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Enzymatic conversion of human blood group A kidneys to universal blood group O
by
MacMillan, Serena
, Kizhakkedathu, Jayachandran N.
, Nicholson, Michael L.
, Macdonald, Spence S.
, Rahfeld, Peter
, Withers, Stephen G.
, Hosgood, Sarah A.
, Walker-Panse, Léonie
in
13/31
/ 14
/ 14/1
/ 14/19
/ 631/80/221
/ 692/308/2778
/ 692/308/575
/ 692/4022/272
/ ABO system
/ Antibodies
/ Antigens
/ Blood group A
/ Blood group O
/ Blood groups
/ Compatibility
/ Humanities and Social Sciences
/ Kidney transplantation
/ Kidneys
/ multidisciplinary
/ Organs
/ Perfusion
/ Science
/ Science (multidisciplinary)
2024
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Enzymatic conversion of human blood group A kidneys to universal blood group O
by
MacMillan, Serena
, Kizhakkedathu, Jayachandran N.
, Nicholson, Michael L.
, Macdonald, Spence S.
, Rahfeld, Peter
, Withers, Stephen G.
, Hosgood, Sarah A.
, Walker-Panse, Léonie
in
13/31
/ 14
/ 14/1
/ 14/19
/ 631/80/221
/ 692/308/2778
/ 692/308/575
/ 692/4022/272
/ ABO system
/ Antibodies
/ Antigens
/ Blood group A
/ Blood group O
/ Blood groups
/ Compatibility
/ Humanities and Social Sciences
/ Kidney transplantation
/ Kidneys
/ multidisciplinary
/ Organs
/ Perfusion
/ Science
/ Science (multidisciplinary)
2024
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Do you wish to request the book?
Enzymatic conversion of human blood group A kidneys to universal blood group O
by
MacMillan, Serena
, Kizhakkedathu, Jayachandran N.
, Nicholson, Michael L.
, Macdonald, Spence S.
, Rahfeld, Peter
, Withers, Stephen G.
, Hosgood, Sarah A.
, Walker-Panse, Léonie
in
13/31
/ 14
/ 14/1
/ 14/19
/ 631/80/221
/ 692/308/2778
/ 692/308/575
/ 692/4022/272
/ ABO system
/ Antibodies
/ Antigens
/ Blood group A
/ Blood group O
/ Blood groups
/ Compatibility
/ Humanities and Social Sciences
/ Kidney transplantation
/ Kidneys
/ multidisciplinary
/ Organs
/ Perfusion
/ Science
/ Science (multidisciplinary)
2024
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Enzymatic conversion of human blood group A kidneys to universal blood group O
Journal Article
Enzymatic conversion of human blood group A kidneys to universal blood group O
2024
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Overview
ABO blood group compatibility restrictions present the first barrier to donor-recipient matching in kidney transplantation. Here, we present the use of two enzymes,
Fp
GalNAc deacetylase and
Fp
Galactosaminidase, from the bacterium
Flavonifractor plautii
to enzymatically convert blood group A antigens from the renal vasculature of human kidneys to ‘universal’ O-type. Using normothermic machine perfusion (NMP) and hypothermic machine perfusion (HMP) strategies, we demonstrate blood group A antigen loss of approximately 80% in as little as 2 h NMP and HMP. Furthermore, we show that treated kidneys do not bind circulating anti-A antibodies in an ex vivo model of ABO-incompatible transplantation and do not activate the classical complement pathway. This strategy presents a solution to the donor organ shortage crisis with the potential for direct clinical translation to reduce waiting times for patients with end stage renal disease.
ABO blood group compatibility restrictions limit the availability of organs for patients awaiting transplantation. Here, the authors show the rapid enzymatic removal of blood group A antigens from the vasculature of human kidneys using normothermic and hypothermic machine perfusion technologies to make universal blood group O organs for transplantation.
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