Gastric fundus submucosa as a site for islets transplantation: An experimental study

被引:1
作者
Antunes de Mesquita, Gustavo Heluani [1 ]
Jardim, Yuri Justi [1 ]
Iuamoto, Leandro Ryuchi [1 ]
Suguita, Fabio Yuji [1 ]
Essu, Felipe Futema [1 ]
Oliveira, Lucas Torres [1 ]
Meyer, Alberto [2 ,3 ]
Crescenzi, Alessandra [3 ]
Rocha-Santos, Vinicius [3 ]
Galvao, Flavio H. F. [3 ]
Andraus, Wellington [2 ]
Chaib, Eleazar [3 ]
Carneiro D'Albuquerque, Luiz Augusto [2 ,3 ]
机构
[1] Univ Sao Paulo, Fac Med FMUSP, Dr Nicolau de Souza Queiros St,406,Apartment 92, Sao Paulo, SP, Brazil
[2] Univ Sao Paulo, Fac Med, Hosp Clin HCFMUSP, Dept Gastroenterol, Sao Paulo, SP, Brazil
[3] Univ Sao Paulo, Fac Med, Hosp Clin HCFMUSP, Div Transplante Figado,LIM 37, Sao Paulo, SP, Brazil
基金
巴西圣保罗研究基金会;
关键词
Gastric fundus submucosa; Islets transplantation; Type; 1; diabetes;
D O I
10.1016/j.amsu.2017.12.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Islets of Langerhans transplantation is a promising alternative for glycemic control in patients with type 1 diabetes. The graft site is a factor that has large impact on the functioning of this transplant, and the stomach appears to be a promising location. Our objective is to describe a new experimental model for the grafting of Islets of Langerhans in rat stomachs. Methodology: Islets of Langerhans were extracted from 45 isogenic male rats of the Lewis lineage and transplanted into 9 isogenic rats of the Wistar lineage; 5 in the gastric body submucosa, and 4 in the gastric fundus submucosa. Normoglycemia was defined as two successive measurements of < 250 mg/dL. No immunosuppression was used. The two groups glycemia control improvement were compared with t-student test. Results: The results obtained following the transplantation of the islets in 9 rats showed between 995 and 2310 islets transplanted (mean of 1367). The rats from the gastric submucosa group had a better glycemic level improvement, with a confidence equal to 83.94%. Conclusion: Islets graft into the gastric fundus submucosa is a viable model with potential for adequate glycemic control. This model gives potential for new perspectives and future studies in this area.
引用
收藏
页码:1 / 5
页数:5
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