Diabetes, Vol 40, Issue 1 134-140, Copyright © 1991 by American Diabetes Association
Progressive deterioration of endocrine function after intraportal but not kidney subcapsular rat islet transplantation
WF Hiller, J Klempnauer, R Luck and B Steiniger
Clinic for Abdominal and Transplantation Surgery, Medical School, Hannover, Germany.
In inbred streptozocin-induced diabetic rats, the long-term function of
different endocrine pancreatic isografts was compared. Isolated islets
transplanted into the portal vein showed a progressive deterioration of
function over time. In contrast, islets under the kidney capsule sustained
a constant long-term function controlling all clinical signs of diabetes.
Recipients of kidney subcapsular islets displayed normal growth rate,
peripheral serum glucose and insulin levels, and metabolic parameters.
However, their functional reserve was markedly reduced as revealed by
diminished glucose tolerance and reduced insulin-secreting capacity after
an intravenous glucose challenge. Vascularized whole-organ pancreatic
grafts with portal venous drainage led to complete normalization of all
parameters determined in this study. This study showed that the long-term
function of islets transplanted under the kidney capsule is superior
compared with islets transplanted into the portal vein.