Saturday, September 16, 2023

Chinese scientists become first ever to successfully grow part-human kidneys in pigs

Ryan General
Wed, September 13, 2023


Chinese scientists have successfully grown humanized kidneys inside pig embryos, marking a significant milestone for organ transplantation.

Breakthrough in xenotransplantation: Detailed in a study published in journal Cell Stem Cell on Sept. 7, the remarkable achievement represents the first time a solid humanized organ has been cultivated within another species, offering a potential solution to the critical shortage of donor organs for transplantation.

The researchers, led by Liangxue Lai from the Guangzhou Institutes of Biomedicine and Health in China, reportedly took five years to overcome the challenges of interspecies organ generation.

Why it’s important: The breakthrough represents a beacon of hope for over a quarter of the global kidney patients who have no access to healthy organs for transplantation. In the U.S. alone, over 88,000 people are currently in dire need of kidneys.

Creating human-pig chimeric embryos: The scientists utilized CRISPR gene editing to deactivate two genes crucial for kidney development in pig embryos, effectively establishing a specialized "niche." They then introduced human pluripotent stem cells into this niche, nurturing their growth in a controlled environment.

Of the 1,820 embryos transferred into 13 surrogate sows, five were analyzed after 25 to 28 days. These embryos exhibited functionally normal kidneys, with human cells constituting an impressive 50-60% of the organ's composition. The high percentage of human cells within the pig's kidneys sets a remarkable precedent, potentially paving the way for further refinement of the technique.

Ethical challenges: While experts have acknowledged that the breakthrough is undeniably promising, they also point out the ethical and biological hurdles that lie ahead. To address concerns about the presence of human cells in the pig embryos' brains, the research team said it plans to remove genes responsible for human cell differentiation into neurons and reproductive cells, mitigating the risk of uncontrolled human-pig hybridization.

Biological challenges: It is worth noting that the composition of these organs still contains pig-derived vascular cells, which could lead to rejection if transplanted into humans. The researchers acknowledged that to achieve fully functional human organs in pigs, they must continue to refine their methods.

 


Researchers grow embryonic humanized kidneys inside pigs for 28 days


Peer-Reviewed Publication

CELL PRESS

Humanized kidney cells 

IMAGE: THIS FIGURE SHOWS HUMANIZED KIDNEY CELLS (RED FLUORESCENCE) INSIDE THE EMBRYO COMPARED TO A "WILDTYPE" PIG EMBRYO. view more 

CREDIT: WANG, XIE, LI, LI, AND ZHANG ET AL./CELL STEM CELL



Guangzhou Institutes of Biomedicine and Health researchers have successfully created chimeric embryos containing a combination of human and pig cells. When transferred into surrogate pig mothers, the developing humanized kidneys had normal structure and tubule formation after 28 days. This is the first time that scientists have been able to grow a solid humanized organ inside another species, though previous studies have used similar methods to generate human tissues such as blood or skeletal muscle in pigs. The work appears September 7 in the journal Cell Stem Cell.

The researchers focused on kidneys because they are one of the first organs to develop, and they’re also the most commonly transplanted organ in human medicine.

“Rat organs have been produced in mice, and mouse organs have been produced in rats, but previous attempts to grow human organs in pigs have not succeeded,” says senior author Liangxue of the Guangzhou Institutes of Biomedicine and Health, Chinese Academy of Sciences, and Wuyi University. “Our approach improves the integration of human cells into recipient tissues and allows us to grow human organs in pigs.”  

Integrating human stem cells into pig embryos has been a challenge because pig cells outcompete human cells and pig and human cells have different physiological needs. “We have been working on mechanisms to overcome the extremely low efficiency in interspecies chimera,” says senior author Guangjin Pan of the Guangzhou Institutes of Biomedicine and Health. “We identified a couple of critical factors that enhance the formation of interspecies chimera by facilitating cell competition.”

The team’s technique depends on three key components:

  • First, they created a niche within the pig embryo so that the human cells would not have to compete with pig cells by using CRISPR to genetically engineer a single-cell pig embryo so that it was missing two genes that are needed for kidney development.
  • Second, the researchers engineered human pluripotent stem cells—cells that have the potential to develop into any cell type—to make them more amenable to integration and less likely to self-destruct by temporarily shutting down apoptosis. Then, they converted these cells into “naïve” cells resembling early human embryonic cells by culturing them in a special medium.
  • Third, before implanting the developing embryos in surrogate sows, the researchers grew the chimeras in conditions that were optimized to provide unique nutrients and signals to both the human and pig cells, since these cells usually have disparate needs.

Altogether, the researchers transferred 1,820 embryos to 13 surrogate mothers. After either 25 or 28 days, they terminated gestation and extracted the embryos to assess whether the chimeras had successfully produced humanized kidneys.

The researchers collected five chimeric embryos for analysis (two at 25 days and three at 28 days post-implantation) and found that they had structurally normal kidneys for their stage of development and were composed of 50-60% human cells. At 25–28 days, the kidneys were in the mesonephros stage (the second stage of kidney development); they had formed tubules and buds of cells that would eventually become ureters connecting the kidney to the bladder.

The team also investigated whether human cells were contributing to other tissues throughout the embryos, which could have ethical implications, especially if abundant human cells were found in neural or germline tissues and the pigs were brought to term. They showed that human cells were mostly localized to the kidneys, whereas the remainder of the embryo was composed of pig cells.

“We found that if you create a niche in the pig embryo, then the human cells naturally go into these spaces,” says senior author Zhen Dai of Guangzhou Institutes of Biomedicine and Health. “We saw only very few human neural cells in the brain and spinal cord and no human cells in the genital ridge, indicating that the human pluripotent stem cells did not differentiate into germ cells.” This may be further prevented by knocking out further genes in the human pluripotent stem cells, which can be tested in future studies, the researchers say.

Now that they have optimized conditions for growing humanized kidneys in human-pig chimeras, the team wants to allow the kidneys to develop for a longer duration. They’re also working to generate other human organs in pigs, including the heart and pancreas.

The long-term goal is to optimize this technology for human organ transplantation, but the researchers acknowledge the work will be complex and could take many years. Growing a fully functional humanized organ in a pig would require some additional steps because organs are composed of multiple types of cells and tissues. In this study, the researchers created a niche for only one subset of cells, which meant that the kidneys had pig-derived vascular cells, and this could cause organ rejection if they were used in a transplant scenario.

“Because organs are not composed of just one cell lineage, in order to have an organ where everything comes from the human, we would probably need to engineer the pigs in a much more complex way and that also brings some additional challenges,” says senior author Miguel A. Esteban of Guangzhou Institutes of Biomedicine and Health.

In the meantime, this technology could be used to study the development of human organs and developmental diseases.

“Before we get to that late state of making organs that can be on the shelf for clinical practice, this method provides a window for studying human development,” says Esteban. “You can trace the human cells you’re injecting and manipulate them so that you can study diseases and how cell lineages are formed.”

This figure shows a close up of humanized kidney cells (red fluorescence) inside the embryo compared to a "wildtype" pig embryo.

CREDIT

Wang, Xie, Li, Li, and Zhang et al/Cell Stem Cell

This research was supported by the Strategic Priority Research Program of the Chinese Academy of Sciences, the National Key Research and Development Program of China, the Basic Research Project of Guangzhou Institutes of Biomedicine and Health, the Chinese Academy of Sciences, the Guangdong Basic and Applied Basic Research Foundation, Hainan Provincial Key Research and Development Program, the Major Science and Technology Project of Hainan Province, the 2020 Research Program of Sanya Yazhou Bay Science and Technology City, the China Postdoctoral Science Foundation, the National Natural Science Foundation of China, the Science and Technology Planning Project of Guangdong Province, and the Chinese Academy of Medical Sciences.

Cell Stem Cell, Wang, Xie, Li, Li, and Zhang et al. ‘Generation of a Humanized Mesonephros in Pigs from Induced Pluripotent Stem Cells via Embryo Complementation’ https://www.cell.com/cell-stem-cell/fulltext/S1934-5909(23)00286-2 

Cell Stem Cell (@CellStemCell), published by Cell Press, is a monthly journal that publishes research reports describing novel results of unusual significance in all areas of stem cell research. Each issue also contains a wide variety of review and analysis articles covering topics relevant to stem cell research ranging from basic biological advances to ethical, policy, and funding issues. Visit: http://www.cell.com/cell-stem-cell. To receive Cell Press media alerts, contact press@cell.com.


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