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食蟹猴中分离的胰岛成功进行自体移植。

Successful autotransplantation of isolated islets of Langerhans in the cynomolgus monkey.

作者信息

Gray D W, Warnock G L, Sutton R, Peters M, McShane P, Morris P J

出版信息

Br J Surg. 1986 Oct;73(10):850-3. doi: 10.1002/bjs.1800731029.

DOI:10.1002/bjs.1800731029
PMID:3094618
Abstract

A recently described method for isolation of islets of Langerhans from the human pancreas has been adapted to the cynomolgus monkey pancreas. The mean yield of islets obtained from 13 monkey pancreata was 1319 islets per gram of pancreatic tissue (range 533-1800) and the usual purity of the preparation varied from 5 to 15 per cent islet tissue. Twelve cynomolgus monkeys underwent total pancreatectomy, preparation of islets from the excised pancreas and autotransplantation to either the spleen or the liver. Three animals received no transplant and became immediately diabetic, surviving 4-8 days. Four animals became normoglycaemic after intrasplenic islet transplantation, and survived 6 weeks, at which time splenectomy was performed with immediate onset of diabetes. Splenic vein insulin sampling confirmed the spleen as the source of insulin, and histological examination showed implanted islet tissue in all cases. Five animals became normoglycaemic after intrahepatic islet implantation. Three animals subsequently became diabetic at 4 and 5 months and two animals still have functioning grafts, the longest function being 9 months. These results suggest that in the cynomolgus monkey sufficient islets can be extracted from a single donor pancreas to reverse diabetes.

摘要

一种最近描述的从人胰腺中分离朗格汉斯岛的方法已被应用于食蟹猴胰腺。从13个猴胰腺中获得的胰岛平均产量为每克胰腺组织1319个胰岛(范围为533 - 1800个),且制备物的通常纯度为胰岛组织的5%至15%。12只食蟹猴接受了全胰切除术,从切除的胰腺中制备胰岛并自体移植到脾脏或肝脏。3只动物未接受移植,立即出现糖尿病,存活4 - 8天。4只动物在脾内胰岛移植后血糖恢复正常,存活6周,此时进行脾切除术,随后立即出现糖尿病。脾静脉胰岛素采样证实脾脏是胰岛素的来源,组织学检查显示所有病例均有植入的胰岛组织。5只动物在肝内胰岛植入后血糖恢复正常。3只动物随后在4个月和5个月时出现糖尿病,2只动物的移植物仍有功能,最长功能持续9个月。这些结果表明,在食蟹猴中,从单个供体胰腺中可以提取足够的胰岛来逆转糖尿病。

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引用本文的文献

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The Spleen as an Optimal Site for Islet Transplantation and a Source of Mesenchymal Stem Cells.脾脏作为胰岛移植的理想部位和间充质干细胞的来源。
Int J Mol Sci. 2018 May 7;19(5):1391. doi: 10.3390/ijms19051391.
2
Nonhuman primate models of type 1 diabetes mellitus for islet transplantation.用于胰岛移植的1型糖尿病非人灵长类动物模型。
J Diabetes Res. 2014;2014:785948. doi: 10.1155/2014/785948. Epub 2014 Oct 20.
3
Alpha 1-antitrypsin reduces inflammation and enhances mouse pancreatic islet transplant survival.α1-抗胰蛋白酶可减轻炎症反应,提高小鼠胰岛移植的存活率。
Proc Natl Acad Sci U S A. 2012 Sep 18;109(38):15443-8. doi: 10.1073/pnas.1018366109. Epub 2012 Sep 4.
4
Outcome of human islet isolation and allotransplantation in 20 consecutive cases.连续20例人类胰岛分离及同种异体移植的结果。
Diabetes Nutr Metab. 1992;5 Suppl 1:193-198.
5
Induction of Pancreatic Islet Graft Acceptance: The Role of Antigen Presenting Cells.诱导胰岛移植耐受:抗原呈递细胞的作用
Transplant Sci. 1992 Apr;2(1):34-38.
6
Total pancreatectomy with islet autotransplantation: an overview.全胰切除术伴胰岛自体移植:概述。
HPB (Oxford). 2009 Dec;11(8):613-21. doi: 10.1111/j.1477-2574.2009.00113.x.
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Am J Transplant. 2006 Apr;6(4):687-96. doi: 10.1111/j.1600-6143.2006.01235.x.
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