Recent experience with 89 pancreas transplants at a single institution.

Abstract:

:Of 89 pancreas transplants performed in 77 diabetic patients (43 with and 34 without previous kidney transplants), 53 were from cadaver and 36 from related donors. To date, 64 patients (83%) are alive and 27 (35%) have functioning grafts (14 greater than 1 year), including 0 out of 3 duct-ligated, 3 out of 15 open-duct, 17 out of 32 enteric-drained, and 7 out of 39 duct-injected. Of technically successful allografts, 8 out of 16 (50%) in the azathioprine- and 17 out of 47 (36%) in the cyclosporin-treated recipients are functioning (eight cyclosporin patients also take azathioprine). Seven of the nine (78%) non-kidney-transplants recipients of technically successful pancreas allografts from HLA-identical siblings have functioning grafts. Causes of graft failure include allograft rejection, fibrosis secondary to duct injection, or selective beta-cell destruction independent of rejection. Of the 24 recipients who are currently insulin-dependent, 14 have normal or near-normal glucose tolerance test results, while 10 have abnormal results, even though they are otherwise euglycaemic. The patient population to whom pancreas transplantation is applied is gradually changing, and non-uraemic, non-kidney-transplant patients currently comprise the majority of our cases (17 out of 24 in 1983; nine of the 17 currently have functioning grafts). We now prefer the enteric drainage technique.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Diabetologia

journal_title

Diabetologia

authors

Sutherland DE,Goetz FC,Najarian JS

doi

10.1007/BF00275675

subject

Has Abstract

pub_date

1984-07-01 00:00:00

pages

149-53

eissn

0012-186X

issn

1432-0428

journal_volume

27 Suppl

pub_type

杂志文章
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    pub_type: 杂志文章

    doi:10.1007/BF02743275

    authors: Zanone MM,Peakman M,Purewal T,Watkins PJ,Vergani D

    更新日期:1993-06-01 00:00:00

  • Short-term moderate sodium restriction induces relative hyperfiltration in normotensive normoalbuminuric Type I diabetes mellitus.

    abstract:AIMS/HYPOTHESIS:Type I (insulin-dependent) diabetes mellitus is associated with an increased extracellular volume. Sodium restriction might seem a logical form of treatment but data on its renal effects is conflicting. We therefore studied the effects of sodium restriction on renal haemodynamics in uncomplicated Type I...

    journal_title:Diabetologia

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    更新日期:2002-04-01 00:00:00

  • Human enterovirus infections in children at increased risk for type 1 diabetes: the Babydiet study.

    abstract:AIMS/HYPOTHESIS:The aim of this study was to examine human enteroviruses (HEVs) and other intestinal viruses derived from children who participated in the Babydiet intervention study and to analyse the findings according to the appearance of islet autoantibodies, dietary intervention, maternal type 1 diabetes and clini...

    journal_title:Diabetologia

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00125-011-2305-3

    authors: Simonen-Tikka ML,Pflueger M,Klemola P,Savolainen-Kopra C,Smura T,Hummel S,Kaijalainen S,Nuutila K,Natri O,Roivainen M,Ziegler AG

    更新日期:2011-12-01 00:00:00

  • Altered immunoreactivity of islet amyloid polypeptide (IAPP) may reflect major modifications of the IAPP molecule in amyloidogenesis.

    abstract::We have developed a mouse monoclonal antibody against rat/mouse islet amyloid polypeptide (IAPP). The antibody recognises an epitope in the N-terminal part of the molecule, which is conserved between different species. The antibody immunohistochemically labelled beta cells in normal islets of most different mammalian ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s001250050751

    authors: Ma Z,Westermark GT,Li ZC,Engström U,Westermark P

    更新日期:1997-07-01 00:00:00

  • A new mutation (db3J) at the diabetes locus in strain 129/J mice. II. Studies of pancreatic alpha cell function in culture.

    abstract::Monolayer cell cultures from pancreatic islets of aging 129/J strain diabetes (db3J/db3J) and lean littermate control mice were tested for differences in glucagon and insulin secretion in either serum-free Eagle's minimal essential medium (MEM) or Dulbecco's modified minimal essential medium (DMEM). There was a highly...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00258314

    authors: Leiter EH,Strack I,Eisenstein AB

    更新日期:1980-07-01 00:00:00

  • Hyperinsulinaemia and hyperglycaemia: possible risk factors of colorectal cancer among diabetic patients.

    abstract::Hyperinsulinaemia and hyperglycaemia are two possible risk factors for colorectal cancer, which constitutes the third leading cause of cancer death in Western countries. Molecular evidence as well as animal models provide support for these associations: Insulin has been shown to be an important growth factor for colon...

    journal_title:Diabetologia

    pub_type: 杂志文章,评审

    doi:10.1007/s00125-003-1109-5

    authors: Chang CK,Ulrich CM

    更新日期:2003-05-01 00:00:00

  • The ultrastructure of polyploid B-cells in the islets of normal mice.

    abstract::Light and electron microscopic studies of diploid, tetraploid and octaploid B-cells in the islets of normal C57BL/KsJ mice revealed that polyploid cells were characterized by a wider range of granulated states than diploid B-cells. The maximum granule densities were similar for polyploid and diploid cells; however, so...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00428985

    authors: Bowen RE,Swartz FJ

    更新日期:1976-05-01 00:00:00

  • Effect of phenformin on hepatic balances of gluconeogenic substrates in man.

    abstract::The effect of a five day pretreatment with phenformin (3 X 50 mg daily) on hepatic metabolism was studied in six healthy volunteers. Arterial and hepatic venous concentrations of substrates and hepatic blood flow were estimated during a basal period and during a low-dose lactate infusion (0,03 mmol . kg-1 . min-1). Th...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF01219423

    authors: Dietze G,Wicklmayr M,Mehnert H,Czempiel H,Henftling HG

    更新日期:1978-04-01 00:00:00

  • Paradoxical glucagon response after stimulation with glucose and arginine in isolated pancreatic sand rat islets.

    abstract::Isolated pancreatic islets of normoglycemic sand rats do not respond to 2.5 mM glucose with an enhanced glucagon secretion, which could be observed in normal Wistar rats. Arginine stimulates glucagon release in the presence of 2.5 mM glucose in Wistar rats as well as in sand rats. The secretion pattern is not caused b...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00422820

    authors: Ziegler M,Hahn HJ,Ziegler B,Köhler E,Fiedler H

    更新日期:1975-02-01 00:00:00

  • Effect of octreotide and insulin on manifest renal and glomerular hypertrophy and urinary albumin excretion in long-term experimental diabetes in rats.

    abstract::Treatment of diabetic rats with octreotide can inhibit early diabetic renal hypertrophy. Octreotide administration for 6 months from the day of diabetes induction inhibits renal hypertrophy and diminishes increase in urinary albumin excretion. To investigate the effect of octreotide on manifest diabetic renal changes,...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00400087

    authors: Grønbaek H,Nielsen B,Osterby R,Harris A,Orskov H,Flyvbjerg A

    更新日期:1995-02-01 00:00:00

  • Cytochrome P450 epoxygenase-derived epoxyeicosatrienoic acids contribute to insulin sensitivity in mice and in humans.

    abstract:AIMS/HYPOTHESIS:Insulin resistance is frequently associated with hypertension and type 2 diabetes. The cytochrome P450 (CYP) arachidonic acid epoxygenases (CYP2C, CYP2J) and their epoxyeicosatrienoic acid (EET) products lower blood pressure and may also improve glucose homeostasis. However, the direct contribution of e...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-017-4260-0

    authors: Gangadhariah MH,Dieckmann BW,Lantier L,Kang L,Wasserman DH,Chiusa M,Caskey CF,Dickerson J,Luo P,Gamboa JL,Capdevila JH,Imig JD,Yu C,Pozzi A,Luther JM

    更新日期:2017-06-01 00:00:00

  • Human mesenchymal stem cell-derived microvesicles modulate T cell response to islet antigen glutamic acid decarboxylase in patients with type 1 diabetes.

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    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-014-3262-4

    authors: Favaro E,Carpanetto A,Lamorte S,Fusco A,Caorsi C,Deregibus MC,Bruno S,Amoroso A,Giovarelli M,Porta M,Perin PC,Tetta C,Camussi G,Zanone MM

    更新日期:2014-08-01 00:00:00

  • Individuals with only one allele for a functional insulin receptor have a tendency to hyperinsulinaemia but not to hyperglycaemia.

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    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00274534

    authors: Lekanne Deprez RH,Potter van Loon BJ,van der Zon GC,Möller W,Lindhout D,Klinkhamer MP,Krans HM,Maassen JA

    更新日期:1989-10-01 00:00:00

  • Functional studies in patients with the glucagonoma syndrome.

    abstract::Four patients with glucagon-producing tumours of the pancreas were investigated. Fasting plasma glucagon concentrations ranged from 209--625 pmol/l. Plasma insulin concentrations were normal except in one patient, where the tumour also produced insulin (558 pmol/l). Intravenous glucose (25 g/m2) depressed the glucagon...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF01219741

    authors: Holst JJ,Helland S,Ingemannson S,Pedersen NB,von Schenck H

    更新日期:1979-09-01 00:00:00

  • Spatial distribution of early red lesions is a risk factor for development of vision-threatening diabetic retinopathy.

    abstract:AIMS/HYPOTHESIS:Diabetic retinopathy is characterised by morphological lesions related to disturbances in retinal blood flow. It has previously been shown that the early development of retinal lesions temporal to the fovea may predict the development of treatment-requiring diabetic maculopathy. The aim of this study wa...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-017-4424-y

    authors: Ometto G,Assheton P,Calivá F,Chudzik P,Al-Diri B,Hunter A,Bek T

    更新日期:2017-12-01 00:00:00

  • Genetic variants of the renin-angiotensin system, diabetic nephropathy and hypertension.

    abstract::Recent studies have suggested an association between a deletion (D) variant of the angiotensin-converting-enzyme (ACE) gene and diabetic nephropathy. However, this finding has not been confirmed by all investigators. Furthermore, an M235T variant of the angiotensinogen (AGT) gene has been associated with hypertension,...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s001250050662

    authors: Ringel J,Beige J,Kunz R,Distler A,Sharma AM

    更新日期:1997-02-01 00:00:00

  • Dietary fish oil augments nitric oxide production or release in patients with type 2 (non-insulin-dependent) diabetes mellitus.

    abstract::Decreased release of nitric oxide from damaged endothelium is responsible for the impaired endothelium-dependent vasodilator responses found in animal models of vascular disease. Dietary supplementation with fish oils has been shown to augment endothelium-dependent relaxations, principally by improving the release of ...

    journal_title:Diabetologia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/BF00399090

    authors: McVeigh GE,Brennan GM,Johnston GD,McDermott BJ,McGrath LT,Henry WR,Andrews JW,Hayes JR

    更新日期:1993-01-01 00:00:00

  • Nitric oxide is not involved in the initiation of insulin secretion from rat islets of Langerhans.

    abstract::The involvement of nitric oxide as an intracellular messenger in the control of insulin secretion from pancreatic Beta cells was studied in rat islets of Langerhans by measuring: (i) nitric oxide generation in response to physiological insulin secretagogues; (ii) the effects of inhibitors of nitric oxide synthesis on ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF02221676

    authors: Jones PM,Persaud SJ,Bjaaland T,Pearson JD,Howell SL

    更新日期:1992-11-01 00:00:00

  • Enterovirus infection is associated with an increased risk of childhood type 1 diabetes in Taiwan: a nationwide population-based cohort study.

    abstract:AIMS/HYPOTHESIS:This study compared the incidence rate of type 1 diabetes in children diagnosed with enterovirus (EV) infections with that in age- and sex-matched children without EV infection in a population-based cohort. In addition, we examined whether the direction or magnitude of the association between EV infecti...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-014-3400-z

    authors: Lin HC,Wang CH,Tsai FJ,Hwang KP,Chen W,Lin CC,Li TC

    更新日期:2015-01-01 00:00:00

  • The incidence of type 1 diabetes is increasing in both children and young adults in Northern Italy: 1984-2004 temporal trends.

    abstract:AIMS/HYPOTHESIS:A shift towards younger age at onset of diabetes in susceptible people has been suggested as a possible explanation for the increasing temporal trend in incidence of type 1 diabetes. We aimed to test this hypothesis by assessing trends in incidence rates in the period 1984-2004 in children and young adu...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-009-1538-x

    authors: Bruno G,Novelli G,Panero F,Perotto M,Monasterolo F,Bona G,Perino A,Rabbone I,Cavallo-Perin P,Cerutti F,Piedmont Study Group for Diabetes Epidemiology.

    更新日期:2009-12-01 00:00:00

  • Early and longer term effects of gastric bypass surgery on tissue-specific insulin sensitivity and beta cell function in morbidly obese patients with and without type 2 diabetes.

    abstract:AIMS/HYPOTHESIS:Bariatric surgery consistently induces remission of type 2 diabetes. We tested whether there are diabetes-specific mechanisms in addition to weight loss. METHODS:We studied 25 morbidly obese patients (BMI 51.7 ± 1.5 kg/m(2) [mean ± SEM]), 13 with non-insulin-treated type 2 diabetes (HbA(1c) 7.1 ± 0.5% ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-011-2193-6

    authors: Camastra S,Gastaldelli A,Mari A,Bonuccelli S,Scartabelli G,Frascerra S,Baldi S,Nannipieri M,Rebelos E,Anselmino M,Muscelli E,Ferrannini E

    更新日期:2011-08-01 00:00:00

  • Non-neural tyrosine hydroxylase, via modulation of endocrine pancreatic precursors, is required for normal development of beta cells in the mouse pancreas.

    abstract:AIMS/HYPOTHESIS:Apart from transcription factors, little is known about the molecules that modulate the proliferation and differentiation of pancreatic endocrine cells. The early expression of tyrosine hydroxylase (TH) in a subset of glucagon(+) cells led us to investigate whether catecholamines have a role in beta cel...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-014-3341-6

    authors: Vázquez P,Robles AM,de Pablo F,Hernández-Sánchez C

    更新日期:2014-11-01 00:00:00

  • Oxidative stress induces insulin resistance by activating the nuclear factor-kappa B pathway and disrupting normal subcellular distribution of phosphatidylinositol 3-kinase.

    abstract:AIMS/HYPOTHESIS:Oxidative stress is associated with diabetes, hypertension and atherosclerosis. Insulin resistance is implicated in the development of these disorders. We tested the hypothesis that oxidative stress induces insulin resistance in rats, and endeavoured to identify mechanisms linking the two. METHODS:Buth...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-004-1391-x

    authors: Ogihara T,Asano T,Katagiri H,Sakoda H,Anai M,Shojima N,Ono H,Fujishiro M,Kushiyama A,Fukushima Y,Kikuchi M,Noguchi N,Aburatani H,Gotoh Y,Komuro I,Fujita T

    更新日期:2004-05-01 00:00:00

  • Reduced plasma adiponectin concentrations may contribute to impaired insulin activation of glycogen synthase in skeletal muscle of patients with type 2 diabetes.

    abstract:AIMS/HYPOTHESIS:Circulating levels of adiponectin are negatively associated with multiple indices of insulin resistance, and the concentration is reduced in humans with insulin resistance and type 2 diabetes. However, the mechanisms by which adiponectin improves insulin sensitivity remain unclear. SUBJECTS AND METHODS...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-006-0240-5

    authors: Højlund K,Frystyk J,Levin K,Flyvbjerg A,Wojtaszewski JF,Beck-Nielsen H

    更新日期:2006-06-01 00:00:00

  • A vascular mechanism for high-sodium-induced insulin resistance in rats.

    abstract:AIMS/HYPOTHESIS:High sodium (HS) effects on hypertension are well established. Recent evidence implicates a relationship between HS intake and insulin resistance, even in the absence of hypertension. The aim of the current study was to determine whether loss of the vascular actions of insulin may be the driving factor ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-014-3373-y

    authors: Premilovac D,Richards SM,Rattigan S,Keske MA

    更新日期:2014-12-01 00:00:00

  • Effect of glipizide treatment on postprandial lipaemia in patients with NIDDM.

    abstract::The primary goal of the present study was to examine the effects of improved glycaemic control associated with glipizide treatment on postprandial lipaemia in non-insulin-dependent diabetic patients. The metabolism of triglyceride-rich lipoproteins of intestinal origin was assessed by measuring the retinyl palmitate c...

    journal_title:Diabetologia

    pub_type: 临床试验,杂志文章

    doi:10.1007/BF00404335

    authors: Jeppesen J,Zhou MY,Chen YD,Reaven GM

    更新日期:1994-08-01 00:00:00

  • Disruption of CR6-interacting factor-1 (CRIF1) in mouse islet beta cells leads to mitochondrial diabetes with progressive beta cell failure.

    abstract:AIM/HYPOTHESIS:Although mitochondrial oxidative phosphorylation (OxPhos) dysfunction is believed to be responsible for beta cell dysfunction in insulin resistance and mitochondrial diabetes, the mechanisms underlying progressive beta cell failure caused by defective mitochondrial OxPhos are largely unknown. METHODS:We...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-015-3506-y

    authors: Kim YK,Joung KH,Ryu MJ,Kim SJ,Kim H,Chung HK,Lee MH,Lee SE,Choi MJ,Chang JY,Hong HJ,Kim KS,Lee SH,Kweon GR,Kim H,Lee CH,Kim HJ,Shong M

    更新日期:2015-04-01 00:00:00

  • Effect of thalidomide and rosiglitazone on the prevention of diabetic retinopathy in streptozotocin-induced diabetic rats.

    abstract:AIMS/HYPOTHESIS:Our aim was to compare the therapeutic effect of thalidomide and rosiglitazone on the prevention of diabetic retinopathy in streptozotocin-induced diabetic rats. METHODS:Male Holtzman rats of 6 to 8 weeks of age and weighing 170+/-30 g were randomly divided into four groups: control ( n=13), untreated ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-003-1234-1

    authors: Bosco AA,Lerario AC,Santos RF,Wajchenberg BL

    更新日期:2003-12-01 00:00:00

  • 11beta-Hydroxysteroid dehydrogenase Type 1 in obesity and Type 2 diabetes.

    abstract::Obesity and Type 2 diabetes mellitus are associated with abnormal regulation of glucocorticoid metabolism that are highlighted by clinical similarities between the sequelae of insulin resistance and Cushing's syndrome, as well as glucocorticoids' functional antagonism to insulin. 11beta-hydroxysteroid dehydrogenase ty...

    journal_title:Diabetologia

    pub_type: 杂志文章,评审

    doi:10.1007/s00125-003-1284-4

    authors: Stulnig TM,Waldhäusl W

    更新日期:2004-01-01 00:00:00

  • Autoantibodies against sympathetic ganglia and evidence of cardiac sympathetic dysinnervation in newly diagnosed and long-term IDDM patients.

    abstract::To investigate the presence of autoantibodies against sympathetic nervous tissue and their correlation with cardiac sympathetic dysinnervation in insulin-dependent diabetes mellitus (IDDM), 20 newly diagnosed (age 26 +/- 6 years) and 48 long-term IDDM patients (age 40 +/- 13 years, duration of diabetes 22 +/- 12 years...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00403917

    authors: Schsnell O,Muhr D,Dresel S,Tatsch K,Ziegler AG,Haslbeck M,Standl E

    更新日期:1996-08-01 00:00:00