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XENOTRANSPLANTATION, USING ANIMAL ORGANS TO SAVE HUMAN LIVES

The demand for organ transplantation increases every year, and many people remain on the waiting list for months or years; others are not as fortunate. The increased demand for organs and technological improvements allowed scientists to improve a procedure called xenotransplantation in hopes of saving more lives; however, ethical issues surround this procedure.

Xenotransplantation is a medical procedure involving transplanting cells, fluids, and organs from non-human species to humans. During the 1960s, physician Keith Reemtsma and surgeon Tom Starzl transplanted kidneys from primates to humans. Unfortunately, the immune systems of many patients started to reject the kidney, and other patients became infected with HIV. Furthermore, some patients also experienced organ failure because the kidneys of the primates were not able to perform the function of a human kidney successfully.

Recently, the University of Maryland School of Medicine performed xenotransplantation on a Lawrence Faucette with heart failure by transplanting a heart from a genetically modified pig. After the surgery, Mr. Faucette states, "At least now I have hope, and I have a chance" (Kotz). However, xenotransplantation raises concerns regarding animal welfare due to scientists genetically modifying and sacrificing pigs. Furthermore, recent studies have shown that patients receiving organs from pigs have the possibility of contracting the porcine endogenous virus, where scientists do not know the mechanisms and the effects the virus can have on the patient.

Work Cited

Cooper DK. A brief history of cross-species organ transplantation. Proc (Bayl Univ Med Cent). 2012 Jan;25(1):49-57. doi: 10.1080/08998280.2012.11928783. PMID: 22275786; PMCID: PMC3246856.

Rollin BE. Ethical and Societal Issues Occasioned by Xenotransplantation. Animals (Basel). 2020 Sep 19;10(9):1695. doi: 10.3390/ani10091695. PMID: 32961658; PMCID: PMC7552641.

Melo, Helena, et al. Ethical and Legal Issues In, bioetyka.uw.edu.pl/wp-content/uploads/2014/10/Xenotransplantation_MeloEtAl.pdf. Accessed 18 Feb. 2024.

Kotz, Deborah. “Um Medicine Faculty-Scientists and Clinicians Perform Second Historic Transplant of Pig Heart into Patient with End-Stage Cardiovascular Disease.” 2023 News - UM Medicine Faculty-Scientists and Clinicians Perform Second Historic Transplant of Pig Heart into Patient with End-Stage Cardiovascular Disease | University of Maryland School of Medicine, 23 Sept. 2023, www.medschool.umaryland.edu/news/2023/um-medicine-faculty-scientists-and-clinicians-perform-second-historic-transplant-of-pig-heart-into-patient-with-end-stage-cardiovascular-disease.html#:~:text=The%20first%20historic%20surgery%2C%20performed,had%20end%2Dstage%20heart%20disease.

Groth CG. The potential advantages of transplanting organs from pig to man: A transplant Surgeon's view. Indian J Urol. 2007 Jul;23(3):305-9. doi: 10.4103/0970-1591.33729. PMID: 19718335; PMCID: PMC2721611.

“Xenotransplantation: The Benefits and Risks of Special Organ Transplantation.” BIO, archive.bio.org/articles/xenotransplantation-benefits-and-risks-special-organ-transplantation. Accessed 18 Feb. 2024.

Center for Biologics Evaluation and Research. “Xenotransplantation.” U.S. Food and Drug Administration, FDA, www.fda.gov/vaccines-blood-biologics/xenotransplantation. Accessed 18 Feb. 2024.

“Xenotransplantation.” National Kidney Foundation, 9 Nov. 2023, www.kidney.org/atoz/content/xenotransplantation.

Stein, Rob. “How Genetically Modified Pigs Could End the Shortage of Organs for Transplants.” NPR, NPR, 29 Feb. 2024, www.npr.org/sections/health-shots/2024/02/29/1231699834/genetically-modified-pigs-organs-human-transplant.

Xenotransplantation: Science, Ethics, and Public Policy, National Academies Press, 1996. ProQuest Ebook Central, https://www.proquest.com/legacydocview/EBC/3376293?accountid=7122.

Center for Biologics Evaluation and Research. “Xenotransplantation.” U.S. Food and Drug Administration, FDA, www.fda.gov/vaccines-blood-biologics/xenotransplantation. Accessed 1 Apr. 2024.

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