AffiliationUniv Arizona, Inst Cellular Transplantat, Dept Surg
MetadataShow full item record
PublisherHINDAWI PUBLISHING CORP
CitationOxygenation of the Intraportally Transplanted Pancreatic Islet 2016, 2016:1 Journal of Diabetes Research
JournalJournal of Diabetes Research
RightsCopyright © 2016 Thomas M. Suszynski et al. This is an open access article distributed under the Creative Commons Attribution License.
Collection InformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at firstname.lastname@example.org.
AbstractIntraportal islet transplantation (IT) is not widely utilized as a treatment for type 1 diabetes. Oxygenation of the intraportally transplanted islet has not been studied extensively. We present a diffusion-reaction model that predicts the presence of an anoxic core and a larger partly functional core within intraportally transplanted islets. Four variables were studied: islet diameter, islet fractional viability, external oxygen partial pressure (P) (in surrounding portal blood), and presence or absence of a thrombus on the islet surface. Results indicate that an islet with average size and fractional viability exhibits an anoxic volume fraction (AVF) of 14% and a function loss of 72% at a low external P. Thrombus formation increased AVF to 30% and function loss to 92%, suggesting that the effect of thrombosis may be substantial. External.. and islet diameter accounted for the greatest overall impact on AVF and loss of function. At our institutions, large human alloislets (>200 mu m diameter) account for similar to 20% of total islet number but similar to 70% of total islet volume; since most of the total transplanted islet volume is accounted for by large islets, most of the intraportal islet cells are likely to be anoxic and not fully functional.
NoteOpen Access Journal.
VersionFinal published version
SponsorsIacocca Foundation; Schott Foundation; Minnesota Lions Diabetes Foundation; National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health [R41DK075211]