title: Surface modification of islets with PEG-lipid for improvement of graft survival in intraportal transplantation.
abstract: BACKGROUND
  Transplantation of islets of Langerhans (islets) is a promising technique for treating insulin-dependent diabetes mellitus (type I). One unsolved issue is the early graft loss due to inflammatory reactions triggered by blood coagulation and complement activation that occurs immediately after transplantation into the liver through the portal vein. Several proposed approaches for improvement of the graft survival include heparin coating and covalent poly(ethylene glycol) (PEG) conjugation. We previously have studied the improvement of graft survival by modification of islet surfaces using amphiphilic PEG-conjugated phospholipid and bioactive molecules. Here, we analyzed the effect of PEG-modification on the improvement of graft survival immediately after intraportal transplantation into streptozotocin-induced diabetic mice.
  
  
  METHODS
  The surface of hamster islets was modified with PEG-lipid. PEG-lipid modified islets (PEG-islets) were transplanted into the liver through the portal vein of streptozotocin-induced diabetic mice. We measured the graft survival periods and blood insulin levels immediately after intraportal transplantation to determine the cell damage to islets. Histocytochemical analyses of liver were also performed postintraportal transplantation.
  
  
  RESULTS
  The graft survival of PEG-islets was significantly prolonged compared with bare islets in livers of diabetic mice. Reduction of blood insulin level within 60 min after transplantation of PEG-islets suggests that the cell damage observed immediately after transplantation could be suppressed by surface modification with PEG in comparison with bare islets.
  
  
  CONCLUSIONS
  Our approach for the improvement of graft survival will be useful in the clinical setting.
authors.affiliation: Department of Nano-Medicine Merger Education Unit, Graduate School of Engineering, Kyoto University, Kyoto, Japan. teramura@frontier.kyoto-u.ac.jp
authors.forename: Yuji
authors.initials: Y
authors.lastname: Teramura
authors.forename: Hiroo
authors.initials: H
authors.lastname: Iwata
mesh_terms: D000818:Animals; D006224:Cricetinae; D003921:Diabetes Mellitus, Experimental; D005260:Female; D006085:Graft Survival; D007515:Islets of Langerhans / Q000473:pathology*; D016381:Islets of Langerhans Transplantation / Q000379:methods*; D008055:Lipids / Q000737:chemistry*; D008099:Liver / Q000378:metabolism; D008297:Male; D051379:Mice; D008807:Mice, Inbred BALB C; D011092:Polyethylene Glycols / Q000737:chemistry*; D013311:Streptozocin / Q000494:pharmacology; D016896:Treatment Outcome
chemical_list: D008055:Lipids; D011092:Polyethylene Glycols; D013311:Streptozocin