year's Eve, as a last-ditch effort for a patient who was unsuitable for a conventional transplant.

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"This was a breakthrough surgery and brings us one step closer to solving the organ shortage crisis," said Bartley Griffith, who surgically transplanted the pig heart.

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"We are proceeding cautiously, but we are also optimistic that this first-in-the-world surgery will provide an important new option for patients in the future."

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Muhammad Mohiuddin, who co-founded the university's cardiac xenotransplantation program, added the surgery was the culmination of years or research, involving pig-to-baboon transplants, with survival times that exceeded nine months.

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"The successful procedure provided valuable information to help the medical community improve this potentially life-saving method in future patients," he said.

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10 unique gene edits

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Bennett's donor pig belonged to a herd that had undergone genetic editing procedures.

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Three genes that would have led to the rejection of pig organs by humans were "knocked out," as was a gene that would have led to excessive growth of pig heart tissue.

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Six human genes responsible for human acceptance were inserted into the genome, for a total of 10 unique gene edits.

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The editing was performed by Virginia-based biotech firm Revivicor, which also supplied the pig used in a breakthrough kidney transplant on a brain-dead patient in New York in October.

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But while that surgery was purely a proof-of-concept experiment, and the kidney was connected outside the patient's body, the new surgery is intended to save a person's life.

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The donated organ was kept in an organ-preservation machine ahead of the surgery, and the team also used an experimental new drug made by Kiniksa Pharmaceuticals along with conventional anti-rejection drugs to suppress the immune system.

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About 110,000 Americans are currently waiting for an organ transplant, and more than 6,000 patients die each year before getting one, according to official figures.

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To meet demand, doctors have long been interested in so-called xenotransplantation, or cross-species organ donation, with experiments tracing back to the 17th century.

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Early research focused on harvesting organs from primates - for example, a baboon heart was transplanted into a newborn known as "Baby Fae" in 1984, but she survived only 20 days.

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Today, pig heart valves are widely used in humans, and pigskin is grafted on human burn victims.

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Pigs make the ideal donors because of their size, their rapid growth and large litters, and the fact they are already raised as a food source.

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AFP

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— Faith Ukanwa

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