# John Putnam Merrill: the unsung Hero behind the first successful renal transplantation

**Authors:** Reza Abdi

PMC · DOI: 10.3389/frtra.2025.1620534 · 2025-06-16

## TL;DR

John Putnam Merrill was a key figure in the first successful kidney transplant and developed the first functional dialysis machine.

## Contribution

Merrill's work established the dialysis-to-transplant model, which became a global standard for lifesaving kidney treatments.

## Key findings

- Merrill's dialysis machine stabilized the patient before the first successful kidney transplant.
- The Peter Bent Brigham Hospital became the only hospital worldwide capable of combining dialysis and transplantation.
- Merrill's dialysis-to-transplant model has saved thousands of lives globally.

## Abstract

The first successful renal transplantation, performed between the Herrick twins at Peter Bent Brigham Hospital (PBBH) in 1954, was the culmination of four decades of collaboration among an exceptional group of physician-scientists and hospital leadership. PBBH was built with the primary goal of establishing an institution dedicated to biomedical research. John Merrill, a cardiologist who would go on to lay the foundation of modern nephrology, was perhaps one of the most important leaders in this effort. In addition to his pioneering transplantation work, Merrill developed what became the first functional dialysis machine that played a crucial role in stabilizing the diseased Herrick twin brother in preparation for the transplantation surgery—an operation that would go down in history as the world's first successful organ transplantation. Through these collective efforts, PBBH became the only hospital in the world at the time capable of offering a lifesaving dialysis-transplant procedure that combined both groundbreaking interventions. The dialysis-to-transplant model developed by Merrill has subsequently been adopted worldwide and saved thousands of lives.

## Full-text entities

- **Diseases:** hypertension (MESH:D006973), potassium (MESH:D011191), toxicity (MESH:D064420), pernicious anemia (MESH:D000752), heart failure (MESH:D006333), rheumatic mitral stenosis (MESH:D008946), GN (MESH:D005921), retinal hemorrhage (MESH:D012166), kidney disease (MESH:D007674), malignant hypertension (MESH:D006974), seizures (MESH:D012640), premature death (MESH:D003643), hydrocephalus (MESH:D006849), end-stage renal disease (MESH:D007676), Renal Failure (MESH:D051437), uremia (MESH:D014511), uremic encephalopathy (MESH:D006463)
- **Chemicals:** Vitamin B12 (MESH:D014805)
- **Species:** Canis lupus familiaris (dog, subspecies) [taxon 9615], Homo sapiens (human, species) [taxon 9606]

## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12206869/full.md

---
Source: https://tomesphere.com/paper/PMC12206869