Diabetes 54:3387-3394, 2005 © 2005 by the American Diabetes Association, Inc. Growth and Functional Maturation of ß-Cells in Implants of Endocrine Cells Purified From Prenatal Porcine Pancreas
1 Diabetes Research Center, Brussels Free University and Juvenile Diabetes Research Foundation Center for Beta Cell Therapy in Diabetes, Brussels, Belgium
The development of islet cell transplantation as a cure for diabetes is limited by the shortage of human donor organs. Moreover, currently used grafts exhibit a marginal ß-cell mass with an apparently low capacity for ß-cell renewal and growth. Although duct-associated nonendocrine cells have often been suggested as a potential source for ß-cell production, recent work in mice has demonstrated the role of ß-cells in postnatal growth of the pancreatic ß-cell mass. The present study investigated whether the ß-cell mass can grow in implants that are virtually devoid of nonendocrine cells. Endocrine islet cells were purified from prenatal porcine pancreases (gestation >110 days) and implanted under the kidney capsule of nude mice. ß-Cells initially presented with signs of immaturity: small size, low insulin content, undetectable C-peptide release, and an inability to correct hyperglycemia. They exhibited a proliferative activity that was highest during posttransplant week 1 (2.6 and 5% bromodeoxyuridine [BrdU]-positive ß-cells 4 and 72 h posttransplant) and then decreased over 20 weeks to rates measured in the pancreas (0.2% BrdU-positive cells). ß-Cell proliferation in implants first compensated for ß-cell loss during posttransplant week 1 and then increased the ß-cell number fourfold between posttransplant weeks 1 and 20. Rates of
Address correspondence and reprint requests to Daniel Pipeleers, MD, PhD, Diabetes Research Center, Brussels Free University (VUB), Laarbeeklaan 103, 1090 Brussels, Belgium. E-mail: daniel.pipeleers{at}vub.ac.be
Abbreviations: BrdU, bromodeoxyuridine; CK-7, cytokeratin
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