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Review | Open Access

Current Status of Kidney Xenotransplantation in Basic Research

Yu Luo1 Bingzhuo Liu2Weijie Lai2 ( )
Zhongshan School of Medicine, Sun Yat‐sen University, Guangzhou, China
Organ Transplant Center, The First Affiliated Hospital of Sun Yat‐sen University, Guangzhou, China
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Abstract

End‐stage kidney disease (ESKD) has become a major global public health challenge, and kidney transplantation is currently the most effective treatment for ESKD. However, the growing severity of the donor organ shortage has severely limited the clinical application of kidney transplantation. As a potential ultimate solution to the organ shortage, kidney xenotransplantation has achieved a series of milestone advances in recent years, driven by breakthroughs in gene editing technology, in‐depth understanding of the pathological processes underlying xenotransplantation rejection, the development of novel immunosuppressive strategies, and the gradual launch of clinical research. This review systematically elaborates on the latest advances in basic research on kidney xenotransplantation, including the optimization of gene‐editing technologies for kidney xenotransplantation, the updated understanding and regulatory strategies of immune rejection mechanisms, and the gene‐editing‐mediated optimization of immune compatibility.

Graphical Abstract

Kidney xenotransplantation is a potential solution to the organ shortage for end‐stage kidney disease. This review systematically elaborates on the application advances of donor pig gene editing technologies, the molecular mechanisms and regulatory strategies of xenogeneic immune rejection, and the optimization approaches of immune compatibility mediated by gene editing. It further discusses biosafety and ethical regulatory construction, analyzes core challenges in large‐scale promotion and long‐term graft survival, and proposes key directions for subsequent technical optimization and system establishment. The Graphical Abstract Image was generated using Seedream 4.5. The authors have carefully reviewed the generated content to ensure its accuracy.

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Organ Medicine
Pages 87-101

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Cite this article:
Luo Y, Liu B, Lai W. Current Status of Kidney Xenotransplantation in Basic Research. Organ Medicine, 2026, 3(2): 87-101. https://doi.org/10.1002/orm2.70040

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Received: 28 January 2026
Revised: 25 February 2026
Accepted: 01 March 2026
Published: 01 April 2026
© 2026 The Author(s).

This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.