203.3: Reducing neutral protease dose during islet isolation does not impair islet recovery from pancreases retrieved for autologous use

小岛 胶原酶 医学 胰腺 移植 内科学 蛋白酶 泌尿科 糖尿病 男科 内分泌学 化学 生物化学
作者
Rebecca M Spiers,Heide Brandhorst,Daniel Brandhorst,Idira Obasse,Jennifer M. Fox,Alistair Lumb,Michael Silva,Paul Johnson
出处
期刊:Transplantation [Wolters Kluwer]
卷期号:107 (10S2): 43-43
标识
DOI:10.1097/01.tp.0000993972.83483.b5
摘要

Introduction: Total Pancreatectomy with Islet Auto-Transplantation (TPIAT) is an effective treatment for selected patients with severe chronic pancreatitis, resulting in pain reduction, improved quality of life, and good graft function following islet re-infusion. Islets are isolated using a blend of collagenase and neutral protease (NP) enzymes. Most islet isolation labs use high concentrations of NP in auto islet isolation (~200 Units), due to the fibrotic nature of the retrieved pancreases. However, increasing concentrations of NP can result in islet fragmentation and reduce islet viability. Here, we investigate the impact of using a lower protease dose on islet isolation outcome, from pancreases retrieved for autologous use. Methods: Following total pancreatectomy, islets were isolated using the semi-automated method. Enzymes mixtures consisted of Vitacyte collagenase (~2,000 Units) and either 100 Units (U) or 200 U of Serva/Nordmark NP (n=3 per group). Post-isolation, islets were assessed for purity (%), viability (%) and number (IEQ) then infused trans-hepatically via the portal vein. Statistical differences between the two experimental groups were determined by Mann Whitney Test. Results are presented as average ± standard deviation. Results: All 6 pancreases were severely fibrotic with calcification. Recipient age was statistically matched between the two protease groups (31±7 years and 30.6±10 years in the 100U and 200U NP groups respectively). Pancreas weight was also statistically comparable between the groups (100U group: 54.5±43g vs 200U group 75.6±33g). Islet purification was not performed for any of the 6 preparations. Although final islet yield was higher in the 100U group, this did not reach statistical significance (5,026.4±4,504 IEQ/g vs 3,947.8±2,696 IEQ/g). NP dose did not significantly impact on the final preparation purity (100U: 6.6±2.8% vs 200U: 11.6±7.8%) or viability (100U: 73.3±3.5% vs 200U: 71.6±5.6%). Final tissue volume was statistically comparable across the two groups (8±5.2ml vs 5.6±4.5ml in the 100U and 200U NP groups respectively). Conclusion: Our preliminary experience demonstrates the feasibility of using a decreased dose of protease when isolating islets from significantly fibrotic pancreases retrieved for autologous use. Using reduced protease would result in cost saving, and our data suggests it might reduce islet fragmentation and increase islet viability. However, enzyme selection must be considered carefully for each individual organ.

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
1秒前
2秒前
yangjoy发布了新的文献求助10
3秒前
wanci应助老实的采蓝采纳,获得10
4秒前
威哥完成签到,获得积分10
5秒前
斯可发布了新的文献求助10
5秒前
桐桐应助lh961129采纳,获得10
6秒前
JUZI发布了新的文献求助10
7秒前
Lendar完成签到 ,获得积分10
7秒前
RuiBigHead发布了新的文献求助10
8秒前
9秒前
跳跃的洋葱完成签到 ,获得积分10
9秒前
9秒前
yangjoy完成签到,获得积分10
10秒前
pinklay完成签到 ,获得积分10
10秒前
10秒前
科研通AI5应助ttt采纳,获得10
11秒前
重要问旋完成签到,获得积分10
11秒前
12秒前
香蕉觅云应助科研通管家采纳,获得10
13秒前
13秒前
酷波er应助科研通管家采纳,获得10
13秒前
华仔应助科研通管家采纳,获得10
13秒前
wanci应助科研通管家采纳,获得30
13秒前
老阎应助科研通管家采纳,获得30
13秒前
姜莹应助科研通管家采纳,获得10
13秒前
隐形曼青应助科研通管家采纳,获得10
13秒前
顾矜应助科研通管家采纳,获得10
13秒前
共享精神应助科研通管家采纳,获得10
13秒前
大模型应助科研通管家采纳,获得10
13秒前
在水一方应助科研通管家采纳,获得10
13秒前
英姑应助科研通管家采纳,获得10
13秒前
CodeCraft应助科研通管家采纳,获得10
13秒前
13秒前
ED应助科研通管家采纳,获得10
14秒前
NexusExplorer应助科研通管家采纳,获得10
14秒前
14秒前
思源应助科研通管家采纳,获得10
14秒前
14秒前
orixero应助科研通管家采纳,获得10
14秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
Research on Disturbance Rejection Control Algorithm for Aerial Operation Robots 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038619
求助须知:如何正确求助?哪些是违规求助? 3576294
关于积分的说明 11375058
捐赠科研通 3306084
什么是DOI,文献DOI怎么找? 1819374
邀请新用户注册赠送积分活动 892698
科研通“疑难数据库(出版商)”最低求助积分说明 815066