Regulation of Inflammatory Response in Islet Transplantation
Abstract
Volume 2,Issue 2
Regulation of Inflammatory Response in Islet Transplantationby
Yoshitaro Shindo
and
Mazhar A. Kanak
Abstract Islet cell transplantation is a developing treatment for patients suffering from severe Type-1 diabetes. The long-term insulin independence after islet cell transplantation has been difficult to achieve, and this has been linked to several factors. One of the major cause of poor long-term outcome is inflammation surrounding the islets. Inflammation in islets is caused art several stages, donor induced, during organ preservation, islet isolation stress, peri-transplant inflammation or instant blo [...] |
MicroRNAs as Potential Markers for Advantageous Perfusion in a Preclinical Donation after Cardiac Death Animal Model of Oxygenated Hypothermic Machine Perfusion (HOPE)by
Victoria Gómez-Dos-Santos
,
Vital Hevia-Palacios
,
Edurne Ramos-Muñoz
,
María Laura García-Bermejo
,
Esperanza Macarena Rodríguez-Serrano
,
Ana Saiz-González
,
Jose Manuel Del Rey-Sánchez
and
Francisco Javier Burgos-Revilla
Abstract Background: Extended criteria donors and donation after cardiac death donors provide organs which tend to be more sensitive to the stress of preservation. There is a lack of evidence about the potential role of oxygen in preservation techniques, and literature comparing oxygenated and non-oxygenated techniques is very limited.
The aim of the study was to compare HMP with oxygen versus HMP without oxygen in a pig model of kidney auto-transplantation (KT) reproducing conditions of DCD. We have als [...] |
Delayed Clinically Significant Portal Hypertension after Total Pancreatectomy-Islet Auto-TransplantationAbstract Portal hypertension has not been described as a complication of total pancreatectomy-islet auto-transplantation (TPIAT). We describe the first reported case of delayed and clinically significant portal hypertension following TPIAT in a patient with idiopathic chronic pancreatitis. |
Stem Cell Strategies to Promote Islet Transplantation Outcomesby
Preeti Chhabra
and
Kenneth L. Brayman
Abstract Pancreas or islet transplantation is the only reliable cure for Type 1 Diabetes. However, shortage of donor tissue supply, longitudinal graft attrition due to innate and adaptive immunity and the recurrence of autoimmunity, as well as the harmful side-effects of chronic immunosuppressive therapy limit the wide-spread acceptance of islet transplantation as a mainstream cure for autoimmune diabetes. Herein, preclinical and clinical stem-cells based research approaches aimed at obtaining large quan [...] |
Evolution in the Management of Invasive Fungal Infections in Liver Transplant RecipientsAbstract Invasive fungal infections (IFI) remain an important cause of morbidity and mortality, especially in hospitalized and immunocompromised or critically ill patients. The incidence of IFIs has been declining in liver transplant recipients (LTR). This is likely due to the evolving immunosuppressive drug regimens, improved surgical techniques and targeted antifungal prophylaxis. However, these still contribute to high mortality and are associated with high economic burden due to consumption of costl [...] |
Islet Xenotransplantation for the Treatment of Type 1 DiabetesAbstract Allogeneic islet transplantation has been established to prevent severe hypoglycemia for unstable type 1 diabetic patients. Recent phase 3 clinical trial clearly demonstrated the benefit of allogeneic islet transplantation. Severe hypoglycemia is serious issue not only for type 1 diabetic patients but also type 2 diabetic patients especially aged patients. Considering the possible demands for such patients, donor shortage will be the serious issue. To solve this issue, islet xenotransplantation [...] |
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