Gazda Lawrence S, Vinerean Horatiu V, Laramore Melissa A, Hall Richard D, Carraway Joseph W, Smith Barry H
The Rogosin Institute-Xenia Division, 740 Birch Road, Xenia, OH 45385, USA ; The Rogosin Institute, New York, NY 10021, USA.
Florida International University, Miami, FL 33199, USA.
J Diabetes Res. 2014;2014:727483. doi: 10.1155/2014/727483. Epub 2014 Jun 5.
We have previously described the use of a double coated agarose-agarose porcine islet macrobead for the treatment of type I diabetes mellitus. In the current study, the long-term viral safety of macrobead implantation into pancreatectomized diabetic dogs treated with pravastatin (n = 3) was assessed while 2 dogs served as nonimplanted controls. A more gradual return to preimplant insulin requirements occurred after a 2nd implant procedure (days 148, 189, and >652) when compared to a first macrobead implantation (days 9, 21, and 21) in all macrobead implanted animals. In all three implanted dogs, porcine C-peptide was detected in the blood for at least 10 days following the first implant and for at least 26 days following the second implant. C-peptide was also present in the peritoneal fluid of all three implanted dogs at 6 months after 2nd implant and in 2 of 3 dogs at necropsy. Prescreening results of islet macrobeads and culture media prior to transplantation were negative for 13 viruses. No evidence of PERV or other viral transmission was found throughout the study. This study demonstrates that the long-term (2.4 years) implantation of agarose-agarose encapsulated porcine islets is a safe procedure in a large animal model of type I diabetes mellitus.
我们之前曾描述过使用双层包被的琼脂糖-琼脂糖猪胰岛大珠来治疗I型糖尿病。在当前研究中,评估了将大珠植入用普伐他汀治疗的胰腺切除糖尿病犬(n = 3)后的长期病毒安全性,同时2只犬作为未植入的对照。与所有植入大珠的动物首次植入大珠(第9、21和21天)相比,在第二次植入程序(第148、189和>652天)后,胰岛素需求量更逐渐地恢复到植入前水平。在所有三只植入犬中,首次植入后血液中至少10天检测到猪C肽,第二次植入后至少26天检测到猪C肽。第二次植入后6个月时,所有三只植入犬的腹腔液中均存在C肽,尸检时三只犬中有两只存在C肽。移植前胰岛大珠和培养基的预筛选结果对13种病毒均为阴性。在整个研究过程中未发现猪内源性逆转录病毒(PERV)或其他病毒传播的证据。本研究表明,在I型糖尿病的大型动物模型中,长期(2.4年)植入琼脂糖-琼脂糖包封的猪胰岛是一种安全的方法。