Disproportionate hyperproinsulinemia, beta-cell restricted prohormone convertase 2 deficiency, and cell cycle inhibitors expression by human islets transplanted into athymic nude mice: insights into nonimmune-mediated mechanisms of delayed islet graft failure.
To learn more about nonimmune-mediated islet graft failure, we transplanted different preparations (preps) of isolated human islets under the kidney capsule of streptozotocin (STZ)-diabetic nude mice. One month after the implantation of 1,000 or 2,000 islets, grafts were harvested for morphological, immunohistochemical, and ultrastructural analysis. Only a single islet prep cured the diabetes out of all the recipients, while the remaining preps showed only partial function after the implantation of 2,000 islets. Transplanted mice showed high circulating proinsulin levels but, with the exclusion of those bearing curative grafts, relatively low mature insulin levels. Engrafted beta-cells showed positive carboxypeptidase E (CPE) and prohormone convertase 1 (PC1) staining, while prohormone convertase 2 (PC2) was undetectable. In contrast, PC2 was abundantly expressed by engrafted alpha-cells. Moreover, engrafted beta-cells did not show evidence of replication, and preapoptotic beta-cells, with intra- and extracellular amyloid deposition, were detected with electron microscopy. Cell cycle inhibitors p16(INK4), p21(WAF1), and p27(Kip1) were abundantly expressed in the islet grafts and showed a predominant nuclear localization. In conclusion, diabetic nude mice transplanted with human islets showed disproportionate hyperproinsulinemia and graft evidence of beta-cell restricted PC2 depletion, amyloid deposition and beta-cell death, and lack of beta-cell replication with nuclear translocation of p27(Kip1) and p21(WAF1) that together may contribute to delayed graft failure.
Davalli
Alberto M
AM
Department of Medicine, Unit of Endocrinology and Metabolic Diseases, San Raffaele Hospital, Milan, Italy. alberto.davalli@hsr.it
Perego
Lucia
L
Bertuzzi
Federico
F
Finzi
Giovanna
G
La Rosa
Stefano
S
Blau
Adam
A
Placidi
Claudia
C
Nano
Rita
R
Gregorini
Luisa
L
Perego
Carla
C
Capella
Carlo
C
Folli
Franco
F
D000818:Animals; D001344:Autopsy; D002453:Cell Cycle / Q000502:physiology*; D003921:Diabetes Mellitus, Experimental / Q000601:surgery*; D006801:Humans; D006946:Hyperinsulinism / Q000209:etiology*; D050417:Insulin-Secreting Cells / Q000166:cytology / Q000201:enzymology / Q000473:pathology; D007515:Islets of Langerhans / Q000201:enzymology* / Q000378:metabolism* / Q000473:pathology; D016381:Islets of Langerhans Transplantation / Q000009:adverse effects* / Q000473:pathology; D008297:Male; D051379:Mice; D008819:Mice, Nude; D010179:Pancreas / Q000473:pathology; D011384:Proinsulin / Q000097:blood / Q000378:metabolism*; D045706:Proprotein Convertase 2 / Q000172:deficiency*; D012016:Reference Values; D014183:Transplantation, Heterologous / Q000009:adverse effects*; D017211:Treatment Failure
D011384:Proinsulin; D045706:Proprotein Convertase 2