Skip to main content
Top
Published in: Digestive Diseases and Sciences 10/2006

01-10-2006 | Basic Research

Remission of Digestive Insufficiency by Islet Transplantation to the Pancreas

Authors: John I. Stagner, Horacio L. Rilo, Karen Wyler

Published in: Digestive Diseases and Sciences | Issue 10/2006

Login to get access

Abstract

Pancreatic digestive insufficiency is a common problem in both Type 1 and Type 2 diabetes and remains a serious consequence of diabetes in developing countries. The problem is not corrected by supportive therapies including exogenous insulin injections. It is our hypothesis that digestive insufficiency may be corrected or diminished by the transplantation of islets to the pancreas, thereby supplying islet hormones directly to acinar tissue analogous to the normal pancreas. Diabetic rats received 1000 syngeneic islets and dogs received 7600 autologous islets per kilogram as a transplant to the pancreas. Blood glucose and amylase concentrations were normalized in islet recipients in contrast with controls receiving no islets or islets transplanted to the renal capsule. These results suggest that diabetic digestive insufficiency may be corrected by intrapancreatic islet transplantation.
Literature
1.
go back to reference Frier BM, Saunders JHD, Wormsley KG, Bouchier LAD (1976) Exocrine pancreatic function in juvenile-onset diabetes mellitus. Gut 17:685–691PubMed Frier BM, Saunders JHD, Wormsley KG, Bouchier LAD (1976) Exocrine pancreatic function in juvenile-onset diabetes mellitus. Gut 17:685–691PubMed
2.
go back to reference Kawamori R, Katsura M, Isheida S, Yamasaki Y (1995) Substantial exocrine pancreatic derangement in human diabetic patients evaluated from pure pancreatic juice. J Diabet Complicat 9:69–73CrossRef Kawamori R, Katsura M, Isheida S, Yamasaki Y (1995) Substantial exocrine pancreatic derangement in human diabetic patients evaluated from pure pancreatic juice. J Diabet Complicat 9:69–73CrossRef
3.
go back to reference Loini R, Cortoni L, Scotta M, Melze d’Eril G, Seve F (1990) Exocrine pancreatic function in children with insulin dependent diabetes mellitus. Diabetes Res Clin Pract 8:261–267 Loini R, Cortoni L, Scotta M, Melze d’Eril G, Seve F (1990) Exocrine pancreatic function in children with insulin dependent diabetes mellitus. Diabetes Res Clin Pract 8:261–267
4.
go back to reference Rothenbacker D, Low M, Hardt P, Klor H-U, Ziegler H, Brenner H (2005) Prevalence and determinants of exocrine pancreatic insufficiency among older adults: results of a population-based study. Scand J Gastroenterol 40:697–704 Rothenbacker D, Low M, Hardt P, Klor H-U, Ziegler H, Brenner H (2005) Prevalence and determinants of exocrine pancreatic insufficiency among older adults: results of a population-based study. Scand J Gastroenterol 40:697–704
5.
go back to reference Hardt PD, Krauss A, Bretz L, Porsch-Ozcurumez M, Schnell-Ketschmer H, Maser E, Bretzel RG, Zekhorn T, Klor H-U (2000) Pancreatic exocrine function in patients with Type 1 and Type 2 diabetes mellitus. Acta Diabetol 37:105–110PubMedCrossRef Hardt PD, Krauss A, Bretz L, Porsch-Ozcurumez M, Schnell-Ketschmer H, Maser E, Bretzel RG, Zekhorn T, Klor H-U (2000) Pancreatic exocrine function in patients with Type 1 and Type 2 diabetes mellitus. Acta Diabetol 37:105–110PubMedCrossRef
6.
go back to reference Nakagawa A, Stagner JI, Samols E (1993) Suppressive role of the islet-acinar axis in the perfused rat pancreas. Gastroenterology 105:868–875PubMed Nakagawa A, Stagner JI, Samols E (1993) Suppressive role of the islet-acinar axis in the perfused rat pancreas. Gastroenterology 105:868–875PubMed
7.
go back to reference Nakagawa A, Samols E, Stagner JI (1993) Interstitial acinar islet hormone concentrations in the dog pancreas. Am J Physiol 264:G728–G734PubMed Nakagawa A, Samols E, Stagner JI (1993) Interstitial acinar islet hormone concentrations in the dog pancreas. Am J Physiol 264:G728–G734PubMed
8.
go back to reference Kvist-Reimer M, Mokshagundam SP, Wyler K, Sundler F, Ahren B, Stagner J (2003) Beneficial effect of local growth factor treatment on autonomic reinnervation of transplanted pancreatic islets in rats. Pancreas 29:392–397CrossRef Kvist-Reimer M, Mokshagundam SP, Wyler K, Sundler F, Ahren B, Stagner J (2003) Beneficial effect of local growth factor treatment on autonomic reinnervation of transplanted pancreatic islets in rats. Pancreas 29:392–397CrossRef
9.
go back to reference Stagner JI, Mokshagundam SP, Samols E (1998) Induction of mild hypoglycemia by islet transplantation to the pancreas. Transplant Proc 30:635–636PubMedCrossRef Stagner JI, Mokshagundam SP, Samols E (1998) Induction of mild hypoglycemia by islet transplantation to the pancreas. Transplant Proc 30:635–636PubMedCrossRef
10.
go back to reference Rodriguez-Rilo HL, Carroll PB, Zeng YJ, Fontes P, Demetris J, Ricordi C (1994) Acceleration of chronic failure of intrahepatic canine islet autografts by a short course of prednisone. Transplantation 57:181–187CrossRef Rodriguez-Rilo HL, Carroll PB, Zeng YJ, Fontes P, Demetris J, Ricordi C (1994) Acceleration of chronic failure of intrahepatic canine islet autografts by a short course of prednisone. Transplantation 57:181–187CrossRef
11.
go back to reference Samols E, Stagner JI (1996) Intra-islet cell-cell interactions and insulin secretion. Diabetes Rev 4:207–223 Samols E, Stagner JI (1996) Intra-islet cell-cell interactions and insulin secretion. Diabetes Rev 4:207–223
12.
go back to reference Williams JA, Goldfine ID (1985) The insulin-pancretic acinar axis. Diabetes 34:980–986PubMed Williams JA, Goldfine ID (1985) The insulin-pancretic acinar axis. Diabetes 34:980–986PubMed
13.
go back to reference Holst JJ (1987) Does the endocrine secretion of the pancreas exert a local control of the exocrine secretion? Pancreas 2:613–619PubMedCrossRef Holst JJ (1987) Does the endocrine secretion of the pancreas exert a local control of the exocrine secretion? Pancreas 2:613–619PubMedCrossRef
14.
go back to reference Garry DJ, Garry MG, Williams JA, Mahoneey WC, Sorenson RL (1989) Effects of islet hormones on amylase secretion and localization of somatostatin binding sites. Am J Physiol 56:G897–G904 Garry DJ, Garry MG, Williams JA, Mahoneey WC, Sorenson RL (1989) Effects of islet hormones on amylase secretion and localization of somatostatin binding sites. Am J Physiol 56:G897–G904
15.
go back to reference Kimmel JD, Pollaock HG (1981) Target organs for avain pancreatic polypeptide. Endocrinology 109:1693–1699PubMedCrossRef Kimmel JD, Pollaock HG (1981) Target organs for avain pancreatic polypeptide. Endocrinology 109:1693–1699PubMedCrossRef
16.
go back to reference Louie DS, Williams JA, Owyang C (1985) Action of pancreatic polypeptide on rat pancreatic secretion in vivo and in vitro. Am J Physiol 249:G489–G495 Louie DS, Williams JA, Owyang C (1985) Action of pancreatic polypeptide on rat pancreatic secretion in vivo and in vitro. Am J Physiol 249:G489–G495
17.
go back to reference Nakagawa A, Stagner JI, Samols E (1995) In situ binding of islet hormones in the isolated rat pancreas. Evidence for local high concentrations of islet hormones via the islet-acinar axis. Diabetologia 38:262–268PubMed Nakagawa A, Stagner JI, Samols E (1995) In situ binding of islet hormones in the isolated rat pancreas. Evidence for local high concentrations of islet hormones via the islet-acinar axis. Diabetologia 38:262–268PubMed
18.
go back to reference Ryan EA, Paty BW, Senior PA, Bigam D, Alfadhi E, Kneteman NM, Lakey JRT, Shapiro AMJ (2005) Five-year follow-up after clinical islet transplantation. Diabetes 54:2060–2069PubMed Ryan EA, Paty BW, Senior PA, Bigam D, Alfadhi E, Kneteman NM, Lakey JRT, Shapiro AMJ (2005) Five-year follow-up after clinical islet transplantation. Diabetes 54:2060–2069PubMed
19.
go back to reference Warnock GL, Rajotte RV (1988) Critical mass of purified islets that induce normoglycemia after implantation into dogs. Diabetes 37:467–470PubMed Warnock GL, Rajotte RV (1988) Critical mass of purified islets that induce normoglycemia after implantation into dogs. Diabetes 37:467–470PubMed
Metadata
Title
Remission of Digestive Insufficiency by Islet Transplantation to the Pancreas
Authors
John I. Stagner
Horacio L. Rilo
Karen Wyler
Publication date
01-10-2006
Published in
Digestive Diseases and Sciences / Issue 10/2006
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-006-9300-4

Other articles of this Issue 10/2006

Digestive Diseases and Sciences 10/2006 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.