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[胰岛移植。两种从大鼠胰腺分离胰岛细胞的不同方法的比较研究]

[Islet of Langerhans transplantation. A comparative study of two different methods for isolating islet cells from rat pancreas].

作者信息

Spadella C T, Breim L C, Mercadante M C, de Macedo C S, de Macedo A R

机构信息

Departamento de Cirurgia e Ortopedia-Faculdade-de Medicina de Botucatu-UNESP, Brasil.

出版信息

Arq Gastroenterol. 1997 Jan-Mar;34(1):27-33.

PMID:9458957
Abstract

Two different methods for isolation of islet of Langerhans on control of metabolic abnormalities of alloxan-induced diabetic rat were tested. Sixty rats were randomly assigned to four experimental groups: GI included 10 non-diabetic control rats, GII included 10 diabetic control rats, without treatment, GIII included 20 diabetic rats (10 inbred and 10 outbred rats) that received islet of Langerhans transplantation (ILT) using islet cells prepared by collagenase, and GIV included 20 diabetic rats (10 inbred and 10 outbred rats) submitted to ILT using islet cells prepared by nonenzymatic method. Clinical and laboratory parameters at beginning and 4, 7, 14, 21 and 30 days of follow-up were recorded. Outbred rats were immunosuppressed with cyclosporin A, diabetes was induced by e.v. alloxan administration, and islet cells were isolated from normal donor Lewis rats and injected into the portal vein. ILT corrected the body weight gain, polyuria, polydipsia, polyphagia, and the high levels of blood and urine glucose in 73.7% of rats treated by enzymatic method and in 64.7% of those ones treated by nonenzymatic method. However, there was no significantly difference between the two methods (P > 0.50). We did not also observe significantly difference between the two methods when ILT was performed either in inbred or outbred rats. We concluded that ILT performed by nonenzymatic method may be an alternative treatment for diabetes due to be less expensive and to have possible advantages in the isolation process.

摘要

测试了两种在控制四氧嘧啶诱导的糖尿病大鼠代谢异常情况下分离胰岛的不同方法。60只大鼠被随机分为四个实验组:GI组包括10只非糖尿病对照大鼠,GII组包括10只未经治疗的糖尿病对照大鼠,GIII组包括20只接受胶原酶制备的胰岛细胞进行胰岛移植(ILT)的糖尿病大鼠(10只近交系和10只远交系大鼠),GIV组包括20只接受非酶法制备的胰岛细胞进行ILT的糖尿病大鼠(10只近交系和10只远交系大鼠)。记录随访开始时以及第4、7、14、21和30天的临床和实验室参数。远交系大鼠用环孢素A进行免疫抑制,通过静脉注射四氧嘧啶诱导糖尿病,从正常供体Lewis大鼠分离胰岛细胞并注入门静脉。ILT纠正了73.7%接受酶法治疗大鼠和64.7%接受非酶法治疗大鼠的体重增加、多尿、多饮、多食以及高血糖和高尿糖水平。然而,两种方法之间没有显著差异(P>0.50)。当在近交系或远交系大鼠中进行ILT时,我们也未观察到两种方法之间有显著差异。我们得出结论,非酶法进行的ILT可能是糖尿病的一种替代治疗方法,因为其成本较低且在分离过程中可能具有优势。

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