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Relation between human decay‐accelerating factor (hDAF) expression in pig cells and inhibition of human serum anti‐pig cytotoxicity: value of highly expressed hDAF for xenotransplantation

Abstract:  Background:  Although the successful production of α1,3‐galactosyltransferase‐knockout (GT‐KO) pigs has increased expectations of clinical xenotransplantation, additional modifications of genetically engineered pigs are still being explored, because even GT‐KO pigs are incapable of inhibiting the host's immunological response completely. One of the potential candidates is a complement‐regulatory protein, such as human decay‐accelerating factor (hDAF). However, there are few reports on how high the expression level of hDAF in pig cells would be required for suppression of complement activation. The purpose of this study was to examine the relationship between the level of hDAF expression and its inhibitory effect on human serum cytotoxicity.