Superiority of the two-layer method before islet isolation confirmed by in vivo viability assessment.

Abstract:

BACKGROUND:Although the outcome of islet transplantation has improved, there remains a major obstacle in isolating viable islets from prolonged preserved pancreas. We previously reported that the two-layer cold storage method (TLM) improved the yield and in vitro function. In this study, we performed in vivo accurate functional analyses of islets from TLM-preserved pancreas and investigated pancreatic duct cell viability, which may critically affect islet isolation. METHODS:Rat islets isolated from fresh pancreas (group 1), after preservation in the University of Wisconsin (UW) solution (group 2) or by the TLM (group 3), were examined by assessing islet yields, stimulation indices, cure rates after transplantation to diabetic nude mice, and trypan blue uptake of pancreatic duct cells. RESULTS:TLM significantly improved the islet yield compared with UW cold storage. The cure rates after transplantation were 100%, 0%, and 80% for groups 1, 2, and 3, respectively. This indicates that islet viability was well maintained even after 24 hr of TLM preservation. The percentages of nonviable duct cells were 4.1%+/-1.9%, 48.3%+/-8.0%, and 26.1%+/-21.4% in groups 1, 2, and 3, respectively, showing that the TLM was superior to UW as seen by this duct cell viability assessment. CONCLUSIONS:The TLM used for pancreas preservation before islet isolation results in excellent islet function in addition to improved islet yield comparable to freshly isolated islets. The underlying mechanism may be duct cell viability maintained during TLM preservation. Therefore the TLM is an excellent preservation technique for isolating sufficient numbers of highly viable islets.

journal_name

Transplantation

journal_title

Transplantation

authors

Kakinoki K,Fujino Y,Suzuki Y,Li S,Tanioka Y,Sakai T,Kuroda Y

doi

10.1097/01.tp.0000154914.34121.72

subject

Has Abstract

pub_date

2005-06-15 00:00:00

pages

1516-21

issue

11

eissn

0041-1337

issn

1534-6080

pii

00007890-200506150-00009

journal_volume

79

pub_type

杂志文章
  • Use of liver grafts from donors positive for antihepatitis B-core antibody (anti-HBc) in the era of prophylaxis with hepatitis-B immunoglobulin and lamivudine.

    abstract:BACKGROUND:The increasing demand for transplantation has resulted in a trend toward using virologically compromised donors. We reviewed our experience with liver grafts from hepatitis-B surface antigen (HBsAg)(-), antibody to core antigen (anti-HBc)(+) donors. METHODS:Sixty-two liver transplants using HBsAg(-), anti-H...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000065283.98275.FE

    authors: Nery JR,Nery-Avila C,Reddy KR,Cirocco R,Weppler D,Levi DM,Nishida S,Madariaga J,Kato T,Ruiz P,Schiff E,Tzakis AG

    更新日期:2003-04-27 00:00:00

  • Expression of MRP2 and MRP3 during liver regeneration after 90% partial hepatectomy in rats.

    abstract:BACKGROUND:Small-for-size grafts often cause persistent conjugated hyperbilirubinemia in the recipient after adult-to-adult living donor liver transplantation, but the cause has not yet been clarified. In physiologic status, bilirubin is excreted from hepatocytes to the bile canaliculus by means of multidrug resistance...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000089234.93366.6D

    authors: Chang TH,Hakamada K,Toyoki Y,Tsuchida S,Sasaki M

    更新日期:2004-01-15 00:00:00

  • Tuberculosis in lung transplant recipients.

    abstract:BACKGROUND:Post-lung transplant infection is one of the leading causes of morbidity and mortality. The cause and incidence are similar in many series; however, infections such as Mycobacterium tuberculosis are influenced by the epidemiologic situation. The authors present a prospective and observational study to define...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000147784.53188.dc

    authors: Bravo C,Roldán J,Roman A,Degracia J,Majo J,Guerra J,Monforte V,Vidal R,Morell F

    更新日期:2005-01-15 00:00:00

  • The lymphatic drainage of the rat prostate and its status as an immunologically privileged site.

    abstract::Recent suggestions that the rat prostate is an alymphatic, immunologically privileged site stimulated further investigation of its status using a variety of techniques. Fixation of certain organs by vascular perfusion of glutaraldehyde followed by plastic embedding avoids the distortion and stromal reorganization that...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197902000-00011

    authors: Neaves WB,Billingham RE

    更新日期:1979-02-01 00:00:00

  • The assessment of transplantation tolerance induced by anti-CD4 monoclonal antibody in the murine model.

    abstract::Transplantation tolerance can be induced in the adult mouse by the selective manipulation of the CD4+ T cell subset. C3H/He recipients with prolonged survival (> 120 days) of C57BL/10 cardiac allografts induced by treatment, at the time of transplantation, with the anti-CD4 mAb, YTS 191.1, were skin grafted simultaneo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199302000-00025

    authors: Pearson TC,Darby CR,Bushell AR,West LJ,Morris PJ,Wood KJ

    更新日期:1993-02-01 00:00:00

  • Coronary calcifications detected by computed tomography are not markers of cardiac allograft vasculopathy.

    abstract:BACKGROUND:Cardiac allograft vasculopathy (CAV) still limits survival after heart transplantation. Currently available noninvasive tests are of inferior value to detect CAV, and thus invasive coronary angiography (ICA) is frequently performed. Cardiac dual-source computed tomography calcium scoring (DSCTCS) offers the ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318225281d

    authors: von Ziegler F,Kaczmarek I,Knez A,Greif M,Rümmler J,Meiser B,Reichart B,Becker C,Steinbeck G,Becker A

    更新日期:2011-08-27 00:00:00

  • Cardiac allograft rejection late after transplantation is a risk factor for graft coronary artery disease.

    abstract:BACKGROUND:Graft coronary artery disease (CAD) is an increasingly important problem during long-term survival after heart transplantation, but the importance of cellular rejection, in particular late after transplantation, remains undetermined. METHODS AND RESULTS:We analyzed 492 coronary angiographies (967+/-705 days...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199802270-00015

    authors: Brunner-La Rocca HP,Schneider J,Künzli A,Turina M,Kiowski W

    更新日期:1998-02-27 00:00:00

  • Peripheral blood gene expression analysis in intestinal transplantation: a feasibility study for detecting novel candidate biomarkers of graft rejection.

    abstract:INTRODUCTION:We investigated the putative candidate biomarkers of graft rejection in peripheral blood of intestinal transplant patients. MATERIALS AND METHODS:Peripheral blood gene expression analysis was performed in intestinal transplant patients. The results were matched with concurrent graft biopsies using bioinfo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182370db1

    authors: Andreev VP,Tryphonopoulos P,Blomberg BB,Tsinoremas N,Weppler D,Neuman DR,Volsky A,Nishida S,Tekin A,Selvaggi G,Levi DM,Tzakis AG,Ruiz P

    更新日期:2011-12-27 00:00:00

  • Advanced donor-origin melanoma in a renal transplant recipient: immunotherapy, cure, and retransplantation.

    abstract:BACKGROUND:A kidney transplant recipient inadvertently contracted donor-origin melanoma, which was found to be very advanced at presentation. Withdrawal of immunosuppression failed to induce rejection, and interferon-alpha was required. When florid allograft rejection was in progress, the allograft was removed, before ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199809150-00020

    authors: Suranyi MG,Hogan PG,Falk MC,Axelsen RA,Rigby R,Hawley C,Petrie J

    更新日期:1998-09-15 00:00:00

  • The prevalence of coronary artery disease in liver transplant candidates over age 50.

    abstract::The prevalence of angiographically proven coronary artery disease (CAD) in adults with end-stage liver disease who undergo evaluation for liver transplantation is unknown; also it is unclear if cholestatic liver disease represents an independent risk factor. Patients with end-stage liver disease over age 50 having liv...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Carey WD,Dumot JA,Pimentel RR,Barnes DS,Hobbs RE,Henderson JM,Vogt DP,Mayes JT,Westveer MK,Easley KA

    更新日期:1995-03-27 00:00:00

  • Multicenter randomized trial comparing tacrolimus (FK506) and cyclosporine in the prevention of renal allograft rejection: a report of the European Tacrolimus Multicenter Renal Study Group.

    abstract:BACKGROUND:To confirm the results of a number of studies conducted in Europe, the United States, and Japan, this multicenter, randomized trial compared the 12-month efficacy and safety of tacrolimus- and cyclosporine-based immunosuppressive regimens in the prevention of renal allograft rejection. METHODS:A total of 44...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00007890-199708150-00012

    authors: Mayer AD,Dmitrewski J,Squifflet JP,Besse T,Grabensee B,Klein B,Eigler FW,Heemann U,Pichlmayr R,Behrend M,Vanrenterghem Y,Donck J,van Hooff J,Christiaans M,Morales JM,Andres A,Johnson RW,Short C,Buchholz B,Rehmert N

    更新日期:1997-08-15 00:00:00

  • Kupffer cell-mediated downregulation of hepatic transporter expression in rat hepatic ischemia-reperfusion.

    abstract:BACKGROUND:Hepatic ischemia-reperfusion (IR) injury is frequently followed by cholestatic liver disease. Cytokines released by Kupffer cells following hepatic IR injury may subsequently regulate hepatic transporter expression. The purpose of this study was to determine whether hepatic IR injury and the resultant Kupffe...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000226243.69023.54

    authors: Tanaka Y,Chen C,Maher JM,Klaassen CD

    更新日期:2006-07-27 00:00:00

  • Decreased platelet aggregation after reperfusion in orthotopic liver transplantation.

    abstract::Increased blood loss is a major contributory factor to postoperative short- and longterm outcome in orthotopic liver transplantation (OLT). Hyperfibrinolysis, occurring mainly in the anhepatic phase, and disseminated intravascular coagulation (DIC), starting immediately after reperfusion, have been observed to paralle...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199203000-00018

    authors: Himmelreich G,Hundt K,Neuhaus P,Roissant R,Riess H

    更新日期:1992-03-01 00:00:00

  • Tacrolimus or cyclosporine: which is the better partner for mycophenolate mofetil in heart transplant recipients?

    abstract:BACKGROUND:The aim of this single-center study was to investigate whether trough level adjusted mycophenolate mofetil (MMF) is more efficacious in combination with tacrolimus (TAC) or cyclosporine (CsA) and to evaluate the impact of either drug on MMF dosage. METHODS:Sixty patients (TAC, n = 30; CsA, n = 30) undergoin...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.tp.0000129814.52456.25

    authors: Meiser BM,Groetzner J,Kaczmarek I,Landwehr P,Müller M,Jung S,Uberfuhr P,Fraunberger P,Stempfle HU,Weis M,Reichart B

    更新日期:2004-08-27 00:00:00

  • Inability of isolated soluble interleukin-2 receptor levels to predict biopsy rejection scores after heart transplantation.

    abstract::Successful cardiac transplantation requires suppression of rejection, and endomyocardial biopsy is generally used to quantify this and guide immunotherapy. Biopsy, however, is an invasive, costly, cardiac catheterization with repetition limited. Since rejection requires lymphocyte activation, an alternative method of ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199103000-00018

    authors: Young JB,Windsor NT,Smart FW,Kleiman NS,Weilbaecher DG,Noon GP,Nelson DL,Lawrence EC

    更新日期:1991-03-01 00:00:00

  • Detection of anti-HLA antibodies with flow cytometry in needle core biopsies of renal transplants recipients with chronic allograft nephropathy.

    abstract::The aim of this study was to assess the feasibility of detecting anti-HLA antibodies in eluates from needle core biopsies of renal transplants with chronic allograft nephropathy. Two methods of screening, the enzyme-linked immunosorbent assay (ELISA) and flow cytometry (FlowPRA) were compared. Twenty renal transplants...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000156164.54216.de

    authors: Martin L,Guignier F,Bocrie O,D'Athis P,Rageot D,Rifle G,Justrabo E,Mousson C

    更新日期:2005-05-27 00:00:00

  • Successful tapering of immunosuppression to low-dose monotherapy steroids after living-related human leukocyte antigen-identical renal transplantation.

    abstract:BACKGROUND:Living-related (LR) human leukocyte antigen (HLA)-identical renal transplant (RTx) recipients often receive standard immunosuppression, despite the absence of mismatched major HLA-antigens and the known complications of long-term use of immunosuppression. No data are available on the need for immunosuppressi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31819634eb

    authors: van de Wetering J,Gerrits JH,van Besouw NM,Ijzermans JN,Weimar W

    更新日期:2009-03-15 00:00:00

  • Description of B lymphocytes and plasma cells, complement, and chemokines/receptors in acute liver allograft rejection.

    abstract:BACKGROUND:Although antibody mechanisms play a pathogenetic role in liver allograft rejection, no data exist on B lymphocytes, plasma cells, complement, and chemokines in rejected liver tissue. METHODS:Liver biopsy specimens from 25 patients with acute allograft rejection (AR) (rejection activity index, RAI score: 1-9...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000132324.14207.8b

    authors: Krukemeyer MG,Moeller J,Morawietz L,Rudolph B,Neumann U,Theruvath T,Neuhaus P,Krenn V

    更新日期:2004-07-15 00:00:00

  • Hemorrhagic cystitis after bone marrow transplantation. Risk factors and complications.

    abstract::Hemorrhagic cystitis (HC) is a major cause of morbidity after BMT; we have analyzed its incidence, risk factors, and complications in 977 patients undergoing BMT between 1974 and 1988. Despite vigorous hydration and frequent voiding in all patients receiving cyclophosphamide, 135/977 (15% by Kaplan-Meier projection) d...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199310000-00020

    authors: Sencer SF,Haake RJ,Weisdorf DJ

    更新日期:1993-10-01 00:00:00

  • Perfusion of kidneys with unformulated "naked" intercellular adhesion molecule-1 antisense oligodeoxynucleotides prevents ischemic/reperfusion injury.

    abstract:BACKGROUND:We have previously shown that phosphorothioate intercellular adhesion molecule (ICAM)-1 antisense oligodeoxynucleotide (oligo) IP-9125 blocks the expression of rat ICAM-1 mRNA in rat L2 cells. A single ex situ perfusion of grafts with unformulated IP-9125, suspended in Euro-Collins solution, prolonged the su...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199909270-00022

    authors: Chen W,Bennett CF,Wang ME,Dragun D,Tian L,Stecker K,Clark JH,Kahan BD,Stepkowski SM

    更新日期:1999-09-27 00:00:00

  • Neoral compared to Sandimmune is associated with a decrease in histologic severity of rejection in patients undergoing primary liver transplantation.

    abstract:BACKGROUND:In a randomized, controlled study we investigated the clinical efficacy of the microemulsion formulation of cyclosporine (Neoral) in comparison with Sandimmune (SIM) in the treatment of patients who underwent primary orthotopic liver transplantation (OLT). METHODS:In total, 33 patients were randomized in a ...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007890-199709150-00011

    authors: Graziadei IW,Wiesner RH,Marotta PJ,Porayko MK,Dahlke LJ,Wilson SM,Steers JL,Krom RA

    更新日期:1997-09-15 00:00:00

  • Self-organizing maps can determine outcome and match recipients and donors at orthotopic liver transplantation.

    abstract:BACKGROUND:There is a relative lack of donor organs for liver transplantation. Ideally, to maximize the utility of those livers that are offered, donor and recipient characteristics should be matched to ensure the best possible posttransplant survival of the recipient. METHODS:With prospectively collected data on 827 ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000146193.02231.e2

    authors: Haydon GH,Hiltunen Y,Lucey MR,Collett D,Gunson B,Murphy N,Nightingale PG,Neuberger J

    更新日期:2005-01-27 00:00:00

  • The role of tumor necrosis factor and interferon gamma in graft-versus-host disease and related immunodeficiency.

    abstract::The role of TNF in the expression of GVHD and GVHD-related immunodeficiency was studied in a well-established murine GVHD model of bone marrow transplantation across minor histocompatibility barriers (B10.BR-->GBA/J) both in vitro and in vivo. Splenocytes from animals with GVHD profoundly inhibited the proliferation o...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199401001-00021

    authors: Wall DA,Sheehan KC

    更新日期:1994-01-01 00:00:00

  • Humoral Reactivity of Renal Transplant-Waitlisted Patients to Cells From GGTA1/CMAH/B4GalNT2, and SLA Class I Knockout Pigs.

    abstract:BACKGROUND:Antipig antibodies are a barrier to clinical xenotransplantation. We evaluated antibody binding of waitlisted renal transplant patients to 3 glycan knockout (KO) pig cells and class I swine leukocyte antigens (SLA). METHODS:Peripheral blood mononuclear cells from SLA identical wild type (WT), α1, 3-galactos...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001646

    authors: Martens GR,Reyes LM,Li P,Butler JR,Ladowski JM,Estrada JL,Sidner RA,Eckhoff DE,Tector M,Tector AJ

    更新日期:2017-04-01 00:00:00

  • The impact of cyclosporine dose reduction with or without the addition of rapamycin on functional, molecular, and histological markers of chronic allograft nephropathy.

    abstract:BACKGROUND:Overexposure to cyclosporine is a risk factor for chronic allograft nephropathy (CAN) and dose reduction has been advocated. The purpose of this study was to determine the impact of adding the non-nephrotoxic immunosuppressant, rapamycin, after cyclosporine dose reduction in renal-allograft recipients with C...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007890-200303270-00008

    authors: Saunders RN,Bicknell GR,Nicholson ML

    更新日期:2003-03-27 00:00:00

  • Apoptosis and the expression of Fas and Fas ligand (FasL) antigen in rejection and reinfection in liver allograft specimens.

    abstract:BACKGROUND AND METHODS:To investigate the frequency of apoptosis and the expression of Fas/Fas ligand (FasL) in liver allografts, we examined 97 biopsy specimens from 62 patients after orthotopic liver transplantation. The results of the biopsies were as follows: acute allograft rejection (n=32); hepatitis C virus (HCV...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199904150-00027

    authors: Tannapfel A,Kohlhaw K,Ebelt J,Hauss J,Liebert U,Berr F,Wittekind C

    更新日期:1999-04-15 00:00:00

  • How We Approach Combination Antifungal Therapy for Invasive Aspergillosis and Mucormycosis in Transplant Recipients.

    abstract::Invasive aspergillosis and mucormycosis are life-threatening infections in solid organ and hematopoietic cell transplant recipients. Despite medical advancements in the care of these patients and the availability of new mold-active drugs, the outcomes remain suboptimal. Therefore, there has been increased interest in ...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000002353

    authors: Haidar G,Singh N

    更新日期:2018-11-01 00:00:00

  • Influence of preservation solution on human islet isolation outcome.

    abstract:BACKGROUND:The influence of the preservation solution used for in situ perfusion of the donor and pancreas storage on islet isolation has received little attention. METHODS:In this prospective controlled trial, we compared the outcome of human islet isolation from pancreata perfused with University of Wisconsin (UW) s...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000251723.97483.16

    authors: Hubert T,Gmyr V,Arnalsteen L,Jany T,Triponez F,Caiazzo R,Vandewalle B,Vantyghem MC,Kerr-Conte J,Pattou F

    更新日期:2007-02-15 00:00:00

  • Urine cytologic profile in renal allograft recipients determined by monoclonal antibodies. Diagnosis of allograft rejection.

    abstract::Controversy exists as to the type of cells present in the urine during renal allograft rejection. In order to resolve this controversy as well as to evaluate the value of urine sediment examination as a means of detecting AR, we quantitated the different cells present in urine during AR using an immunoperoxidase techn...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198903000-00017

    authors: Segasothy M,Birch DF,Fairley KF,Kincaid-Smith P

    更新日期:1989-03-01 00:00:00

  • Genes associated with progression and recurrence of hepatocellular carcinoma in hepatitis C patients waiting and undergoing liver transplantation: preliminary results.

    abstract:BACKGROUND:Liver transplantation (LT) represents a curative treatment for small hepatocellular carcinoma (HCC). Potentially curable higher-stage HCC patients are denied LT due to the lack of cancer markers that predict progression and recurrence. METHODS:Thirty-eight candidates for LT with hepatitis C virus (HCV) cirr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000258643.05294.0b

    authors: Mas VR,Fisher RA,Archer KJ,Yanek KC,Williams B,Dumur CI,Maluf DG

    更新日期:2007-04-15 00:00:00