Superiority of the two-layer method before islet isolation confirmed by in vivo viability assessment

被引:13
作者
Kakinoki, K [1 ]
Fujino, Y [1 ]
Suzuki, Y [1 ]
Li, S [1 ]
Tanioka, Y [1 ]
Sakai, T [1 ]
Kuroda, Y [1 ]
机构
[1] Kobe Univ, Grad Sch Med, Dept Clin Mol Med, Div Gastroenterol Surg,Chuo Ku, Kobe, Hyogo 6500017, Japan
关键词
two-layer method; islet transplantation; in vivo function;
D O I
10.1097/01.TP.0000154914.34121.72
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Background. Although the outcome of islet transplantation has improved, there remains a major obstacle in isolating viable islets from prolonged preserved pancreas. We previously reported that the two-layer cold storage method (TLM) improved the yield and in vitro function. In this study, we performed in vivo accurate functional analyses of islets from TLM-preserved pancreas and investigated pancreatic duct cell viability, which may critically affect islet isolation. Methods. Rat islets isolated from fresh pancreas (group 1), after preservation in the University of Wisconsin (UW) solution (group 2) or by the TLM (group 3), were examined by assessing islet yields, stimulation indices, cure rates after transplantation to diabetic nude mice, and trypan blue uptake of pancreatic duct cells. Results. TLM significantly improved the islet yield compared with UW cold storage. The cure rates after transplantation were 100%, 0%, and 80% for groups 1, 2, and 3, respectively. This indicates that islet viability was well maintained even after 24 hr of TLM preservation. The percentages of nonviable duct cells were 4.1% +/- 1.9%, 48.3% +/- 8.0%, and 26.1% +/- 21.4% in groups 1, 2, and 3, respectively, showing that the TLM was superior to UW as seen by this duct cell viability assessment. Conclusions. The TLM used for pancreas preservation before islet isolation results in excellent islet function in addition to improved islet yield comparable to freshly isolated islets. The underlying mechanism may be duct cell viability maintained during TLM preservation. Therefore the TLM is an excellent preservation technique for isolating sufficient numbers of highly viable islets.
引用
收藏
页码:1516 / 1521
页数:6
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