Xenotransplantation and the organ shortage: evaluating policy priorities.

IF 2.5 4区 医学 Q3 TRANSPLANTATION
Jessica S Kopew, Jarrod Bailey, Catharine E Krebs
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引用次数: 0

Abstract

Purpose of review: Xenotransplantation has emerged as a popular potential solution for increasing organ supply, but it comes with formidable public health risks and ethical harms. The purpose of this review is to evaluate xenotransplantation and other strategies for addressing the organ shortage, pointing toward the most promising policy priorities.

Recent findings: Advances in genetic engineering, paired with increasing financial support, have positioned xenotransplantation in its first ever clinical trials. Rejection remains a formidable challenge, and caution prevails as the full breadth of zoonotic infectious potential remains to be determined. Meanwhile, strategies have been implemented around the world to bolster allotransplant organ supply and practices and to better treat chronic diseases to reduce demand for organs.

Summary: With more support and broader global adoption, these alternative strategies can address the organ shortage more effectively, safely, and ethically than xenotransplantation and should be prioritized by policymakers.

Abstract Image

异种移植和器官短缺:评估政策重点。
综述目的:异种移植已成为增加器官供应的一种流行的潜在解决方案,但它带来了巨大的公共卫生风险和伦理危害。本综述的目的是评估异种移植和其他解决器官短缺的策略,指出最有希望的政策重点。最近的发现:基因工程的进步,加上越来越多的财政支持,使异种移植首次进入临床试验。排斥仍然是一项艰巨的挑战,由于人畜共患感染潜力的全部范围仍有待确定,因此普遍采取谨慎态度。与此同时,世界各地已实施战略,以加强同种异体移植器官的供应和做法,并更好地治疗慢性病,以减少对器官的需求。总结:有了更多的支持和更广泛的全球采用,这些替代策略可以比异种移植更有效、更安全、更合乎道德地解决器官短缺问题,应得到决策者的优先考虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.10
自引率
4.50%
发文量
124
审稿时长
6-12 weeks
期刊介绍: ​​​​​​Current Opinion in Organ Transplantation is an indispensable resource featuring key, up-to-date and important advances in the field from around the world. Led by renowned guest editors for each section, every bimonthly issue of Current Opinion in Organ Transplantation delivers a fresh insight into topics such as stem cell transplantation, immunosuppression, tolerance induction and organ preservation and procurement. With 18 sections in total, the journal provides a convenient and thorough review of the field and will be of interest to researchers, surgeons and other healthcare professionals alike.
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