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Could Pigs Solve the Organ Shortage?

Tim Andrews had end-stage kidney disease, which means his kidneys had almost completely stopped working. Then he got a transplant from a very unexpected donor: a pig.

Your kidneys work like filters. They clean waste and extra water out of your blood, and that waste leaves your body as urine. When the kidneys fail, many patients go on dialysis. A machine filters their blood for them, usually for several hours at a time, a few times a week. Dialysis keeps people alive, but it’s exhausting and takes up a lot of time. Tim depended on it before his transplant. Or, more precisely, before his first transplant.

Tim’s new kidney came from a Yucatán miniature pig, a small breed named after a region in Mexico. The pig had been genetically modified, which means scientists changed some of its genes. These changes made the kidney more like a human one, so Tim’s immune system would be less likely to attack it. Normally, the body treats an organ from another animal as an invader and rejects it. Tim lived for almost nine months without dialysis, longer than any living person who had received a pig kidney before him.

Eventually, Tim went back on dialysis for a short time. Then he received a second transplant, this time a kidney from a human donor. Other people have received pig kidneys, but Tim was the first to go from a pig kidney to a human one.

Living with a pig’s organ might sound strange, but doctors see real promise in it. In the U.S. alone, around 90,000 people are waiting for a kidney transplant, and there aren’t nearly enough human donors. Pig kidneys could one day act as a “bridge,” keeping patients healthy until a human kidney becomes available. Still, this isn’t a solution yet. Researchers are studying how long pig organs can last and whether they’re safe for many more patients.

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