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微囊化新生猪甲状旁腺细胞异种移植治疗大鼠甲状旁腺功能减退症取得成功。

Successful xenotransplantation of microencapsulated newborn pig parathyroid cells in the treatment of hypoparathyroidism in rats.

作者信息

Lin Lemin, Song Yimin, Song Chun, Xu Ping, Song Chunfang

机构信息

Department of Surgery, First Hospital of Harbin Medical University, Harbin 150001, China.

出版信息

Chin Med J (Engl). 2003 Aug;116(8):1161-5.

Abstract

OBJECTIVE

To study the effect of xenotransplantation with pig parathyroid cells, which was prepared using cell microencapsulation technique, on the treatment of hypoparathyroidism in rats without immunosuppressor.

METHODS

Parathyroid cells were isolated from 10 healthy newborn pigs and encapsulated in alginate-polylysine-alginate (APA) membranes. Thirty-two aparathyroid Wistar rats were randomly allocated to microcapsule, non-microcapsule, empty microcapsule, and control groups. Each rat was injected intraperitoneally with encapsulated porcine parathyroid cells, free porcine parathyroid cells, empty capsules or 0.9% NaCl, respectively. Total serum calcium and parathyroid hormone levels were monitored continuously for 40 weeks. And then, the transplant beds were retrieved and subjected to morphologic and electron microscopic examination.

RESULTS

In those animals xenotransplanted with microencapsulated porcine parathyroid cells, the calcium and PTH levels were consistently within the normal range during the 40 weeks. In contrast, no therapeutic effects were observed in rats in the non-microcapsule group. Furthermore, neither empty capsules nor 0.9% NaCl were shown to have any effect on the recipient's serum calcium or PTH levels. After 40 weeks, electron microscopic examination demonstrated that the parathyroid cells within the microcapsules had survived well in vivo.

CONCLUSIONS

Xenotransplantation of microencapsulated newborn pig parathyroid cells can successfully treat hypoparathyroidism in rats without using immunosuppressive drugs. The results of this study show the possible clinical use of microencapsulated porcine parathyroid cells.

摘要

目的

研究采用细胞微囊化技术制备的猪甲状旁腺细胞异种移植在不使用免疫抑制剂的情况下对大鼠甲状旁腺功能减退症的治疗效果。

方法

从10只健康新生猪中分离出甲状旁腺细胞,并将其包封在海藻酸钠-聚赖氨酸-海藻酸钠(APA)膜中。32只甲状旁腺切除的Wistar大鼠被随机分为微囊组、非微囊组、空微囊组和对照组。分别给每只大鼠腹腔注射包封的猪甲状旁腺细胞、游离的猪甲状旁腺细胞、空胶囊或0.9%氯化钠。连续40周监测血清总钙和甲状旁腺激素水平。然后,取出移植床进行形态学和电子显微镜检查。

结果

在异种移植微囊化猪甲状旁腺细胞的动物中,40周内钙和甲状旁腺激素水平一直保持在正常范围内。相比之下,非微囊组大鼠未观察到治疗效果。此外,空胶囊和0.9%氯化钠对受体血清钙或甲状旁腺激素水平均无影响。40周后,电子显微镜检查表明微囊内的甲状旁腺细胞在体内存活良好。

结论

微囊化新生猪甲状旁腺细胞异种移植可在不使用免疫抑制药物的情况下成功治疗大鼠甲状旁腺功能减退症。本研究结果表明微囊化猪甲状旁腺细胞可能具有临床应用价值。

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