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Virus found in pig heart transplanted into man who later died

Researchers trying to learn what killed the first person to receive a heart transplant from a pig have discovered the organ harboured an animal virus, but they cannot yet say if it played any role in the man’s death.

The patient, David Bennett, 57, died in March, two months after the groundbreaking experimental transplant.

University of Maryland doctors said on Thursday they found an unwelcome surprise — viral DNA inside the pig heart. They did not find signs that the bug, called porcine cytomegalovirus, was causing an active infection.

But a major worry about animal-to-human transplants is the risk that it could introduce new kinds of infections to people.

An older man lying in a hospital bed. A younger man wearing a face mask stands beside him
David Bennett, pictured with his son, received the organ in January 2022.(Supplied: University of Maryland School of Medicine)

Because some viruses are “latent”, meaning they lurk without causing disease, “it could be a hitchhiker,” Bartley Griffith, the surgeon who performed Mr Bennett’s transplant, said.

Still, development of more sophisticated tests to “make sure that we don’t miss these kinds of viruses” was underway, Muhammad Mohiuddin, scientific director of the university’s xenotransplant program, said.

The animal virus was first reported by MIT Technology Review, citing a scientific presentation Dr Griffith gave to the American Society of Transplantation last month.

Genetically modified pig was healthy and had passed infection testing by FDA

For decades, doctors have tried using animal organs to save human lives without success.

Two men, one with an oxygen tube in his nose and the other wearing a mask, pose for a selfie.
David Bennett was aware that the operation had no guarantees of success.(AP: Dr Bartley Griffith/University of Maryland School)

Mr Bennett, who was dying and ineligible for a human heart transplant, underwent the last-ditch operation using a heart from a pig genetically modified to lower the risk that his immune system would rapidly reject such a foreign organ.

The Maryland team said the donor pig was healthy, had passed testing required by the Food and Drug Administration to check for infections, and was raised in a facility designed to prevent animals from spreading infections.

Revivicor, the company that provided the animal, declined to comment.

Dr Griffith said his patient, while very ill, had been recovering fairly well from the transplant when one morning he woke up worse, with symptoms similar to an infection.

Doctors ran numerous tests to try to understand the cause, and gave Mr Bennett a variety of antibiotics, antiviral medication and an immune-boosting treatment. But the pig heart became swollen, filled with fluid and eventually stopped functioning.

The reaction also did not appear to be a typical organ rejection, he said, noting the investigation still was underway.

Meanwhile doctors at other medical centres around the country have been experimenting with animal organs in donated human bodies and are anxious to attempt formal studies in living patients soon. It is not clear how the pig virus will affect those plans.

AP

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