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Blocking "Xenophagocytosis": A Key Step Toward Growing Human Organs in Animals

Release time:

2026-06-12

Organ shortage is a long-standing challenge in global transplant medicine. Patients who undergo allogeneic or xenogeneic organ transplantation often require lifelong immunosuppression, which limits their quality of life and long-term prognosis. More than a decade ago, scientists proposed the concept of interspecific blastocyst complementation (IBC): injecting pluripotent stem cells from one species into the blastocyst of another species, allowing donor cells to develop into functional organs within the host. Theoretically, this could enable the growth of human organs in large animals such as pigs. However, in practice, the chimeric efficiency of cross-species cells has been extremely low, long regarded as an "insurmountable barrier."


Recently, a research team led by Professor Hiromitsu Nakauchi at Stanford University School of Medicine published a breakthrough study in Cell, revealing for the first time the core mechanism behind this obstacle—"xenophagocytosis"—and proposing actionable strategies to block it, offering a new path toward efficient generation of human organs in animals.
The team found that in mouse-rat interspecific chimeric embryos, the number of donor cells dropped sharply between days 9 and 11 of development. Further tracking showed that primitive macrophages, the earliest innate immune cells to appear, selectively recognize and engulf living cross-species cells but not same-species cells. This clearance mechanism was named "xenophagocytosis."


At the molecular level, the surface of cross-species cells exhibits significantly elevated levels of phosphatidylserine, an "eat-me" signal recognized by the macrophage receptor Axl. Meanwhile, the "don't-eat-me" signal CD47, which protects cells from phagocytosis, is underexpressed in cross-species cells, leading to a signaling imbalance.
Targeting this mechanism, the team proposed and validated three independent strategies:

Host-side intervention: Depleting macrophages or knocking out the Axl receptor in mouse embryos.

Donor-side intervention: Overexpressing the "don't-eat-me" signal CD47 in human or pluripotent stem cells.

Donor-side intervention: Overexpressing ATP11C flippase, which regulates phosphatidylserine distribution, to reduce exposure of the "eat-me" signal.


Experiments showed that any of these strategies significantly blocked xenophagocytosis, greatly increased the chimeric rate of rat cells in mouse embryos, and enabled more efficient reconstruction of rat pancreata. More importantly, in human-cell–mouse-embryo models, depleting host macrophages similarly enhanced the chimeric ability of human donor cells.
This study not only explains why interspecific chimerism has been difficult to achieve but also provides directly actionable solutions. Combined with the team's earlier concept of the "organ niche"—reserving developmental space for a missing organ in the host—blocking xenophagocytosis could bring the goal of "growing human organs in pigs" from theory to reality. If such organs can be successfully generated in the future, they could fundamentally solve the problem of immune rejection, making organ transplantation no longer dependent on donations or lifelong medication.


Experts in the field believe that this study has found the key to protecting cross-species cells from early immune system clearance, opening a new door for regenerative medicine.

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