In Vitro Maturation of Viable Islets from Partially Digested Young Pig Pancreas

Isolation of islets from market-sized pigs is costly, with considerable islet losses from fragmentation occurring during isolation and tissue culture. Fetal and neonatal pigs yield insulin unresponsive islet-like cell clusters that become glucose-responsive after extended periods of time. Both issues impact clinical applicability and commercial scale-up. We have focused our efforts on a cost-effective scalable method of isolating viable insulin-responsive islets. Young Yorkshire pigs (mean age 20 days, range 4–30 days) underwent rapid pancreatectomy (<5 min) and partial digestion using low-dose collagenase, followed by in vitro culture at 37°C and 5% CO2 for up to 14 days. Islet viability was assessed using FDA/PI or Newport Green, and function was assessed using a glucose-stimulated insulin release (GSIR) assay. Islet yield was performed using enumeration of dithizonestained aliquots. The young porcine (YP) islet yield at dissociation was 12.6 ± 2.1 × 103 IEQ (mean ± SEM) per organ and increased to 33.3 ± 6.4 × 103 IEQ after 7 days of in vitro culture. Viability was 97.3 ± 7% at dissociation and remained over 90% viable after 11 days in tissue culture (n = ns). Glucose responsiveness increased throughout maturation in culture. The stimulation index (SI) of the islets increased from 1.7 ± 2 on culture day 3 to 2.58 ± 0.5 on culture day 7. These results suggest that this method is both efficient and scalable for isolating and maturing insulin-responsive porcine islets in culture.

[1]  A. Simpson,et al.  Basic Biology of Pig Fetal Pancreas and Its Use as an Allograft , 1995 .

[2]  P. Gianello,et al.  Pig islet for xenotransplantation in human: structural and physiological compatibility for human clinical application. , 2012, Transplantation reviews.

[3]  D. Scharp Isolation and transplantation of islet tissue , 1984, World Journal of Surgery.

[4]  C. Ricordi,et al.  Selection of donors significantly improves pig islet isolation yield. , 1990, Hormone and metabolic research. Supplement series.

[5]  Denis Dufrane,et al.  Six-Month Survival of Microencapsulated Pig Islets and Alginate Biocompatibility in Primates: Proof of Concept , 2006, Transplantation.

[6]  J. Lakey,et al.  Function and viability of human islets encapsulated in alginate sheets: in vitro and in vivo culture. , 2011, Transplantation proceedings.

[7]  Ames,et al.  Islet Transplantation in Seven Patients with Type 1 Diabetes Mellitus Using a Glucocorticoid-Free Immunosuppressive Regimen , 2000 .

[8]  R. Alejandro,et al.  A simple method of staining fresh and cultured islets. , 1988, Transplantation.

[9]  C. Ricordi,et al.  Isolation of the elusive pig islet. , 1990, Surgery.

[10]  W. Heneine,et al.  No evidence of infection with porcine endogenous retrovirus in recipients of porcine islet-cell xenografts , 1998, The Lancet.

[11]  D. Raleigh,et al.  Islet amyloid deposition limits the viability of human islet grafts but not porcine islet grafts , 2010, Proceedings of the National Academy of Sciences.

[12]  F. Sundler,et al.  Ontogeny of endocrine cells in porcine gut and pancreas. An immunocytochemical study. , 1983, Gastroenterology.

[13]  C. Ricordi,et al.  Current status of islet cell transplantation. , 2009, Journal of hepato-biliary-pancreatic surgery.

[14]  W. Heneine,et al.  LACK OF CROSS-SPECIES TRANSMISSION OF PORCINE ENDOGENOUS RETROVIRUS INFECTION TO NONHUMAN PRIMATE RECIPIENTS OF PORCINE CELLS, TISSUES, OR ORGANS1 , 2001, Transplantation.

[15]  P. Vos,et al.  Cell encapsulation: Promise and progress , 2003, Nature Medicine.

[16]  J. Lakey,et al.  Novel approaches to cryopreservation of human pancreatic islets. , 2001, Transplantation.

[17]  J. Stockman,et al.  International Trial of the Edmonton Protocol for Islet Transplantation , 2008 .

[18]  A. Gibbs,et al.  Transient transmission of porcine endogenous retrovirus to fetal lambs after pig islet tissue xenotransplantation , 2007, Immunology and cell biology.

[19]  L. Williams,et al.  Comparison of Size, Viability, and Function of Fetal Pig Islet-Like Cell Clusters after Digestion Using Collagenase or Liberase , 2002, Cell transplantation.

[20]  K. Manova,et al.  Measurement of Apoptosis of Intact Human Islets by Confocal Optical Sectioning and Stereologic Analysis of YO-PRO-1–Stained Islets , 2005, Transplantation.

[21]  C. Buchanan,et al.  Live encapsulated porcine islets from a type 1 diabetic patient 9.5 yr after xenotransplantation , 2007, Xenotransplantation.

[22]  L. Martignat,et al.  Microchimerism and transmission of porcine endogenous retrovirus from a pig cell line or specific pathogen-free pig islets to mouse tissues and human cells during xenografts in nude mice , 2002, Diabetologia.

[23]  Yasuhiro Takeuchi,et al.  Infection of human cells by an endogenous retrovirus of pigs , 1997, Nature Medicine.

[24]  G. Weir,et al.  Complete protection of islets against allorejection and autoimmunity by a simple barium-alginate membrane. , 2001, Diabetes.

[25]  R. Bottino,et al.  Isolation outcome and functional characteristics of young and adult pig pancreatic islets for transplantation studies , 2007, Xenotransplantation.

[26]  G. Korbutt,et al.  Large scale isolation, growth, and function of porcine neonatal islet cells. , 1996, The Journal of clinical investigation.

[27]  Melanie E. Goward,et al.  Multiple Groups of Novel Retroviral Genomes in Pigs and Related Species , 2001, Journal of Virology.

[28]  A. Vasconcellos,et al.  Transplantation of micro- and macroencapsulated piglet islets into mice and monkeys. , 2005, Transplantation proceedings.

[29]  R. Downing,et al.  The distribution of porcine pancreatic beta‐cells at ages 5, 12 and 24 weeks , 1999, Xenotransplantation.

[30]  P. Lacy,et al.  Insulin Independence After Islet Transplantation Into Type I Diabetic Patient , 1990, Diabetes.

[31]  K. Ulrichs,et al.  Xenogeneic islet transplantation of microencapsulated porcine islets for therapy of type I diabetes: long-term normoglycemia in STZ-diabetic rats without immunosuppression , 2008, Pediatric Surgery International.

[32]  Junghyo Jo,et al.  Islet architecture: A comparative study , 2009, Islets.

[33]  Heiko Zimmermann,et al.  Long-term graft function of adult rat and human islets encapsulated in novel alginate-based microcapsules after transplantation in immunocompetent diabetic mice. , 2005, Diabetes.

[34]  F. Kandeel,et al.  Comprehensive analysis of human pancreatic islets using flow and laser scanning cytometry. , 2008, Transplantation proceedings.

[35]  William C Chapman,et al.  Natural Antibodies Prevent in Vivo Transmission of Porcine Islet-Derived Endogenous Retrovirus to Human Cells , 2004, Cell transplantation.

[36]  B. Hering,et al.  Evidence for breed-dependent differences in porcine islets of Langerhans. , 1994, Transplantation proceedings.

[37]  O. Korsgren,et al.  LARGE‐SCALE PRODUCTION OF FETAL PORCINE PANCREATIC ISLETLIKE CELL CLUSTERS: An Experimental Tool for Studies of Islet Cell Differentiation and Xenotransplantation , 1988, Transplantation.

[38]  E. Shezen,et al.  Embryonic Pig Pancreatic Tissue Transplantation for the Treatment of Diabetes , 2006, PLoS medicine.

[39]  E. Ryan,et al.  Islet transplantation in seven patients with type 1 diabetes mellitus using a glucocorticoid-free immunosuppressive regimen. , 2000, The New England journal of medicine.

[40]  P. Lacy,et al.  Automated large-scale isolation, in vitro function and xenotransplantation of porcine islets of Langerhans. , 1991, Transplantation.

[41]  H. Wacker,et al.  Histomorphological characteristics of the porcine pancreas as a basis for the isolation of islets of Langerhans , 1995 .

[42]  W. D’hoore,et al.  Parameters favouring successful adult pig islet isolations for xenotransplantation in pig‐to‐primate models , 2006, Xenotransplantation.

[43]  Denis Dufrane,et al.  Alginate Macroencapsulation of Pig Islets Allows Correction of Streptozotocin-Induced Diabetes in Primates up to 6 Months Without Immunosuppression , 2010, Transplantation.

[44]  C. Tucker-Burden,et al.  Long-Term Metabolic Control of Autoimmune Diabetes in Spontaneously Diabetic Nonobese Diabetic Mice by Nonvascularized Microencapsulated Adult Porcine Islets , 2009, Transplantation.

[45]  R. Korneluk,et al.  XIAP overexpression in human islets prevents early posttransplant apoptosis and reduces the islet mass needed to treat diabetes. , 2005, Diabetes.

[46]  W. Heneine,et al.  Search for cross-species transmission of porcine endogenous retrovirus in patients treated with living pig tissue. The XEN 111 Study Group. , 1999, Science.

[47]  T. Orłowski,et al.  The influence of porcine pancreas digestion parameters and islet histomorphology on islet isolation outcome. , 2011, Polish journal of veterinary sciences.

[48]  A. Karlas,et al.  Monitoring for Presence of Potentially Xenotic Viruses in Recipients of Pig Islet Xenotransplantation , 2004, Journal of Clinical Microbiology.

[49]  Carolyn Wilson,et al.  Limited infection without evidence of replication by porcine endogenous retrovirus in guinea pigs. , 2004, The Journal of general virology.

[50]  C. Hulstaert,et al.  Significance of the peri-insular extracellular matrix for islet isolation from the pancreas of rat, dog, pig, and man , 2004, Cell and Tissue Research.

[51]  F. Pattou,et al.  Identification and Purification of Functional Human β-cells by a New Specific Zinc-fluorescent Probe , 2001, The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society.

[52]  K. Saigo,et al.  Cryopreservation of Human Pancreatic Islets from Non-Heart-Beating Donors Using Hydroxyethyl Starch and Dimethyl Sulfoxide as Cryoprotectants , 2008, Cell transplantation.

[53]  G. Weir,et al.  Scientific and Political Impediments to Successful Islet Transplantation , 1997, Diabetes.

[54]  Peter J. Morris,et al.  Islet isolation assessment in man and large animals , 1990, Acta diabetologia latina.