Current status of clinical islet transplantation

被引:124
作者
Korsgren, O [1 ]
Nilsson, B
Berne, C
Felldin, M
Foss, A
Kallen, R
Lundgren, T
Salmela, K
Tibell, A
Tufveson, G
机构
[1] Univ Uppsala Hosp, Dept Radiol Oncol & Clin Immunol, Div Clin Immunol, Rudbeck Lab, SE-75185 Uppsala, Sweden
[2] Univ Uppsala Hosp, Div Med, Dept Med Sci, SE-75185 Uppsala, Sweden
[3] Univ Hosp Gothenburg, Dept Surg Sci, Div Transplantat Surg, Gothenburg, Sweden
[4] Univ Hosp Oslo, Dept Transplantat Surg, Oslo, Norway
[5] Univ Hosp Malmo, Dept Nephrol & Transplantat, Malmo, Sweden
[6] Karolinska Inst, Dept Transplantat Surg, Stockholm, Sweden
[7] Univ Helsinki, Surg Hosp, Div Transplantat, Helsinki, Finland
[8] Univ Uppsala Hosp, Dept Surg Sci, Div Transplantat Surg, Uppsala, Sweden
关键词
D O I
10.1097/01.TP.0000157273.60147.7C
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Islet transplantation is currently being explored as a treatment for patients with type I diabetes. At present, the number of patients becoming insulin-independent is rapidly increasing world-wide applying the transplantation protocol originally described by the group in Edmonton. A hallmark in this procedure is repeated infusions of islets obtained from 2 to 4 donors until normoglycemia is achieved. In order to establish islet transplantation as a widely accepted treatment modality, and make tolerance induction regimes applicable, it is essential that the donorrecipient ratio is brought down to 1: 1. A conceivable strategy to achieve this goal in clinical islet transplantation is discussed.
引用
收藏
页码:1289 / 1293
页数:5
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