Abstract:Pigs are considered as ideal donors for xenotransplantation because they have many physiological and anatomical characteristics similar to human beings.However,antibody-mediated immunity,which includes both natural and induced antibody responses,is a major challenge for the success of pig-to-primate xenotransplantation.Various genetic modification methods help to tailor pigs to be appropriate donors for xenotransplantation.In this study,we applied transcription activator-like effector nuclease (TALEN) to knock out the porcine α-1,3-galactosyltransferase gene GGTA1,which encodes Gal epitopes that induce hyperacute immune rejection in pig-to-human xenotransplantation.Meanwhile,human leukocyte antigen-G5 gene HLA-G5,which acts as an immunosuppressive factor,was co-transfected with TALEN into porcine fetal fibroblasts.The cell colonies of GGTA1 biallelic knockout with positive transgene for HLA-G5 were chosen as nuclear donors to generate genetic modified piglets through a single round of somatic cell nuclear transfer.As a result,we successfully obtained 20 modified piglets that were positive for GGTA1 knockout (GTKO) and half of them expressed the HLA-G5 protein.Gal epitopes on the cell membrane of GTKO/HLA-G5 piglets were completely absent.Western blotting and immunofluorescence showed that HLA-G5 was expressed in the modified piglets.Functionally,the fibroblasts from the GTKO/HLA-G5 piglets showed enhanced resistance to complement-mediated lysis ability compared with those from GTKO-only or wild-type pigs.These results indicate that the GTKO/HLA-G5 pigs could be a valuable donor model to facilitate laboratory studies and clinics for xenotransplantation.