In the United States, 11 people die every day while waiting for a
kidney transplant. An estimated 90,000 people are waiting for this vital
organ to overcome kidney failure. A figure that demonstrates the need
for donors. The problem is that you need the right organ for the right
blood type.
A question of blood compatibility
Indeed, a
large proportion of organ transplants are complicated by the patient's
immune response. The body rejects what seems foreign. While this is a
good thing when it comes to viruses or bacteria, it proves problematic
when it comes to receiving a vital organ. A large part of this rejection
is based on an individual's blood type.
Our blood is made up of
sugars called antigens, which ensure that every cell has the same
antigen. If it detects the opposite, it provokes a violent immune
reaction to drive out the intruder. Thus, people with type A blood will
not tolerate the organs of those with type B blood, and vice versa.
Those with type AB blood can receive one or the other without being able
to provide their own organs, while those with type O blood can donate
to all but must receive organs from their own type. Since they are
universal donors, type O organs are often preferred everywhere, to the
detriment of those with this blood type, who have to wait years for an
organ such as a kidney.
Eliminating antigens
This
incompatibility can be combated by a difficult treatment in hospital,
where a donor's immune system has to be knocked out completely. This is a
time-consuming procedure, which also requires the donor to be alive.
However,
Dr Stephen Withers of UBC (University of British Columbia) has managed
to find enzymes that are able to eliminate A and B antigens on the
surface of an organ so that it appears as a type O organ. In this way,
he and his team were able to transplant a kidney into a brain-dead
patient (with the family's permission) who had received the enzyme
treatment. The scientists were then able to observe the body's reaction
to the organ. For the first two days, the organ functioned very well. By
the third day, there were a few small immune responses, but nothing
that couldn't easily be controlled with immunosuppressants.

A universal recipe?
So,
are we on the verge of a universal recipe for organ donation? The
potential is there, according to Professor Withers, for whom this first
experiment on a human body is very encouraging. It could enable type O
patients to receive organs, such as kidneys, much more quickly, even
from deceased people who have approved the donation of their organs on
death. All that's needed is to subject them to this enzymatic treatment,
so that the immune response is virtually suppressed in the recipient.
It will be interesting to see how this finding is followed up on
conscious patients.
Illustration - Kidneys - 2593372771
References
Breakthrough: Scientists Create 'Universal' Kidney To Match Any Blood Type - https://www.sciencealert.com/breakthrough-scientists-create-universal-kidney-to-match-any-blood-type
UBC enzyme technology clears first human test toward universal donor organs for transplantation - https://news.ubc.ca/2025/10/universal-organ-transplant/
Breakthrough Test Predicts Whether Organ Transplants Will Be Rejected - https://www.sciencealert.com/breakthrough-test-predicts-whether-organ-transplants-will-be-rejected
The incredible story of organ transplants - https://cursus.edu/fr/14447/lincroyable-histoire-des-greffes-dorgane
UBC enzyme technology successfully completes first human trial for universal organ transplants - https://www.ctvnews.ca/vancouver/article/ubc-enzyme-technology-successfully-completes-first-human-trial-for-universal-organ-transplants/
Blood type - https://fr.wikipedia.org/wiki/Groupe_sanguin
90,000 people are waiting for a kidney. Here's one way to get them a kidney faster. - https://unos.org/news/90000-people-are-waiting-for-a-kidney-heres-one-way-to-get-them-a-kidney-faster/
3D printing, a major ally in healthcare - https://cursus.edu/fr/12041/limpression-3d-une-alliee-de-taille-en-sante