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介绍一种使用仿生水凝胶和简单高产胰岛分离技术的新型实验性胰岛移植模型。

Introducing a New Experimental Islet Transplantation Model using Biomimetic Hydrogel and a Simple High Yield Islet Isolation Technique.

作者信息

Mohammadi Ayenehdeh Jamal, Niknam Bahareh, Hashemi Seyed Mahmoud, Rahavi Hossein, Rezaei Nima, Soleimani Masoud, Tajik Nader

机构信息

Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Immunology Research Center (IRC), Iran University of Medical Sciences, Tehran, Iran.

出版信息

Iran Biomed J. 2017 Jul;21(4):218-27. doi: 10.18869/acadpub.ibj.21.4.218. Epub 2017 Jun 6.

DOI:10.18869/acadpub.ibj.21.4.218
PMID:27752182
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5459937/
Abstract

BACKGROUND

Islet transplantation could be an ideal alternative treatment to insulin therapy for type 1 diabetes Mellitus (T1DM). This clinical and experimental field requires a model that covers problems such as requiring a large number of functional and viable islets, the optimal transplantation site, and the prevention of islet dispersion. Hence, the methods of choice for isolation of functional islets and transplantation are crucial.

METHODS

The present study has introduced an experimental model that overcomes some critical issues in islet transplantation, including in situ pancreas perfusion by digestive enzymes through common bile duct. In comparison with conventional methods, we inflated the pancreas in Petri dishes with only 1 ml collagenase type XI solution, which was followed by hand-picking isolation or Ficoll gradient separation to purify the islets. Then we used a hydrogel composite in which the islets were embedded and transplanted into the peritoneal cavity of the streptozotocin-induced diabetic C57BL/6 mice.

RESULTS

As compared to the yield of the classical methods, in our modified technique, the mean yield of isolation was about 130-200 viable islets/mouse pancreas. In vitro glucose-mediated insulin secretion assay indicated an appropriate response in isolated islets. In addition, data from in vivo experiments revealed that the allograft remarkably maintained blood glucose levels under 400 mg/dl and hydrogel composite prevents the passage of immune cells.

CONCLUSION

In the model presented here, the rapid islet isolation technique and the application of biomimetic hydrogel wrapping of islets could facilitate islet transplantation procedures.

摘要

背景

胰岛移植可能是1型糖尿病(T1DM)胰岛素治疗的理想替代疗法。这个临床和实验领域需要一个能涵盖诸多问题的模型,比如需要大量功能正常且存活的胰岛、最佳移植部位以及防止胰岛分散。因此,分离功能性胰岛和移植的选择方法至关重要。

方法

本研究引入了一种实验模型,该模型克服了胰岛移植中的一些关键问题,包括通过胆总管用消化酶进行原位胰腺灌注。与传统方法相比,我们仅用1毫升XI型胶原酶溶液在培养皿中充盈胰腺,随后通过手工挑选分离或菲可梯度分离来纯化胰岛。然后我们使用一种水凝胶复合材料,将胰岛包埋其中并移植到链脲佐菌素诱导的糖尿病C57BL/6小鼠的腹腔中。

结果

与经典方法的产量相比,在我们改良的技术中,平均分离产量约为130 - 200个存活胰岛/小鼠胰腺。体外葡萄糖介导的胰岛素分泌测定表明分离出的胰岛有适当反应。此外,体内实验数据显示,同种异体移植物能将血糖水平显著维持在400毫克/分升以下,并且水凝胶复合材料可防止免疫细胞通过。

结论

在此呈现的模型中,快速胰岛分离技术以及仿生水凝胶包裹胰岛的应用可促进胰岛移植程序。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a7/5459937/bb74ffbac4b1/IBJ-21-218-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a7/5459937/711b53a570fe/IBJ-21-218-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a7/5459937/ec40e0ae0453/IBJ-21-218-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a7/5459937/420c42e98e7d/IBJ-21-218-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a7/5459937/5a662fbdd89e/IBJ-21-218-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a7/5459937/bb74ffbac4b1/IBJ-21-218-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a7/5459937/711b53a570fe/IBJ-21-218-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a7/5459937/ec40e0ae0453/IBJ-21-218-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a7/5459937/420c42e98e7d/IBJ-21-218-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a7/5459937/5a662fbdd89e/IBJ-21-218-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a7/5459937/bb74ffbac4b1/IBJ-21-218-g005.jpg

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Mesenchymal stromal cells as a means of controlling pathological T-cell responses in allogeneic islet transplantation.
间充质基质细胞作为控制同种异体胰岛移植中病理性 T 细胞反应的一种手段。
Curr Opin Organ Transplant. 2013 Feb;18(1):59-64. doi: 10.1097/MOT.0b013e32835c2adf.
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Projections of type 1 and type 2 diabetes burden in the U.S. population aged <20 years through 2050: dynamic modeling of incidence, mortality, and population growth.2050 年美国<20 岁人群 1 型和 2 型糖尿病负担预测:发病率、死亡率和人口增长的动态建模。
Diabetes Care. 2012 Dec;35(12):2515-20. doi: 10.2337/dc12-0669.
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Mouse islet of Langerhans isolation using a combination of purified collagenase and neutral protease.使用纯化胶原酶和中性蛋白酶组合分离小鼠胰岛。
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