This is a time ofexcitement and progress in the field ofxenotransplantation. The work described in this book traces the development of the science of cross-spe cies transplantation, summarizes the current state ofour knowledge, and focuses on approaches directed toward future clinical application. The important question is not whether xenotransplantation will succeed, but rather how and under what circumstances xenografts will provide predictable enough results to warrant clinical application. The fact that the best results to date in clinical xenografting were achieved over three decades ago should not be a matter of discouragement, but rather a stimulus to apply new approaches to this area of work. The shortage of human organs for transplantation is cited frequently as the driving force behind the increased interest in xenotransplantation. This shortage is an undeniable fact, but there are additional potential advantages of xenotrans plantation, such as the ability to schedule replacement surgery on an elective basis and the modification of animals, organs, and tissues to improve acceptabil ity in the human host. The advances in the basic science ofxenotransplantation outlined in this book give hope that the immunologic barriers to xenotransplantation will be overcome and that transplanted organs and tissues will succeed consistently in humans. However, if our experience with human allografts provides an analogy, we may anticipate that clinical progress in xenografts will be plagued by failures and rewarded by successes, often without a complete understanding of the mechan isms involved.
This is a time ofexcitement and progress in the field ofxenotransplantation. The work described in this book traces the development of the science of cross-spe cies transplantation, summarizes the current state ofour knowledge, and focuses on approaches directed toward future clinical application. The important question is not whether xenotransplantation will succeed, but rather how and under what circumstances xenografts will provide predictable enough results to warrant clinical application. The fact that the best results to date in clinical xenografting were achieved over three decades ago should not be a matter of discouragement, but rather a stimulus to apply new approaches to this area of work. The shortage of human organs for transplantation is cited frequently as the driving force behind the increased interest in xenotransplantation. This shortage is an undeniable fact, but there are additional potential advantages of xenotrans plantation, such as the ability to schedule replacement surgery on an elective basis and the modification of animals, organs, and tissues to improve acceptabil ity in the human host. The advances in the basic science ofxenotransplantation outlined in this book give hope that the immunologic barriers to xenotransplantation will be overcome and that transplanted organs and tissues will succeed consistently in humans. However, if our experience with human allografts provides an analogy, we may anticipate that clinical progress in xenografts will be plagued by failures and rewarded by successes, often without a complete understanding of the mechan isms involved.
The cover of this book depicts a Lamassu, one of the "fabulous" beasts of mythology [1]. Like many similar creatures, such as the Chimera, Griffon, Hippocamp, and Cockatrice, the body of the Lamassu was clearly a combination of structures derived from sev eral different species - in other words, it provides a highly success ful example of xenotransplantation. But in selecting a symbol of xenotransplantation to grace the cover of this volume, why choose the Lamassu in preference to the other ancient beasts? The reason is that the Lamassu appears to have been endowed with a much Fig. I. Homer described the Chimera as consisting of a lion''s foreparts, a goat in the middle, and a serpent''s hind parts VIII Foreword Fig. 2. The Griffon had the foreparts of an eagle, and the rear, tail, and hindlegs of a lion. Its eagle-like head had pointed, upstanding ears like those of an ass. Feathers grew upon its head, neck and chest, and the rest of its body was covered in leonine fur more benign and desirable character than many of its mythologi cal associates. For example, reliable reports state that the Chimera (Fig. 1) hitherto the animal most commonly selected to symbolize xenografting - killed everyone who came within range of its fiery breath. Perhaps not surprisingly, therefore, the Chimera is vari ously described as one of the "largest monsters ever born," a "sav age creature," and a "symbol of complex evil.
This is a time ofexcitement and progress in the field ofxenotransplantation. The work described in this book traces the development of the science of cross-spe cies transplantation, summarizes the current state ofour knowledge, and focuses on approaches directed toward future clinical application. The important question is not whether xenotransplantation will succeed, but rather how and under what circumstances xenografts will provide predictable enough results to warrant clinical application. The fact that the best results to date in clinical xenografting were achieved over three decades ago should not be a matter of discouragement, but rather a stimulus to apply new approaches to this area of work. The shortage of human organs for transplantation is cited frequently as the driving force behind the increased interest in xenotransplantation. This shortage is an undeniable fact, but there are additional potential advantages of xenotrans plantation, such as the ability to schedule replacement surgery on an elective basis and the modification of animals, organs, and tissues to improve acceptabil ity in the human host. The advances in the basic science ofxenotransplantation outlined in this book give hope that the immunologic barriers to xenotransplantation will be overcome and that transplanted organs and tissues will succeed consistently in humans. However, if our experience with human allografts provides an analogy, we may anticipate that clinical progress in xenografts will be plagued by failures and rewarded by successes, often without a complete understanding of the mechan isms involved.
This is a time ofexcitement and progress in the field ofxenotransplantation. The work described in this book traces the development of the science of cross-spe cies transplantation, summarizes the current state ofour knowledge, and focuses on approaches directed toward future clinical application. The important question is not whether xenotransplantation will succeed, but rather how and under what circumstances xenografts will provide predictable enough results to warrant clinical application. The fact that the best results to date in clinical xenografting were achieved over three decades ago should not be a matter of discouragement, but rather a stimulus to apply new approaches to this area of work. The shortage of human organs for transplantation is cited frequently as the driving force behind the increased interest in xenotransplantation. This shortage is an undeniable fact, but there are additional potential advantages of xenotrans plantation, such as the ability to schedule replacement surgery on an elective basis and the modification of animals, organs, and tissues to improve acceptabil ity in the human host. The advances in the basic science ofxenotransplantation outlined in this book give hope that the immunologic barriers to xenotransplantation will be overcome and that transplanted organs and tissues will succeed consistently in humans. However, if our experience with human allografts provides an analogy, we may anticipate that clinical progress in xenografts will be plagued by failures and rewarded by successes, often without a complete understanding of the mechan isms involved.
The cover of this book depicts a Lamassu, one of the "fabulous" beasts of mythology [1]. Like many similar creatures, such as the Chimera, Griffon, Hippocamp, and Cockatrice, the body of the Lamassu was clearly a combination of structures derived from sev eral different species - in other words, it provides a highly success ful example of xenotransplantation. But in selecting a symbol of xenotransplantation to grace the cover of this volume, why choose the Lamassu in preference to the other ancient beasts? The reason is that the Lamassu appears to have been endowed with a much Fig. I. Homer described the Chimera as consisting of a lion''s foreparts, a goat in the middle, and a serpent''s hind parts VIII Foreword Fig. 2. The Griffon had the foreparts of an eagle, and the rear, tail, and hindlegs of a lion. Its eagle-like head had pointed, upstanding ears like those of an ass. Feathers grew upon its head, neck and chest, and the rest of its body was covered in leonine fur more benign and desirable character than many of its mythologi cal associates. For example, reliable reports state that the Chimera (Fig. 1) hitherto the animal most commonly selected to symbolize xenografting - killed everyone who came within range of its fiery breath. Perhaps not surprisingly, therefore, the Chimera is vari ously described as one of the "largest monsters ever born," a "sav age creature," and a "symbol of complex evil.