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Glossary / Life sciences and medicine

Carbohydrate antigen

A sugar chain on the cell surface that the immune system uses as a target. In xenotransplantation the key example is α-Gal, present in pigs but absent in humans.

In 1988 Uri Galili and colleagues showed that α-Gal, a sugar chain on the cells of most mammals, is missing only in humans, apes and Old World monkeys — which instead carry large amounts of antibody against it[1]. A pig organ placed in a human is destroyed by that antibody within minutes to hours (hyperacute rejection).

In 2002 pigs lacking the gene that makes this sugar were produced[2], making xenotransplantation a realistic research target. Today's donor pigs typically have three such sugar-making genes removed.

Related terms

  • XenotransplantationTransplanting organs or tissues from animals into humans. Today the main candidates are kidneys and hearts from genetically modified pigs.
  • Antibody-mediated rejectionRejection in which the recipient produces antibodies against a transplanted organ, and those antibodies attack the organ's blood vessels and gradually impair it.