CURRENT STATUS OF PANCREATIC ISLET TRANSPLANTATION IN MURINE EXPERIMENTAL MODELS. LITERATURE REVIEW.
Volume 2, Issue 1, Pp 1-6, 2019
Author(s)
Alice Maria Garcia Possodeli1, Barbara Barbosa da Cruz1, Carolina Miranda Mourao Bastos1, Gabriel Prates de Almeida Lopes Abelha1, Joao Jeronymo Barros de Oliveira1, Marcelli Caroline do Amaral Costa1, Leilane Maria Moreira Araujo1, Lucas Vasques de Paula Hobaik1, Natalie Campello Nideck Albertino1, Thaynara Rozendo da Silva1, Rogério Nunes Barreto1, Marcel Vasconcellos2*
Affiliation(s)
1 Medical Graduate Student, School of Medicine, Centro Universitário Serra dos órg?os - UNIFESO, Rio de Janeiro, Brasil. - Acquisition of data.
2 Professor of Experimental Research, School of Medicine, Centro Universitário Serra dos órg?os - UNIFESO, Rio de Janeiro, Brasil. - Conception, design, intellectual and scientific content of the study, critical revision.
Corresponding Author
Marcel Vasconcellos
ABSTRACT
Background: Global estimates show that by 2035 we will have about 592 million diabetic patients, with a major impact on low- and middle-income countries. Pancreas and pancreatic islet transplantation are currently the only available therapeutic alternatives capable of restoring the physiological pattern of insulin secretion in diabetic patients. However, because the rate of pancreas transplantation is still very low in the country, a more comprehensive criterion for donor acceptance has been proposed. The therapeutic procedure for transplantation of pancreatic islet is approved in Canada and it is in the approval phase in the United States and in experimental phase in Brazil. Despite the fact that the procedure is minimally invasive, consisting of islet infusion into the hepatic parenchyma by ultrasound-guided transcutaneous catheterization, it was observed that both the function and the survival of the islet deteriorate with time, due to factors related to the revascularization of the grafts. In addition, long-term follow-up allowed the identification of late side effects, such as the development of foci of hepatic steatosis. Aims: To investigate the state of knowledge of pancreatic islet transplantation in murine experimental models. Materials and Methods: A critical analysis of PubMed?-indexed publications from 2000 to May 2019 was performed, associating the following descriptors: "pancreatic islet transplantation", "proliferation", "beta-cell". Results: Of the total of 225 publications, 23 publications were obtained, whose summary or complete access was validated by correlation with the theme. Full articles have been reviewed and references were used to identify other sources of information. Conclusion: The state of the art in transplantation of pancreatic islets, in murine experimental models and their translational use, still presents pending questions. Researchers advocate the need for well-designed and statistically significant prospective studies aimed at solving basic and fundamental issues such as immune tolerance. However, it is believed that in the near future, cell replacement therapy will benefit a greater number of diabetic patients.
KEYWORDS
Diabetes Mellitus; Pancreatic Islet Transplantation; Translational Medical Research; Rodents
CITE THIS PAPER
Alice Maria Garcia Possodeli, Barbara Barbosa da Cruz, Carolina Miranda Mourao Bastos, Gabriel Prates de Almeida Lopes Abelha, Joao Jeronymo Barros de Oliveira, Marcelli Caroline do Amaral Costa, Leilane Maria Moreira Araujo, Lucas Vasques de Paula Hobaik, Natalie Campello Nideck Albertino, Thaynara Rozendo da Silva, Rogério Nunes Barreto, Marcel Vasconcellos. Current status of pancreatic islet transplantation in murine experimental models. literature review. Acta Translational Medicine. 2019, 2(1): 1-6.
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