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将猪胎儿胰腺移植给糖尿病患者。

Transplantation of porcine fetal pancreas to diabetic patients.

作者信息

Groth C G, Korsgren O, Tibell A, Tollemar J, Möller E, Bolinder J, Ostman J, Reinholt F P, Hellerström C, Andersson A

机构信息

Department of Transplantation Surgery, Karolinska Institut, Huddinge Hospital, Stockholm.

出版信息

Lancet. 1994 Nov 19;344(8934):1402-4. doi: 10.1016/s0140-6736(94)90570-3.

Abstract

Transplantation of fetal porcine islet-like cell clusters (ICC) reverses diabetes in experimental animals. We have now transplanted porcine ICC to ten insulin-dependent diabetic kidney-transplant patients. All patients received standard immunosuppression and, at ICC transplantation, antithymocyte globulin or 15-deoxyspergualin. ICC were injected intraportally or placed under the kidney capsule of the renal graft. Four patients excreted small amounts of porcine C-peptide in urine for 200-400 days. In one renal-graft biopsy specimen, morphologically intact epithelial cells stained positively for insulin and glucagon in the subcapsular space. We conclude that porcine pancreatic endocrine tissue can survive in the human body.

摘要

移植胎猪胰岛样细胞团(ICC)可使实验动物的糖尿病得到逆转。我们现已将猪ICC移植给10名胰岛素依赖型糖尿病肾移植患者。所有患者均接受标准免疫抑制治疗,在进行ICC移植时,使用抗胸腺细胞球蛋白或15-去氧精胍菌素。将ICC经门静脉注射或置于肾移植肾包膜下。4名患者在200 - 400天内尿中排出少量猪C肽。在一份肾移植活检标本中,形态完整的上皮细胞在包膜下间隙中胰岛素和胰高血糖素染色呈阳性。我们得出结论,猪胰腺内分泌组织可在人体内存活。

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