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Porcine antihuman lymphocyte immunoglobulin (pATG or pALG) is a porcine-derived polyclonal antithymocyte globulin (ATG) preparation used as an immunosuppressive agent. It is produced by immunizing healthy pigs with human-derived thymocytes or peripheral lymphocytes, followed by purification of the porcine IgG fraction. pATG acts by binding to a wide range of T-cell surface antigens, leading to T-lymphocyte depletion via complement-dependent cytolysis and antibody-dependent cell-mediated cytotoxicity, as well as the inhibition of T-cell activation and proliferation. It is primarily approved and used in China for the treatment of severe aplastic anemia (SAA) and as induction therapy or graft-versus-host disease (GvHD) prophylaxis in hematopoietic stem cell and solid organ transplantation.
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