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Islet Transplantation: Factors in Short-Term Islet Survival

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Archivum Immunologiae et Therapiae Experimentalis Aims and scope

Abstract

Islet transplantation has the potential to cure type 1 diabetes. In recent years, the proportion of patients achieving initial insulin independence has improved, but longer term outcomes remain poor compared to those for whole pancreas transplants. This review article will discuss factors affecting islet yield and viability leading up to transplantation and in the immediate post-transplant period.

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Abbreviations

ADSC:

Adipose derived stem cells

IBMIR:

Instant blood-mediated inflammatory reaction

MSC:

Mesenchymal stem cells

SC:

Sertoli cells

T1D:

Type 1 diabetes

References

  • (1998) Effect of intensive insulin therapy on residual beta-cell function in patients with type 1 diabetes in the Diabetes Control and Complications Trial a randomized controlled trial. The Diabetes Control and Complications Trial Research Group. Ann Intern Med 128:517–523

  • Agrawal A, Gurusamy K, Powis S et al (2008) A meta-analysis of the impact of the two-layer method of preservation on human pancreatic islet transplantation. Cell Transplant 17:1315–1322

    Article  PubMed  Google Scholar 

  • Atkinson MA, Eisenbarth GS (2001) Type 1 diabetes: new perspectives on disease pathogenesis and treatment. Lancet 358:221–229

    Article  PubMed  CAS  Google Scholar 

  • Baertschiger RM, Berney T, Morel P (2008) Organ preservation in pancreas and islet transplantation. Curr Opin Organ Transplant 13:59–66

    Article  PubMed  Google Scholar 

  • Ballinger WF, Lacy PE (1972) Transplantation of intact pancreatic islets in rats. Surgery 72:175–186

    PubMed  CAS  Google Scholar 

  • Banting FG, Best CH (2007) The internal secretion of the pancreas. 1922. Indian J Med Res 125:251–266

    PubMed  CAS  Google Scholar 

  • Banting FG, Best CH, Collip JB et al (2007) Pancreatic extracts in the treatment of diabetes mellitus. 1922. Indian J Med Res 125:141–146

    PubMed  CAS  Google Scholar 

  • Bennet W, Sundberg B, Groth CG et al (1999) Incompatibility between human blood and isolated islets of Langerhans: a finding with implications for clinical intraportal islet transplantation? Diabetes 48:1907–1914

    Article  PubMed  CAS  Google Scholar 

  • Bennet W, Groth CG, Larsson R et al (2000) Isolated human islets trigger an instant blood mediated inflammatory reaction: implications for intraportal islet transplantation as a treatment for patients with type 1 diabetes. Ups J Med Sci 105:125–133

    PubMed  CAS  Google Scholar 

  • Bliss M (1993) Rewriting medical history: Charles Best and the Banting and Best myth. J Hist Med Allied Sci 48:253–374

    Article  PubMed  CAS  Google Scholar 

  • Brandhorst D, Hering BJ, Brandhorst H et al (1994) Influence of donor data and organ procurement on human islet isolation. Transplant Proc 26:592–593

    PubMed  CAS  Google Scholar 

  • Brandhorst H, Brandhorst D, Hering BJ et al (1995) Body mass index of pancreatic donors: a decisive factor for human islet isolation. Exp Clin Endocrinol Diabetes 103(suppl 2):23–26

    Article  PubMed  Google Scholar 

  • Brissova M, Powers AC (2008) Revascularization of transplanted islets. Diabetes 57:2269–2271

    Article  PubMed  CAS  Google Scholar 

  • Brown LJ, Scott RS, Moir CL (2001) All-cause mortality in the Canterbury (New Zealand) insulin-treated Diabetic Registry population. Diabetes Care 24:56–63

    Article  PubMed  CAS  Google Scholar 

  • Bucher P, Mathe Z, Morel P et al (2005) Assessment of a novel two-component enzyme preparation for human islet isolation and transplantation. Transplantation 79:91–97

    Article  PubMed  Google Scholar 

  • Bussiere C, Lakey J, Shapiro A et al (2006) The impact of the mTOR inhibitor sirolimus on the proliferation and function of pancreatic islets and ductal cells. Diabetologia 49:2341–2349

    Article  PubMed  CAS  Google Scholar 

  • Caballero-Corbalan J, Eich T, Lundgren T et al (2007) No beneficial effect of two-layer storage compared with UW-storage on human islet isolation and transplantation. Transplantation 84:864–869

    Article  PubMed  Google Scholar 

  • Cabric S, Sanchez J, Lundgren T et al (2007) Islet surface heparinization prevents the instant blood-mediated inflammatory reaction in islet transplantation. Diabetes 56:2008–2015

    Article  PubMed  CAS  Google Scholar 

  • Campbell PM, Salam A, Ryan EA et al (2007a) Pretransplant HLA antibodies are associated with reduced graft survival after clinical islet transplantation. Am J Transplant 7:1242–1248

    Article  PubMed  CAS  Google Scholar 

  • Campbell PM, Senior PA, Salam A et al (2007b) High risk of sensitization after failed islet transplantation. Am J Transplant 7:2311–2317

    Article  PubMed  CAS  Google Scholar 

  • Carlsson PO, Palm F (2002) Oxygen tension in isolated transplanted rat islets and in islets of rat whole-pancreas transplants. Transpl Int 15:581–585

    Article  PubMed  CAS  Google Scholar 

  • Carlsson PO, Liss P, Andersson A et al (1998) Measurements of oxygen tension in native and transplanted rat pancreatic islets. Diabetes 47:1027–1032

    Article  PubMed  CAS  Google Scholar 

  • Carlsson PO, Palm F, Andersson A et al (2001) Markedly decreased oxygen tension in transplanted rat pancreatic islets irrespective of the implantation site. Diabetes 50:489–495

    Article  PubMed  CAS  Google Scholar 

  • Christoffersson G, Henriksnas J, Johansson L et al (2010) Clinical and experimental pancreatic islet transplantation to striated muscle: establishment of a vascular system similar to that in native islets. Diabetes 59:2569–2578

    Article  PubMed  CAS  Google Scholar 

  • CITR (2009) 2009 Scientific Summary of the Collaborative Islet Transplant Registry (CITR). http://www.CITRegistry.org

  • Daneman D (2006) Type 1 diabetes. Lancet 367:847–858

    Article  PubMed  CAS  Google Scholar 

  • de Gruyl J, Westbroek DL, Macdicken I et al (1977) Cryoprecipitated plasma perfusion preservation and cold storage preservation of duct-ligated pancreatic allografts. Br J Surg 64:490–493

    Article  PubMed  Google Scholar 

  • Eisenbarth GS, Stegall M (1996) Islet and pancreatic transplantation—autoimmunity and alloimmunity. N Engl J Med 335:888

    Article  PubMed  CAS  Google Scholar 

  • Emerich DF, Hemendinger R, Halberstadt CR (2003) The testicular-derived Sertoli cell: cellular immunoscience to enable transplantation. Cell Transplant 12:335–349

    PubMed  Google Scholar 

  • Fiaschi-Taesch N, Stewart AF, Garcia-Ocana A (2007) Improving islet transplantation by gene delivery of hepatocyte growth factor (HGF) and its downstream target, protein kinase B (PKB)/Akt. Cell Biochem Biophys 48:191–199

    Article  PubMed  CAS  Google Scholar 

  • Florack G, Sutherland DE, Heil J et al (1983) Preservation of canine segmental pancreatic autografts: cold storage versus pulsatile machine perfusion. J Surg Res 34:493–504

    Article  PubMed  CAS  Google Scholar 

  • Froud T, Ricordi C, Baidal DA et al (2005) Islet transplantation in type 1 diabetes mellitus using cultured islets and steroid-free immunosuppression: Miami experience. Am J Transplant 5:2037–2046

    Article  PubMed  Google Scholar 

  • Froud T, Baidal DA, Faradji R et al (2008) Islet transplantation with alemtuzumab induction and calcineurin-free maintenance immunosuppression results in improved short- and long-term outcomes. Transplantation 86:1695–1701

    Article  PubMed  CAS  Google Scholar 

  • Golocheikine A, Tiriveedhi V, Angaswamy N et al (2010) Cooperative signaling for angiogenesis and neovascularization by VEGF and HGF following islet transplantation. Transplantation 90:725–731

    Article  PubMed  CAS  Google Scholar 

  • Gores P, Najarian J, Stephanian E et al (1993) Insulin independence in type I diabetes after transplantation of unpurified islets from single donor with 15-deoxyspergualin. Lancet 341:19–21

    Article  PubMed  CAS  Google Scholar 

  • Gray H, Williams PL, Bannister LH (1995) Gray’s anatomy: the anatomical basis of medicine and surgery. Churchill-Livingstone, New York

    Google Scholar 

  • Gruessner RW (1997) Tacrolimus in pancreas transplantation: a multicenter analysis. Tacrolimus Pancreas Transplant Study Group. Clin Transplant 11:299–312

    PubMed  CAS  Google Scholar 

  • Grundfest-Broniatowski S, Novick A (1986) Pancreas transplantation—1985. Transplant Proc 18:31–39

    PubMed  CAS  Google Scholar 

  • Hering BJ, Kandaswamy R, Harmon JV et al (2004) Transplantation of cultured islets from two-layer preserved pancreases in type 1 diabetes with anti-CD3 antibody. Am J Transplant 4:390–401

    Article  PubMed  CAS  Google Scholar 

  • Hering BJ, Kandaswamy R, Ansite JD et al (2005) Single-donor, marginal-dose islet transplantation in patients with type 1 diabetes. JAMA 293:830–835

    Article  PubMed  CAS  Google Scholar 

  • Hubert T, Gmyr V, Arnalsteen L et al (2007) Influence of preservation solution on human islet isolation outcome. Transplantation 83:270–276

    Article  PubMed  CAS  Google Scholar 

  • Ito T, Itakura S, Todorov I et al (2010) Mesenchymal stem cell and islet co-transplantation promotes graft revascularization and function. Transplantation 89:1438–1445

    Article  PubMed  Google Scholar 

  • Janette Williams S, Huang HH, Kover K et al (2010) Reduction of diffusion barriers in isolated rat islets improves survival, but not insulin secretion or transplantation outcome. Organogenesis 6:115–124

    Article  PubMed  CAS  Google Scholar 

  • Jirak D, Kriz J, Strzelecki M et al (2009) Monitoring the survival of islet transplants by MRI using a novel technique for their automated detection and quantification. MAGMA 22:257–265

    Article  PubMed  CAS  Google Scholar 

  • Johansson H, Lukinius A, Moberg L et al (2005) Tissue factor produced by the endocrine cells of the islets of Langerhans is associated with a negative outcome of clinical islet transplantation. Diabetes 54:1755–1762

    Article  PubMed  CAS  Google Scholar 

  • Johansson H, Goto M, Siegbahn A et al (2006) Low molecular weight dextran sulfate: a strong candidate drug to block IBMIR in clinical islet transplantation. Am J Transplant 6:305–312

    Article  PubMed  CAS  Google Scholar 

  • Johansson U, Rasmusson I, Niclou SP et al (2008) Formation of composite endothelial cell-mesenchymal stem cell islets: a novel approach to promote islet revascularization. Diabetes 57:2393–2401

    Article  PubMed  CAS  Google Scholar 

  • Johnson PR, White SA, London NJ (1996) Collagenase and human islet isolation. Cell Transplant 5:437–452

    Article  PubMed  CAS  Google Scholar 

  • Jung HS, Choi SH, Kim SJ et al (2007) A better yield of islet cell mass from living pancreatic donors compared with cadaveric donors. Clin Transplant 21:738–743

    PubMed  Google Scholar 

  • Kaddis JS, Danobeitia JS, Niland JC et al (2010) Multicenter analysis of novel and established variables associated with successful human islet isolation outcomes. Am J Transplant 10:646–656

    Article  PubMed  CAS  Google Scholar 

  • Kahn CR, Weir GC, King GL et al (2006) Joslin’s Diabetes Mellitus, 14th edn. Lippincott Williams & Wilkins, Boston

    Google Scholar 

  • Kemp CB, Knight MJ, Scharp DW et al (1973) Effect of transplantation site on the results of pancreatic islet isografts in diabetic rats. Diabetologia 9:486–491

    Article  PubMed  CAS  Google Scholar 

  • Kendall DM, Sutherland DE, Najarian JS et al (1990) Effects of hemipancreatectomy on insulin secretion and glucose tolerance in healthy humans. N Engl J Med 322:898–903

    Article  PubMed  CAS  Google Scholar 

  • Kenmochi T, Maruyama M, Saigo K et al (2008) Successful islet transplantation from the pancreata of non-heart-beating donors. Transplant Proc 40:2568–2570

    Article  PubMed  CAS  Google Scholar 

  • Kin T, Senior P, O’Gorman D et al (2008) Risk factors for islet loss during culture prior to transplantation. Transpl Int 21:1029–1035

    PubMed  Google Scholar 

  • Kinasiewicz A, Fiedor P (2003) Amylase levels in preservation solutions as a marker of exocrine tissue injury and as a prognostic factor for pancreatic islet isolation. Transplant Proc 35:2345–2346

    Article  PubMed  CAS  Google Scholar 

  • Kloppel G, Lohr M, Habich K et al (1985) Islet pathology and the pathogenesis of type 1 and type 2 diabetes mellitus revisited. Surv Synth Pathol Res 4:110–125

    PubMed  CAS  Google Scholar 

  • Korsgren O, Lundgren T, Felldin M et al (2008) Optimising islet engraftment is critical for successful clinical islet transplantation. Diabetologia 51:227–232

    Article  PubMed  CAS  Google Scholar 

  • Kuhtreiber WM, Ho LT, Kamireddy A et al (2010) Islet isolation from human pancreas with extended cold ischemia time. Transplant Proc 42:2027–2031

    Article  PubMed  CAS  Google Scholar 

  • Lacy PE, Kostianovsky M (1967) Method for the isolation of intact islets of Langerhans from the rat pancreas. Diabetes 16:35–39

    PubMed  CAS  Google Scholar 

  • Lai Y, Schneider D, Kidszun A et al (2005) Vascular endothelial growth factor increases functional [beta]-cell mass by improvement of angiogenesis of isolated human and murine pancreatic islets. Transplantation 79:1530–1536

    Article  PubMed  CAS  Google Scholar 

  • Lake SP, Bassett PD, Larkins A et al (1989) Large-scale purification of human islets utilizing discontinuous albumin gradient on IBM 2991 cell separator. Diabetes 38(suppl 1):143–145

    PubMed  CAS  Google Scholar 

  • Lakey J, Warnock G, Rajotte R et al (1995) Factors in cadaveric donors that affect recovery of human islets of Langerhans. Transplant Proc 27:3265

    PubMed  CAS  Google Scholar 

  • Lakey JR, Warnock GL, Rajotte RV et al (1996) Variables in organ donors that affect the recovery of human islets of Langerhans. Transplantation 61:1047–1053

    Article  PubMed  CAS  Google Scholar 

  • Lammert E, Gu G, McLaughlin M et al (2003) Role of VEGF-A in vascularization of pancreatic islets. Curr Biol 13:1070–1074

    Article  PubMed  CAS  Google Scholar 

  • Langer R (2010) Islet transplantation: lessons learned since the Edmonton breakthrough. Transplant Proc 42:1421–1424

    Article  PubMed  CAS  Google Scholar 

  • Lau J, Mattsson G, Carlsson C et al (2007) Implantation site-dependent dysfunction of transplanted pancreatic islets. Diabetes 56:1544–1550

    Article  PubMed  CAS  Google Scholar 

  • Lehmann R, Zuellig RA, Kugelmeier P et al (2007) Superiority of small islets in human islet transplantation. Diabetes 56:594–603

    Article  PubMed  CAS  Google Scholar 

  • Li Y, Xue WJ, Tian XH et al (2010) Study on systemic immune tolerance induction in rat islet transplantation by intravenous infusion of Sertoli cells. Transplantation 89:1430–1437

    Article  PubMed  Google Scholar 

  • Lillehei RC, Idezuki Y, Kelly WD et al (1969a) Transplantation of the intestine and pancreas. Transplant Proc 1:230–238

    PubMed  CAS  Google Scholar 

  • Lillehei RC, Idezuki Y, Uchida H et al (1969b) Pancreatic allotransplantation in the dog and in man. Br J Surg 56:699

    PubMed  CAS  Google Scholar 

  • Lu Y, Jin X, Chen Y et al (2010) Mesenchymal stem cells protect islets from hypoxia/reoxygenation-induced injury. Cell Biochem Funct 28:637–643

    Article  PubMed  CAS  Google Scholar 

  • MacGregor RR, Williams SJ, Tong PY et al (2006) Small rat islets are superior to large islets in in vitro function and in transplantation outcomes. Am J Physiol Endocrinol Metab 290:E771–E779

    Article  PubMed  CAS  Google Scholar 

  • Mahler R, Franke F, Hering B et al (1999) Evidence for a significant correlation of donor pancreas morphology and the yield of isolated purified human islets. J Mol Med 77:87–89

    Article  PubMed  CAS  Google Scholar 

  • Manrique A, Jimenez C, Herrero ML et al (2006) Pancreas preservation with the University of Wisconsin versus Celsior solutions. Transplant Proc 38:2582–2584

    Article  PubMed  CAS  Google Scholar 

  • Matsumoto S, Okitsu T, Iwanaga Y et al (2005) Insulin independence of unstable diabetic patient after single living donor islet transplantation. Transplant Proc 37:3427–3429

    Article  PubMed  CAS  Google Scholar 

  • Mattsson G, Jansson L, Carlsson PO (2002) Decreased vascular density in mouse pancreatic islets after transplantation. Diabetes 51:1362–1366

    Article  PubMed  CAS  Google Scholar 

  • Moberg L, Johansson H, Lukinius A et al (2002) Production of tissue factor by pancreatic islet cells as a trigger of detrimental thrombotic reactions in clinical islet transplantation. Lancet 360:2039–2045

    Article  PubMed  CAS  Google Scholar 

  • Morini S, Brown ML, Cicalese L et al (2007) Revascularization and remodelling of pancreatic islets grafted under the kidney capsule. J Anat 210:565–577

    Article  PubMed  Google Scholar 

  • Nano R, Clissi B, Melzi R et al (2005) Islet isolation for allotransplantation: variables associated with successful islet yield and graft function. Diabetologia 48:906–912

    Article  PubMed  CAS  Google Scholar 

  • Nathan DM, Cleary PA, Backlund JY et al (2005) Intensive diabetes treatment and cardiovascular disease in patients with type 1 diabetes. N Engl J Med 353:2643–2653

    Article  PubMed  Google Scholar 

  • Niclauss N, Bosco D, Morel P et al (2011) Influence of donor age on islet isolation and transplantation outcome. Transplantation 15:360–366

    Article  Google Scholar 

  • Noguchi H, Ueda M, Hayashi S et al (2008) Ductal injection of preservation solution increases islet yields in islet isolation and improves islet graft function. Cell Transplant 17:69–81

    Article  PubMed  Google Scholar 

  • Noguchi H, Naziruddin B, Jackson A et al (2010) Low-temperature preservation of isolated islets is superior to conventional islet culture before islet transplantation. Transplantation 89:47–54

    Article  PubMed  Google Scholar 

  • O’Connell PJ, Hawthorne WJ, Holmes-Walker DJ et al (2006) Clinical islet transplantation in type 1 diabetes mellitus: results of Australia’s first trial. Med J Aust 184:221–225

    PubMed  Google Scholar 

  • Ohmura Y, Tanemura M, Kawaguchi N et al (2010) Combined transplantation of pancreatic islets and adipose tissue-derived stem cells enhances the survival and insulin function of islet grafts in diabetic mice. Transplantation 90:1366–1373

    Article  PubMed  CAS  Google Scholar 

  • Ozmen L, Ekdahl KN, Elgue G et al (2002) Inhibition of thrombin abrogates the instant blood-mediated inflammatory reaction triggered by isolated human islets. Diabetes 51:1779–1784

    Article  PubMed  CAS  Google Scholar 

  • Pileggi A, Ribeiro MM, Hogan AR et al (2009) Effects of pancreas cold ischemia on islet function and quality. Transplant Proc 41:1808–1809

    Article  PubMed  CAS  Google Scholar 

  • Pirsch JD, Miller J, Deierhoi MH et al (1997) A comparison of tacrolimus (Fk506) and cyclosporine for immunosuppression after cadaveric renal transplantation 1. Transplantation 63:977–983

    Article  PubMed  CAS  Google Scholar 

  • Posselt AM, Bellin MD, Tavakol M et al (2010) Islet transplantation in type 1 diabetics using an immunosuppressive protocol based on the anti-LFA-1 antibody efalizumab. Am J Transplant 10:1870–1880

    Article  PubMed  CAS  Google Scholar 

  • Przepiorka D, Kernan NA, Ippoliti C et al (2000) Daclizumab, a humanized anti-interleukin-2 receptor alpha chain antibody, for treatment of acute graft-versus-host disease. Blood 95:83–89

    PubMed  CAS  Google Scholar 

  • Reckard CR, Ziegler MM, Barker CF (1973) Physiological and immunological consequences of transplanting isolated pancreatic islets. Surgery 74:91–99

    PubMed  CAS  Google Scholar 

  • Redmon JB, Olson LK, Armstrong MB et al (1996) Effects of tacrolimus (FK506) on human insulin gene expression, insulin mRNA levels, and insulin secretion in HIT-T15 cells. J Clin Invest 98:2786–2793

    Article  PubMed  CAS  Google Scholar 

  • Rhodes CJ, White MF (2002) Molecular insights into insulin action and secretion. Eur J Clin Invest 32(suppl 3):3–13

    Article  PubMed  CAS  Google Scholar 

  • Ricordi C (1991) Quantitative and qualitative standards for islet isolation assessment in humans and large mammals. Pancreas 6:242–244

    Article  PubMed  CAS  Google Scholar 

  • Ricordi C, Lacy PE, Finke EH et al (1988) Automated method for isolation of human pancreatic islets. Diabetes 37:413–420

    Article  PubMed  CAS  Google Scholar 

  • Ricordi C, Gray DW, Hering BJ et al (1990) Islet isolation assessment in man and large animals. Acta Diabetol Lat 27:185–195

    Article  PubMed  CAS  Google Scholar 

  • Ridgway D, Manas D, Shaw J et al (2010) Preservation of the donor pancreas for whole pancreas and islet transplantation. Clin Transplant 24:1–19

    Article  PubMed  CAS  Google Scholar 

  • Robertson RP (2001) Pancreatic islet transplantation for diabetes: successes, limitations, and challenges for the future. Mol Genet Metab 74:200–205

    Article  PubMed  CAS  Google Scholar 

  • Roep BO (2008) Immune markers of disease and therapeutic intervention in type 1 diabetes. Novartis Found Symp 292:159–171 (discussion 171–153, 202–153)

    Article  PubMed  CAS  Google Scholar 

  • Roep BO, Stobbe I, Duinkerken G et al (1999) Auto- and alloimmune reactivity to human islet allografts transplanted into type 1 diabetic patients. Diabetes 48:484–490

    Article  PubMed  CAS  Google Scholar 

  • Rostambeigi N, Lanza IR, Dzeja PP et al (2011) Unique cellular and mitochondrial defects mediate FK506-induced islet beta-cell dysfunction. Transplantation 91:615–623

    Article  PubMed  CAS  Google Scholar 

  • Ryan EA, Lakey JR, Rajotte RV et al (2001) Clinical outcomes and insulin secretion after islet transplantation with the Edmonton protocol. Diabetes 50:710–719

    Article  PubMed  CAS  Google Scholar 

  • Sabek OM, Cowan P, Fraga DW et al (2006) The effect of donor factors on human islet yield and their in vivo function. Prog Transplant 16:350–354

    PubMed  Google Scholar 

  • Saito Y, Goto M, Maya K et al (2009) The influence of brain death on tissue factor expression in the pancreatic tissues and isolated islets in rats. Transplant Proc 41:307–310

    Article  PubMed  CAS  Google Scholar 

  • Salehi P, Hansen MA, Avila JG et al (2006) Human islet isolation outcomes from pancreata preserved with Histidine-Tryptophan Ketoglutarate versus University of Wisconsin solution. Transplantation 82:983–985

    Article  PubMed  Google Scholar 

  • Scharp DW, Lacy PE, Santiago JV et al (1990) Insulin independence after islet transplantation into type I diabetic patient. Diabetes 39:515–518

    Article  PubMed  CAS  Google Scholar 

  • Scharp DW, Lacy PE, Santiago JV et al (1991) Results of our first nine intraportal islet allografts in type 1, insulin-dependent diabetic patients. Transplantation 51:76–85

    Article  PubMed  CAS  Google Scholar 

  • Scott W, O’Brien T, Ferrer-Fabrega J et al (2010a) Persufflation improves pancreas preservation when compared with the two-layer method. Transplant Proc 42:2016–2019

    Article  PubMed  CAS  Google Scholar 

  • Scott W, Weegman B, Ferrer-Fabrega J et al (2010b) Pancreas oxygen persufflation increases ATP levels as shown by nuclear magnetic resonance. Transplant Proc 42:2011–2015

    Article  PubMed  CAS  Google Scholar 

  • Seaquist ER, Kahn SE, Clark PM et al (1996) Hyperproinsulinemia is associated with increased beta cell demand after hemipancreatectomy in humans. J Clin Invest 97:455–460

    Article  PubMed  CAS  Google Scholar 

  • Shapiro AM, Lakey JR, Ryan EA et al (2000) Islet transplantation in seven patients with type 1 diabetes mellitus using a glucocorticoid-free immunosuppressive regimen. N Engl J Med 343:230–238

    Article  PubMed  CAS  Google Scholar 

  • Shapiro AM, Gallant HL, Hao EG et al (2005) The portal immunosuppressive storm: relevance to islet transplantation? Ther Drug Monit 27:35–37

    Article  PubMed  Google Scholar 

  • Shapiro AM, Ricordi C, Hering BJ et al (2006) International trial of the Edmonton protocol for islet transplantation. N Engl J Med 355:1318–1330

    Article  PubMed  CAS  Google Scholar 

  • Slezak LA, Andersen DK (2001) Pancreatic resection: effects on glucose metabolism. World J Surg 25:452–460

    Article  PubMed  CAS  Google Scholar 

  • Stabler CL, Sun XL, Cui W et al (2007) Surface re-engineering of pancreatic islets with recombinant azido-thrombomodulin. Bioconjug Chem 18:1713–1715

    Article  PubMed  CAS  Google Scholar 

  • Stegall MD, Lafferty KJ, Kam I et al (1996) Evidence of recurrent autoimmunity in human allogeneic islet transplantation. Transplantation 61:1272–1274

    Article  PubMed  CAS  Google Scholar 

  • Suarez-Pinzon W, Korbutt GS, Power R et al (2000) Testicular Sertoli cells protect islet beta-cells from autoimmune destruction in NOD mice by a transforming growth factor-beta1-dependent mechanism. Diabetes 49:1810–1818

    Article  PubMed  CAS  Google Scholar 

  • Svensson J, Lau J, Sandberg M et al (2010) High vascular density and oxygenation of pancreatic islets transplanted in clusters into striated muscle. Cell Transplant (in press)

  • Takita M, Matsumoto S, Noguchi H et al (2010) One hundred human pancreatic islet isolations at Baylor Research Institute. Proc (Bayl Univ Med Cent) 23:341–348

    Google Scholar 

  • Teramura Y, Iwata H (2008) Islets surface modification prevents blood-mediated inflammatory responses. Bioconjug Chem 19:1389–1395

    Article  PubMed  CAS  Google Scholar 

  • Thomas F, Wu J, Contreras JL et al (2001) A tripartite anoikis-like mechanism causes early isolated islet apoptosis. Surgery 130:333–338

    Article  PubMed  CAS  Google Scholar 

  • Toso C, Oberholzer J, Ris F et al (2002) Factors affecting human islet of Langerhans isolation yields. Transplant Proc 34:826–827

    Article  PubMed  CAS  Google Scholar 

  • van der Burg MP, Guicherit OR, Frolich M et al (1994) Cell preservation in University of Wisconsin solution during isolation of canine islets of Langerhans. Cell Transplant 3:315–324

    PubMed  Google Scholar 

  • van der Windt DJ, Bottino R, Casu A et al (2007) Rapid loss of intraportally transplanted islets: an overview of pathophysiology and preventive strategies. Xenotransplantation 14:288–297

    Article  PubMed  Google Scholar 

  • Warnock GL, Cattral MS, Rajotte RV (1988) Normoglycemia after implantation of purified islet cells in dogs. Can J Surg 31:421–426

    PubMed  CAS  Google Scholar 

  • Webster AC, Lee VW, Chapman JR et al (2006) Target of rapamycin inhibitors (TOR-I; sirolimus and everolimus) for primary immunosuppression in kidney transplant recipients. Cochrane Database Syst Rev 19:CD004290

  • White SA, James RF, Swift SM et al (2001) Human islet cell transplantation—future prospects. Diabet Med 18:78–103

    Article  PubMed  CAS  Google Scholar 

  • Williams SJ, Wang Q, Macgregor RR et al (2009) Adhesion of pancreatic beta cells to biopolymer films. Biopolymers 91:676–685

    Article  PubMed  CAS  Google Scholar 

  • Wojtusciszyn A, Bosco D, Morel P et al (2005) A comparison of cold storage solutions for pancreas preservation prior to islet isolation. Transplant Proc 37:3396–3397

    Article  PubMed  CAS  Google Scholar 

  • Yang H, Al-Jazaeri A, Wright JR Jr (2002) The immunoprotective effect of Sertoli cells coencapsulated with islet xenografts is not dependent upon Fas ligand expression. Cell Transplant 11:799–801

    PubMed  Google Scholar 

  • Zhang N, Richter A, Suriawinata J et al (2004) Elevated vascular endothelial growth factor production in islets improves islet graft vascularization. Diabetes 53:963–970

    Article  PubMed  CAS  Google Scholar 

  • Zhang N, Su D, Qu S et al (2006) Sirolimus is associated with reduced islet engraftment and impaired beta-cell function. Diabetes 55:2429–2436

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Jenny E. Gunton.

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Deters, N.A., Stokes, R.A. & Gunton, J.E. Islet Transplantation: Factors in Short-Term Islet Survival. Arch. Immunol. Ther. Exp. 59, 421–429 (2011). https://doi.org/10.1007/s00005-011-0143-0

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