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  4. Short-term immunosuppression reduces fibrotic cellular infiltration around barium-M-alginate microbeads injected intraportally
 
research article

Short-term immunosuppression reduces fibrotic cellular infiltration around barium-M-alginate microbeads injected intraportally

Mathe, Z
•
Bucher, P
•
Bosco, D
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2004
Transplantation Proceedings

Introduction. One of the major barriers affecting the viability of encapsulated islets is pericapsular fibrotic infiltration (PFI). This study aimed to design strategies to reduce PFI around intraportally injected alginate microbeads. Methods. Empty, highly purified, barium-M-alginate microbeads (400 µm) were injected intraportally into Lewis rats (3000 beads/rat). Rats (n = 9/group) were treated daily with either rapamycine (RAPA; 1 mg/kg/d PO), tacrolimus (TAC; 2 mg/kg/d PO), a combination of both, or gadolinium-chloride (GdC13, 20 mg/kg/d IV, at day -1 and day +4). Treatment was discontinued at 10 days. Three rats/group were sacrificed at 3, 7, and 42 days after transplantation. Cellular composition of PFI was evaluated by immunohisto- chemistry. Severity of the reaction to the beads was determined by measuring the thickness of PFI on histology. Results. The main cellular components of PFI in the liver were macrophages and myofibroblasts. There was a significant (P < .05) reduction in the thickness of PFI in all treated groups, even 6 weeks after transplantation. Encapsulated rat islets showed excellent insulin response to glucose in vitro, with a stimulation index of 3.6 ± 2.0. Conclusion. Combination of highly purified alginate with short-term immunosuppression reduces fibrotic overgrowth around microbeads injected intraportally.

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Type
research article
DOI
10.1016/j.transproceed.2004.04.021
Web of Science ID

WOS:000222063800140

Author(s)
Mathe, Z
Bucher, P
Bosco, D
Andres, A
Flux, C
Toso, C
Oberholzer, J
Wandrey, C  
Sainz Vidal, D  
Espinosa, D.
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Date Issued

2004

Published in
Transplantation Proceedings
Volume

36

Start page

1199

End page

1200

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LMRP  
Available on Infoscience
October 15, 2009
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/43720
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