Review Article

The Role of Costimulation Blockade in Solid Organ and Islet Xenotransplantation

Table 3

Selected studies using anti-CD40mAb in pig-to-nonhuman primate xenotransplantation.

First author (year)Donor pigRecipient NHPImmunosuppressive regimenLongest survival (days)

Heart xenotransplantation, heterotopic
Iwase (2015) [96]GTKO.CD46.TBMBaboonATG, belatacept, anti-CD40mAb, tacrolimus, MMF, CS130
Mohiuddin (2016) [78]GTKO.CD46.TBMBaboonATG, anti-CD20mAb, anti-CD40mAb, CS>900
Kidney xenotransplantation
Iwase (2015) [23]GTKO.CD46.CD55 TBM.EPCR.CD39BaboonATG, anti-CD20mAb, anti-CD40mAb, rapamycin, tocilizumab, etanercept136
Liver xenotransplantation
Shah (2017) [24]GTKOBaboonATG, anti-CD40mAb, tacrolimus, CVF, CS29
Islet xenotransplantation
Thompson (2011) [21]WTRhesusAnti-CD25mAb, anti-CD40mAb, rapamycin, belatacept203

NHP: nonhuman primate; WT: wild-type; ATG: antithymocyte globulin; CVF: cobra venom factor; MMF: mycophenolate mofetil; mAb: monoclonal antibody; CS: corticosteroids; GTKO: α1,3-galactosyltransferase gene knockout; TBM: thrombomodulin; EPCR: endothelial cell protein C receptor.