WHAT AND WHEN WAS THE FIRST HUMAN ORGAN TO BE TRANSPLANTED SUCCESSFULLY?

In 1954, the kidney was the first human organ to be transplanted successfully. Until the early 1980s, the potential of organ rejection limited the number of transplants performed.

 The first ever successful transplant of any organ was done at the Brigham & Women's Hospital in Boston, Ma. The surgery was done by Dr. Joseph Murray, who received the Nobel Prize in Medicine for his work. The reason for his success was due to Richard and Ronald Herrick of Maine. Richard Herrick was a in the Navy and became severely ill with acute renal failure. His brother Ronald donated his kidney to Richard, and Richard lived another 8 years before his death. Before this, transplant recipients didn't survive more than 30 days. The key to the successful transplant was the fact that Richard and Ronald were identical twin brothers and there was no need for anti-rejection medications, which was not known about at this point. This was the most pivotal moment in transplant surgery because now transplant teams knew that it could be successful and the role of rejection/anti-rejection medicine.

Credit : Wikipedia 

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WHAT TYPE OF VACCINE IS R21?

Scientists behind the Oxford-AstraZeneca coronavirus shot have produced the vaccine. "This was by far a much more difficult vaccine to make work." Adrian Hill, the Jenner Institute's director, said in northern Tanzania on a visit to field trials of the R21/Matrix-M malaria vaccine.

While the coronavirus responsible for Covid-19 has 12 genes, Plasmodium-the parasite that causes malaria - has more than 5,000 genes. It's an organism that infects the liver and bloodstream, infecting red blood cells.  Hill explains that R21/Matrix-M combines the R21 vaccine with a vaccine booster or adjuvant Matrix-M, which stimulates the human immune system to attack the parasite.  When an infectious mosquito feeds on a human being, it injects parasites in a form called sporozoites into the bloodstream, where they travel directly to the liver. The sporozoites divide rapidly, producing around 20,000 merozoites that rupture the liver cells and invade red blood cells.  R21 targets a circumsporozoite protein (CSP) present on the parasite's surface during the sporozoite stage. CSP rarely mutates among the four strains of malaria parasites that infect humans. The human body does not readily react with a complete immune response to foreign proteins. The R21 focus on CSP boosted by the proprietary Novavax adjuvant- produces a more robust, better-targeted antibody response.  Clinical trials are now moving to the third phase in four countries across Africa - Mali, Tanzania, Kenya, and Burkina Faso.

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