Cell Encapsulation Technology and Therapeutics pp 229-239 | Cite as
Microencapsulated Islets in Type I Diabetics: Clinical Experience
Chapter
Abstract
Nonencapsulated pancreatic islets, transplanted into Type I diabetic patients, have generally yielded disappointing results because immune rejection has remained a major obstacle to successful treatment, espite the use of high-dose immunosuppressive egimens. Immunosuppressive drugs are necessary for transplantation of organs or tissues directly into human patients, but severe side effects frequently limit their continued use and diminish their therapeutic effectiveness.
Keywords
Human Islet Islet Transplantation Insulin Requirement Insulin Independence Islet Cell Transplantation
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References
- Albisser AM, Leibel BS, Ewart G, Davidovac Z, Botz CK, Zinger W. 1974. An artificial endocrine pancreas. Diabetes 23:389–396.PubMedGoogle Scholar
- Altman JJ, Manoux A, Callard P, Houlbert D, Desplanques N, Bruzzo F, Galletti PM. 1981. Successful pancreatic xenografts using semipermeable membranes. Artif Organs (Suppl) 5:776–779.Google Scholar
- Archer J, Kaye R, Mutter G. 1980. Control of streptozotocin diabetes in Chinese hamsters by cultured mouse islet cells without immunosuppression: a preliminary report. J Surg Re s 28:77–85.CrossRefGoogle Scholar
- Chick WL, Perna J, Lauris W, Low D, Galletti PM, Whittemore A, Like A, Colton CK, Lysaght M. 1977. Artificial pancreas using living beta cells: Effects on glucose homeostasis in diabetic rats. Science 197:780–782.PubMedCrossRefGoogle Scholar
- Darquy S, Reach G. 1985. Immunoisolation of pancreatic B cells by microencapsulation: An in vitro study. Diabetologia 28:776.PubMedGoogle Scholar
- Diabetes Control and Complications Trial Research Group. 1993. The effect of intensive treatment of dibetes on the development and progression of longterm complications in insulin-dependent diabetes mellitus. N Engl J of Med 329:977–986.CrossRefGoogle Scholar
- Gates RJ Lazarus NR. 1977. Reversal of streptozotocininduced diabetes in rats by intraperitoneal implantation of encapsulated neonatal rabbit pancreatic tissue. Lancet II: 1257–1259Google Scholar
- Lanza RP, Heintz R, Merideth N, Yao Z, Yao Q, Zavitz D, Chen C, Soon-Shiong P. 1990. Large-scale canine and human islet isolation using a physiological islet purification solution. Diabetes 39(1):309A.Google Scholar
- Lim F, Sun AM. 1980. Microencapsulated islets as a bioartificial endocrine pancreas. Science 210:908.PubMedCrossRefGoogle Scholar
- O’Shea GM, Goosen MFA, Sun AM. 1984. Prolonged survival of transplanted islets of Langerhans encapsulated in a biocompatible membrane. Biochim BiophysActa 804:133.CrossRefGoogle Scholar
- Prehn RT, Weaver JM, Algire GH. 1954. The diffusionchamber technique applied to a study of the nature of homograft resistance. J Nat Cancer Inst 15:509–517.PubMedGoogle Scholar
- Reach G, Poussier P, Sausse A, Assan R, Itoh M, Furman BL, Gerich JE. 1981. Functional evaluation of a bioartificial pancreas using isolated islets perfused with blood ultrafiltrate. Diabetes 30:296–301.PubMedGoogle Scholar
- Soon-Shiong P, Feldman E, Nelson R, Komtebedde J, Smidsrod O, Skjak-Braek G, Espevik T, Heintz R, Lee M. 1992. Successful reversal of spontaneous diabetes in dogs by intraperitoneal microencapsulated islets. Transplantation 54:769–774.PubMedCrossRefGoogle Scholar
- Soon-Shiong P, Feldman E, Nelson R, Heintz R, Yao Q, Yao Z, Zheng T, Merideth N, Skjak-Braek G, Espevik T, Smidsrod O, Sandford P. 1993. Longterm reversal of diabetes by injection of immunoprotected islet cells. Proc. Natl. Acad. Sci. USA 90:5843–5847.PubMedCrossRefGoogle Scholar
- Soon-Shiong P, Heintz R, Merideth N, Yao Qiang X, Yao Z, Zheng T, Murphy M, Moloney M, Schmehl M, Harris M, Mendez R, Mendez R, Sandford P. 1994. Insulin independence in a Type I diabetic patient after encapsulated islet transplantation. Lancet (April 16)343:950–951.PubMedCrossRefGoogle Scholar
- Strautz RL. 1970. Studies of hereditary-obese mice (obob) after implantation of pancreatic islets in Millipore filter capsules. Diabetologia 6:306–312.PubMedCrossRefGoogle Scholar
- Sullivan SJ, Borland KM, Mahoney MD, Chick WL, et al. 1991. Biohybrid artificial pancreas: Long term implantation studies in diabetic, pancreatectomized dogs. Science 252:718.PubMedCrossRefGoogle Scholar
- Sun AM, O’Shea GM, Goosen MFA. 1984. Injectable microencapsulated islets as a bioartificial endocrine pancreas. Appl Biochem Biotechnol 10:87.PubMedCrossRefGoogle Scholar
- Sun AM, Parisius W, Healy G, Vacek I, Macmorine HG. 1977. The use, in diabetic rats and monkeys, of artificial capillary units containing cultured islets of Langerhans (artificial endocrine pancreas). Diabetes 26:1136–1139.PubMedCrossRefGoogle Scholar
- Sun AM, O’Shea GM. 1985. Microencapsulation of living cells−a long term delivery system. J Controlled Release 2:137.CrossRefGoogle Scholar
- Theodorou NA, Vrbova H, Tyhurst M, Howell SL. 1979. An assessment of diffusion chambers for use in pancreatic islet cell transplantation. Transplantation 27:350–352.PubMedGoogle Scholar
- Thu B, Bruheim T, Smidsrod O, Soon-Shiong P, SkjakBraek G. 1996a. Alginate polycation microcapsules I. Interaction between alginate and polycation. Biomaterials 17:1031–1040.PubMedCrossRefGoogle Scholar
- Thu B, Bruheim T, Smidsrod O, Soon-Shiong P, SkjakBraek G. 1996b. Alginate polycation microcapsules II. Some functional properties. Biomaterials 17:1069–1079.PubMedCrossRefGoogle Scholar
- Tze WJ, Tai FC, Davis HR. 1980. Studies with implantable artificial capillary units containing rat islets on diabetic dogs. Diabetologia 19:541–545.PubMedCrossRefGoogle Scholar
- Tze WJ, Wong FC, Chen LM, O’Young S. 1976. Implantable artificial endocrine pancreas unit used to restore normoglycemia in the diabetic rat. Nature 264:466.PubMedCrossRefGoogle Scholar
- Woodward SC. 1982. How fibroblasts and giant cells encapsulate implants: Considerations in design of glucose sensors. Diabetes Care 5:278–281.PubMedCrossRefGoogle Scholar
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