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猪胰岛分离用于胰岛移植的成本和可扩展性分析:幼年、新生和成年猪的比较。

Cost and Scalability Analysis of Porcine Islet Isolation for Islet Transplantation: Comparison of Juvenile, Neonatal and Adult Pigs.

机构信息

1 Sue and Bill Gross Stem Cell Research Center, University of California, Irvine, USA.

2 Department of Surgery, University of California, Irvine, USA.

出版信息

Cell Transplant. 2019 Jul;28(7):967-972. doi: 10.1177/0963689719847460. Epub 2019 Apr 30.

DOI:10.1177/0963689719847460
PMID:31037984
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6719497/
Abstract

The limited availability of human islets has led to the examination of porcine islets as a source of clinically suitable tissue for transplantation in patients with diabetes mellitus. Islets from porcine donors are commonly used in both and experiments studying diabetes mellitus. However, there are significant differences in quality and quantity of islet yield depending on donor pig age, as well as substantial differences in the costs of pancreas procurement in adult versus neonatal and juvenile pigs. In this study, we compared the total cost per islet of juvenile pig pancreata with that of neonatal and adult pigs. Although adult porcine pancreata yield, on average, more than five times the amount of islets than do juvenile and neonatal pancreata, we found that the high price of adult pigs led to the cost per islet being more than twice that of juvenile and neonatal islets (US $0.09 vs $0.04 and $0.02, respectively). In addition, neonatal and juvenile islets are advantageous in their scalability and retention of viability after culture. Our findings indicate that isolating neonatal and juvenile porcine islets is more cost-effective and scalable than isolating adult porcine islets.

摘要

胰岛的供应有限,促使人们研究猪胰岛作为糖尿病患者移植用的临床适用组织的来源。猪供体的胰岛通常用于糖尿病的 和 实验研究。然而,胰岛的产量在质量和数量方面都因供体猪的年龄而有显著差异,并且成年猪与新生猪和幼猪的胰腺获取成本也有很大差异。在这项研究中,我们比较了幼猪胰腺每个胰岛的总成本与新生猪和成年猪的成本。尽管成年猪的胰腺平均产生的胰岛数量是幼猪和新生猪胰腺的五倍以上,但我们发现,成年猪的高价格导致每个胰岛的成本超过幼猪和新生猪胰岛的两倍以上(分别为 0.09 美元、0.04 美元和 0.02 美元)。此外,新生猪和幼猪的胰岛在培养后具有更好的可扩展性和活力保持性。我们的研究结果表明,分离新生猪和幼猪的胰岛比分离成年猪的胰岛更具成本效益和可扩展性。

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Cost and Scalability Analysis of Porcine Islet Isolation for Islet Transplantation: Comparison of Juvenile, Neonatal and Adult Pigs.猪胰岛分离用于胰岛移植的成本和可扩展性分析:幼年、新生和成年猪的比较。
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本文引用的文献

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Xenotransplantation. 2019 Mar;26(2):e12461. doi: 10.1111/xen.12461. Epub 2018 Sep 19.
2
In vitro characterization of neonatal, juvenile, and adult porcine islet oxygen demand, β-cell function, and transcriptomes.体外鉴定新生、幼年和成年猪胰岛的氧需求、β细胞功能和转录组。
Xenotransplantation. 2018 Nov;25(6):e12432. doi: 10.1111/xen.12432. Epub 2018 Jul 27.
3
Transgenic Expression of Glucagon-Like Peptide-1 (GLP-1) and Activated Muscarinic Receptor (M3R) Significantly Improves Pig Islet Secretory Function.胰高血糖素样肽-1(GLP-1)和活化的毒蕈碱受体(M3R)的转基因表达显著改善猪胰岛分泌功能。
Cell Transplant. 2017 May 9;26(5):901-911. doi: 10.3727/096368916X693798. Epub 2016 Nov 22.
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Progress in Clinical Encapsulated Islet Xenotransplantation.临床封装胰岛异种移植的进展
Transplantation. 2016 Nov;100(11):2301-2308. doi: 10.1097/TP.0000000000001371.
5
Statistical methodologies to pool across multiple intervention studies.用于汇总多个干预研究的统计方法。
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Justifying clinical trials for porcine islet xenotransplantation.为猪胰岛异种移植进行临床试验的合理性论证。
Xenotransplantation. 2015 Sep-Oct;22(5):336-44. doi: 10.1111/xen.12196.
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Optimization and Scale-up Isolation and Culture of Neonatal Porcine Islets: Potential for Clinical Application.新生猪胰岛的优化、放大培养及分离:临床应用潜力
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Islet xenotransplantation: what is the optimal age of the islet-source pig?胰岛异种移植:胰岛供体猪的最佳年龄是多少?
Xenotransplantation. 2015 Jan-Feb;22(1):7-19. doi: 10.1111/xen.12130. Epub 2014 Aug 11.
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In vitro maturation of viable islets from partially digested young pig pancreas.从部分消化的幼年猪胰腺中体外成熟有活力的胰岛。
Cell Transplant. 2014 Mar;23(3):263-72. doi: 10.3727/096368912X662372. Epub 2013 Feb 7.