Hasse C, Schrezenmeir J, Stinner B, Schark C, Wagner P K, Neumann K, Rothmund M
Department of Surgery, Philipps-University Marburg, Germany.
World J Surg. 1994 Jul-Aug;18(4):630-4. doi: 10.1007/BF00353783.
Allotransplantation of parathyroid tissue in humans is desirable for treating long-term hypoparathyroidism (e.g., after inadvertent removal of parathyroid glands during thyroid surgery). Until now, parathyroid allotransplantation was not used clinically because its advantages were outweighted by the need of immunosuppression. To overcome the immunogenicity of the tissue to be transplanted, we employed the method of microencapsulation; first tried in islet cell transplantation for experimental allotransplantation of parathyroid tissue. We have been able to achieve long-term success in a rat model. After isolation and tissue culture, tissue pieces from parathyroid glands of 280 Lewis rats were encapsulated in barium alginate and grafted into hypocalcemic DA rats. From the 7th to the 90th day after transplantation the recipient rats (DA rats) showed a normal serum calcium concentration. This is the first report of successful long-term survival and function of microencapsulated allotransplanted parathyroid tissue.
甲状旁腺组织的同种异体移植对治疗长期甲状旁腺功能减退症(例如,在甲状腺手术中意外切除甲状旁腺后)是可取的。到目前为止,甲状旁腺同种异体移植尚未在临床上使用,因为其优势被免疫抑制的需求所抵消。为了克服待移植组织的免疫原性,我们采用了微囊化方法;该方法首次在胰岛细胞移植中尝试用于甲状旁腺组织的实验性同种异体移植。我们已经在大鼠模型中取得了长期成功。在分离和组织培养后,将280只Lewis大鼠甲状旁腺的组织块包裹在海藻酸钡中,并移植到血钙过低的DA大鼠体内。移植后第7天至第90天,受体大鼠(DA大鼠)血清钙浓度正常。这是关于微囊化同种异体移植甲状旁腺组织长期存活和功能成功的首次报道。