Background
An initial observation suggested high levels of anti-pig antibodies in healthy humans who had spent their childhood in the Middle-East. We tested larger cohorts to determine whether anti-pig antibody levels correlated with the geographic location in which the subject spent his/her childhood, as this might have implications for clinical trials of xenotransplantation.
Methods
Anti-pig IgM and IgG levels (by flow cytometry using PBMC from wild-type [WT] and α1, 3-galactosyltransferase gene-knockout [GTKO] pigs), and anti-Gal IgM and IgG levels (by ELISA) were measured in 75 volunteers. Comparisons of antibody levels were also made on the basis of subject age, gender, ABO blood group, diet, and history of vaccination.
Results
Antibody binding to GTKO pig cells was less than to WT cells. There was a reduction in anti-pig IgM and anti-Gal IgM, but a slight increase in anti-non Gal IgG, with age. Women had higher levels of anti-Gal IgM than men. Blood group A subjects had higher levels of anti-pig IgM and IgG than those of group AB. Diet had no influence on antibody levels. Typhoid or MMR vaccination was associated with lower anti-nonGal IgG or anti-Gal IgG, respectively, whereas influenza vaccination was associated with higher anti-nonGal IgG. There were some significant variations in antibody levels associated with location during childhood, with subjects from the middle-east demonstrating higher anti-nonGal IgG and anti-Gal IgG.
Conclusion
Clinical trials of xenotransplantation may be influenced by various factors, including the geographic location of the recipient during childhood, possibly associated with exposure to different microorganisms.