Intraoperative ultrasound examination is useful for monitoring transplanted islets: a case report.

Abstract:

:A 39-y-old man, who had an episode of pancreatic bleeding due to chronic pancreatitis, received total pancreatectomy with islet autotransplantation (TP with IAT). Intraoperative ultrasound (US) examination was done to detect transplanted islets and evaluate the quality of US imaging. Islet isolation from the resected total pancreas was performed and approximately 230,000 islet equivalents (IEQ) (the tissue volume was 600 µL and the purity was 30%) were acquired. A double lumen catheter, used for transplantation and for monitoring the portal vein pressure, was inserted into the portal vein via the superior mesenteric vein, and the tip of the catheter was positioned at the bifurcation of the anterior and posterior branch of the portal vein to selectively infuse the islets into the right lobe of the liver in order to prevent total liver embolization. Intraoperative US examination (central frequency 7.5 MHz, Nemio™ XG, Toshiba Medical System Co.) was started at the same time as the transplantation. US examination revealed the transplanted islets as hyperechoic clusters that flowed from the tip of the catheter to the periphery of the portal vein. There were no findings of portal thrombosis or bleeding in the US image, and also no increase of the portal vein pressure during transplantation. In conclusion, we succeeded in visualizing human islets using US, which enabled us to perform islet transplantation safely. The hyperechoic images were considered to be viable islets. Intraoperative US examination can be useful for detecting islets at transplantation in a clinical setting.

journal_name

Islets

journal_title

Islets

authors

Sakata N,Goto M,Gumpei Y,Mizuma M,Motoi F,Satomi S,Unno M

doi

10.4161/isl.22384

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

339-42

issue

5

eissn

1938-2014

issn

1938-2022

pii

22384

journal_volume

4

pub_type

杂志文章

相关文献

Islets文献大全
  • Differences in insulin biosynthesis pathway between small and large islets do not correspond to insulin secretion.

    abstract::In a variety of mammalian species, small islets secrete more insulin per volume than large islets. This difference may be due to diffusional limitations of large islets, or inherent differences in the insulin production pathways. The purpose of this study was to identify possible differences in the early phase of gluc...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.1080/19382014.2015.1129097

    authors: Huang HH,Stehno-Bittel L

    更新日期:2015-01-01 00:00:00

  • Isolated human islets contain a distinct population of mesenchymal stem cells.

    abstract::Islet replacement is a promising approach for type-1 diabetes treatment, but the shortage of organ donors demands new sources of β-cells. The use of stem/precursor cells may represent an attractive alternative. Islet-derived stem/precursor cells (hIPC) have been isolated from human islet preparations, but neither thei...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.4161/isl.2.3.11449

    authors: Carlotti F,Zaldumbide A,Loomans CJ,van Rossenberg E,Engelse M,de Koning EJ,Hoeben RC

    更新日期:2010-05-01 00:00:00

  • Aurora Kinase A is critical for the Nkx6.1 mediated β-cell proliferation pathway.

    abstract::Type 1 and type 2 diabetes are ultimately characterized by depleted β-cell mass. Characterization of the molecular pathways that control β-cell proliferation could be harnessed to restore these cells. The homeobox β-cell transcription factor Nkx6.1 induces β-cell proliferation by activating the orphan nuclear receptor...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.1080/19382014.2015.1027854

    authors: Hobson A,Draney C,Stratford A,Becker TC,Lu D,Arlotto M,Tessem JS

    更新日期:2015-01-01 00:00:00

  • A novel fluorescence imaging approach for comparative measurements of pancreatic islet function in vitro.

    abstract::Pancreatic islet dysfunction is a key element in the development of type 2 diabetes. Determining possible early warning signs of dysfunction is thus important to determining the underlying causes of diabetes. We describe an improved fluorescent imaging approach to detect potential islet dysfunction. Using Cell Tracker...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.4161/isl.3.1.14133

    authors: Corbin KL,Hall TE,Haile R,Nunemaker CS

    更新日期:2011-01-01 00:00:00

  • Mechanisms of octanoic acid potentiation of insulin secretion in isolated islets.

    abstract::A potentiating effect of medium-chain triglycerides on glucose-stimulated insulin secretion (GSIS) has been observed since the 1960s. Subsequent observations identified octanoic acid (OA), the main component of medium-chain triglyceride, as the potentiator of GSIS, but the mechanism was unclear. We used wild-type (WT)...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.1080/19382014.2019.1566683

    authors: Zhang T,Chen P,Stanley CA,Hoshi T,Li C

    更新日期:2019-01-01 00:00:00

  • Immunocytochemical localization of cleaved caspase-3 in pancreatic islets from type 1 diabetic subjects.

    abstract:UNLABELLED:AIMS/ HYPOTHESIS: Caspase-3 is a main effector caspase of the apoptotic cascade. Involvement of caspase-3 has been implicated in a β cell cloned cell line from type 1 diabetic subjects and in isolated islets from type 2 diabetic subjects. RESULTS:The control islets revealed cleaved caspase-3 positive cells ...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.4161/isl.2.1.10041

    authors: Tomita T

    更新日期:2010-01-01 00:00:00

  • GSK-3 inactivation or depletion promotes β-cell replication via down regulation of the CDK inhibitor, p27 (Kip1).

    abstract::Diabetes (T1DM and T2DM) is characterized by a deficit in β-cell mass. A broader understanding of human β-cell replication mechanism is thus important to increase β-cell proliferation for future therapeutic interventions. Here, we show that p27 (Kip1), a CDK inhibitor, is expressed abundantly in isolated adult human i...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.4161/isl.3.1.14435

    authors: Stein J,Milewski WM,Hara M,Steiner DF,Dey A

    更新日期:2011-01-01 00:00:00

  • No non-redundant function of suppressor of cytokine signaling 2 in insulin producing β-cells.

    abstract::The members of the Suppressor of Cytokine Signaling (SOCS) protein family mainly modulate the Janus kinase (JAK)/signal transducer and activator of transcription (STAT) pathway. SOCS-1 and SOCS-3 have already been shown to influence growth and apoptosis of pancreatic beta cells. We hypothesized that SOCS-2, which is e...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.4161/isl.2.4.12556

    authors: Puff R,Dames P,Weise M,Göke B,Parhofer K,Lechner A

    更新日期:2010-07-01 00:00:00

  • Metabolic syndrome induces changes in KATP-channels and calcium currents in pancreatic β-cells.

    abstract::Metabolic syndrome (MS) can be defined as a group of signs that increases the risk of developing type 2 diabetes mellitus (DM2). These signs include obesity, hyperinsulinemia and insulin resistance. We are interested in the mechanisms that trigger hyperinsulinemia as a step to understand how β cells fail in DM2. Pancr...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.4161/isl.21374

    authors: Velasco M,Larqué C,Gutiérrez-Reyes G,Arredondo R,Sanchez-Soto C,Hiriart M

    更新日期:2012-07-01 00:00:00

  • Overexpression of HIF-2α in pancreatic β cells does not alter glucose homeostasis.

    abstract::Both type 1 and type 2 diabetes are associated with insufficient functional β-cell mass. Understanding intracellular signaling pathways associated with this decline is important in broadening our understanding of the disease and potential therapeutic strategies. The hypoxia inducible factor pathway (HIF) plays a criti...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.1080/19382014.2015.1006075

    authors: Brunt JJ,Shi SY,Schroer SA,Sivasubramaniyam T,Cai EP,Woo M

    更新日期:2014-01-01 00:00:00

  • Bioengineering a highly vascularized matrix for the ectopic transplantation of islets.

    abstract::Islet transplantation is a promising treatment for Type 1 diabetes; however limitations of the intra-portal site and poor revascularization of islets must be overcome. We hypothesize that engineering a highly vascularized collagen-based construct will allow islet graft survival and function in alternative sites. In th...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.4161/isl.27175

    authors: Ellis CE,Vulesevic B,Suuronen E,Yeung T,Seeberger K,Korbutt GS

    更新日期:2013-09-01 00:00:00

  • β-cell dedifferentiation in diabetes is important, but what is it?

    abstract::This commentary discusses the concept of β-cell dedifferentiation in diabetes, which is important but not well defined. A broad interpretation is that a state of differentiation has been lost, which means changes in gene expression as well as in structural and functional elements. Thus, a fully mature healthy β cell w...

    journal_title:Islets

    pub_type: 杂志文章,评审

    doi:10.4161/isl.27494

    authors: Weir GC,Aguayo-Mazzucato C,Bonner-Weir S

    更新日期:2013-09-01 00:00:00

  • The aristaless-like homeobox protein Alx3 as an etiopathogenic factor for diabetes mellitus.

    abstract::Inactivation of the gene encoding the aristaless-related homeodomain transcription factor Alx3 results in islet cell apoptosis and impaired glucose homeostasis that worsens with age due to the appearance of insulin resistance. Alx3-deficient mice also show extrapancreatic developmental defects with variable penetrance...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.4161/isl.3.2.14658

    authors: Vallejo M

    更新日期:2011-03-01 00:00:00

  • Systematic review of islet cryopreservation.

    abstract::Pancreatic islet transplantation is being extensively researched as an alternative treatment for type 1 diabetic patients. This treatment is currently limited by temporal mismatch, between the availability of pancreas and isolated islets from deceased organ donor, and the recipient's need for freshly isolated islets. ...

    journal_title:Islets

    pub_type: 历史文章,杂志文章

    doi:10.1080/19382014.2017.1405202

    authors: Kojayan GG,Alexander M,Imagawa DK,Lakey JRT

    更新日期:2018-01-02 00:00:00

  • Parental high-fat programming of offspring development, health and β-cells.

    abstract::Recent studies extend the concept of developmental and adaptive plasticity to include a paternal role in the programming of metabolic disease, including diabetes. Parents greatly influence the development and health of their offspring. Although genetic imprinting plays a major role in determining offspring health outc...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.4161/isl.3.3.15420

    authors: Cerf ME

    更新日期:2011-05-01 00:00:00

  • Statistical approaches and software for clustering islet cell functional heterogeneity.

    abstract::Worldwide efforts are underway to replace or repair lost or dysfunctional pancreatic β-cells to cure diabetes. However, it is unclear what the final product of these efforts should be, as β-cells are thought to be heterogeneous. To enable the analysis of β-cell heterogeneity in an unbiased and quantitative way, we dev...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.1080/19382014.2016.1150664

    authors: Wills QF,Boothe T,Asadi A,Ao Z,Warnock GL,Kieffer TJ,Johnson JD

    更新日期:2016-03-03 00:00:00

  • Islet amyloidosis in a child with type 1 diabetes.

    abstract::Histopathology based studies of the pancreas obtained from organ donors are increasing our awareness of islet phenotypic heterogeneity during development and aging, as well as in settings of type 1 diabetes, type 2 diabetes, monogenic diabetes or other forms of this metabolic disease. Islet amyloidosis represents a hi...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.1080/19382014.2019.1599707

    authors: Beery ML,Jacobsen LM,Atkinson MA,Butler AE,Campbell-Thompson M

    更新日期:2019-01-01 00:00:00

  • Neurogenin3: a master regulator of pancreatic islet differentiation and regeneration.

    abstract::The basic helix-loop-helix transcription factor neurogenin-3 (Ngn3, Neurog3) is critical for the development of the endocrine cells of the islets. Either disrupted or forced expression of Ngn3 early in mouse pancreas development abrogates the formation of islets. The successive waves of Ngn3 expression that occur duri...

    journal_title:Islets

    pub_type: 杂志文章,评审

    doi:10.4161/isl.1.3.9877

    authors: Rukstalis JM,Habener JF

    更新日期:2009-11-01 00:00:00

  • In vivo monitoring of intracellular Ca2+ dynamics in the pancreatic β-cells of zebrafish embryos.

    abstract::Assessing the response of pancreatic islet cells to glucose stimulation is important for understanding β-cell function. Zebrafish are a promising model for studies of metabolism in general, including stimulus-secretion coupling in the pancreas. We used transgenic zebrafish embryos expressing a genetically-encoded Ca2+...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.1080/19382014.2018.1540234

    authors: Lorincz R,Emfinger CH,Walcher A,Giolai M,Krautgasser C,Remedi MS,Nichols CG,Meyer D

    更新日期:2018-01-01 00:00:00

  • The impact of anti-inflammatory cytokines on the pancreatic β-cell.

    abstract::Considerable efforts have been invested to understand the mechanisms by which pro-inflammatory cytokines mediate the demise of β-cells in type 1 diabetes but much less attention has been paid to the role of anti-inflammatory cytokines as potential cytoprotective agents in these cells. Despite this, there is increasing...

    journal_title:Islets

    pub_type: 杂志文章,评审

    doi:10.4161/19382014.2014.950547

    authors: Russell MA,Morgan NG

    更新日期:2014-01-01 00:00:00

  • Blockade of both B7-H4 and CTLA-4 co-signaling pathways enhances mouse islet allograft survival.

    abstract::Costimulation blockade is an effective way to prevent allograft rejection. In this study, we tested the efficacy of two negative co-signaling molecules in protecting islet allograft function. We used local expression of B7-H4 by adenoviral transduction of islets (Ad-B7-H4) and systemic administration of CTLA-4.Ig to i...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.4161/isl.21239

    authors: Wang X,Hao J,Metzger DL,Mui A,Lee IF,Akhoundsadegh N,Chen CL,Ou D,Ao Z,Verchere CB,Warnock GL

    更新日期:2012-07-01 00:00:00

  • Long-term function and optimization of mouse and human islet transplantation in the subcutaneous device-less site.

    abstract::Clinical islet transplantation has routinely been demonstrated to be an efficacious means of restoring glycemic control in select patients with autoimmune diabetes. Notwithstanding marked progress and improvements, the broad-spectrum application of this treatment option is restricted by the complications associated wi...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.1080/19382014.2016.1253652

    authors: Pepper AR,Bruni A,Pawlick RL,Gala-Lopez B,Rafiei Y,Wink J,Kin T,Shapiro AM

    更新日期:2016-11-01 00:00:00

  • Insights into islet development and biology through characterization of a human iPSC-derived endocrine pancreas model.

    abstract::Directed differentiation of stem cells offers a scalable solution to the need for human cell models recapitulating islet biology and T2D pathogenesis. We profiled mRNA expression at 6 stages of an induced pluripotent stem cell (iPSC) model of endocrine pancreas development from 2 donors, and characterized the distinct...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.1080/19382014.2016.1182276

    authors: van de Bunt M,Lako M,Barrett A,Gloyn AL,Hansson M,McCarthy MI,Beer NL,Honoré C

    更新日期:2016-04-18 00:00:00

  • An effective purification method using large bottles for human pancreatic islet isolation.

    abstract::The purification process is one of the most difficult procedures in pancreatic islet isolation. It was demonstrated that the standard purification method using a COBE 2991 cell processor with Ficoll density gradient solution harmed islets mechanically by high shear force. We reported that purification using large bott...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.4161/isl.23008

    authors: Shimoda M,Itoh T,Iwahashi S,Takita M,Sugimoto K,Kanak MA,Chujo D,Naziruddin B,Levy MF,Grayburn PA,Matsumoto S

    更新日期:2012-11-01 00:00:00

  • Downregulation of ZnT8 expression in pancreatic β-cells of diabetic mice.

    abstract::Zinc transporter 8 (ZnT8) has been identified as a β-cell-specific Zinc transporter expressed in insulin-secretory granules. Recent genome wide association studies indicated that Arg325Trp polymorphism of Slc30a8 encoding ZnT8 is associated with susceptibility to type 2 diabetes. As a first step towards understanding ...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.4161/isl.1.2.9433

    authors: Tamaki M,Fujitani Y,Uchida T,Hirose T,Kawamori R,Watada H

    更新日期:2009-09-01 00:00:00

  • Identification of genes selectively disallowed in the pancreatic islet.

    abstract::We have previously identified two genes, encoding lactate dehydrogenase (Ldha) and the monocarboxylate carrier, MCT1 (Slc16a1) whose expression is remarkably low in pancreatic β-cells and islets. We sought here to determine whether these may be part of a larger family of genes selectively repressed ("disallowed") in t...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.4161/isl.2.2.11025

    authors: Pullen TJ,Khan AM,Barton G,Butcher SA,Sun G,Rutter GA

    更新日期:2010-03-01 00:00:00

  • Optogenetic control of insulin secretion in intact pancreatic islets with β-cell-specific expression of Channelrhodopsin-2.

    abstract::Insulin is secreted from the pancreatic β-cells in response to elevated glucose. In intact islets the capacity for insulin release is determined by a complex interplay between different cell types. This has made it difficult to specifically assess the role of β-cell defects to the insulin secretory impairment in type ...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.4161/isl.28095

    authors: Reinbothe TM,Safi F,Axelsson AS,Mollet IG,Rosengren AH

    更新日期:2014-01-01 00:00:00

  • Reversal of hyperglycemia in diabetic mice by a marginal islet mass together with human blood outgrowth endothelial cells is independent of the delivery technique and blood clot-induced processes.

    abstract::We recently reported that human blood outgrowth endothelial cells (BOEC) are supportive to reverse hyperglycemia in marginal islet mass-transplanted diabetic mice. In this report, we investigated whether the observed effect was evoked by islet packing in a blood clot prior to transplantation or could be mimicked by an...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.4161/isl.26778

    authors: Coppens V,Heremans Y,Leuckx G,Suenens K,Jacobs-Tulleneers-Thevissen D,Verdonck K,Luttun A,Heimberg H,De Leu N

    更新日期:2013-09-01 00:00:00

  • Factors affecting islet graft embolization in the liver of diabetic mice.

    abstract::BACKGROUND: Embolic occlusion of the portal vein due to islet transplantation is one of the major reasons for reduced survival of transplanted islets. In this study, we examined the location of islets as well as the correlation between islet and portal vein size after intraportal islet transplantation and evaluated li...

    journal_title:Islets

    pub_type: 杂志文章

    doi:

    authors: Sakata N,Obenaus A,Chan N,Mace J,Chinnock R,Hathout E

    更新日期:2009-07-01 00:00:00

  • Pancreatic and duodenal homeobox-1 nuclear localization is regulated by glucose in dispersed rat islets but not in insulin-secreting cell lines.

    abstract::The transcription factor Pancreatic and Duodenal Homeobox-1 (PDX-1) plays a major role in the development and function of pancreatic β-cells and its mutation results in diabetes. In adult β-cells, glucose stimulates transcription of the insulin gene in part by regulating PDX-1 expression, stability and activity. Gluco...

    journal_title:Islets

    pub_type: 杂志文章

    doi:10.4161/19382014.2014.982376

    authors: Semache M,Ghislain J,Zarrouki B,Tremblay C,Poitout V

    更新日期:2014-01-01 00:00:00