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Diabetes, Vol 46, Issue 2 244-248, Copyright © 1997 by American Diabetes Association
Functional beta-cell mass after transplantation of human fetal pancreatic cells: differentiation or proliferation?
GM Beattie, T Otonkoski, AD Lopez and A Hayek
Department of Pediatrics, The Whittier Institute, University of California San Diego, La Jolla 92037, USA.
The scarcity of human adult islets available for transplantation in IDDM
makes the use of human fetal pancreatic cells desirable. Human fetal
pancreatic cells grow and differentiate after transplantation in nude mice.
It is unclear whether proliferation of preexisting endocrine cells or
differentiation of precursor cells is mainly responsible for the increased
islet mass and if beta-cell enrichment before transplantation enhances the
functional outcome of the graft. To answer these questions, we transplanted
purified human fetal islets, islet-like cell clusters (ICCs), and fresh
tissue under the kidney capsule of nude mice. Insulin content was highest
in the fresh tissue but fell rapidly during culture as either fetal islets
or ICCs. Although fetal islets contained fourfold more insulin than ICCs
before transplantation, the insulin content of the resulting grafts was the
same after 3 months in vivo. The degree of stimulation after glucose
challenge was comparable; however, more tissue was needed to generate the
fetal islets. Grafts of fresh tissue also had similar total insulin
contents, but when normalized to DNA, insulin concentration was
significantly higher in the grafts from cultured tissue. Moreover, there
were distinct morphological differences; the grafts from fresh tissue were
more fibrous, with prominent ductal and cystic elements. Grafts from
cultured tissue were two- to threefold enriched in endocrine tissue when
compared with grafts originating from fresh tissue. These results suggest
that islet cells identified in the grafted ICCs are mainly derived through
differentiation of endocrine precursors and that cultured ICCs are more
preferable than either fetal islets or uncultured tissue for
transplantation.

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Copyright © 1997 by the American Diabetes Association.
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