Pig kidney transplanted in human For the first time, a kidney from a genetically engineered pig has been transplanted into a human without triggering hyperacute rejection by the recipient’s immune system Alpha-gal Nucleus Pig DNA Pig cell 1. Pig cells: Branched sugar group called alpha-gal occurs on cell surfaces. Alpha-gal triggers immediate rejection by human body Chromosome DNA Gene 2. Gal gene: Genetic modification of pig cells knocks out gene that produces alpha-gal sugar chain 3. Cloning: Modified DNA used to breed herd of Gal knock-out pigs 4. Human gene: Added to pig cells to produce protein called CD46. Protein moderates action of patient’s immune system 5. Transplant: Kidney is attached to blood vessels at top of patient’s leg, but kept outside body Patient showed signs of kidney dysfunction Sources: Revivicor, New York University Picture: Courtesy of NYU Langone Health © GRAPHIC NEWS